Adolescent Proximal Tibia Physeal Injury

Abstract

Proximal tibial growth plate injuries are one of the rare cases seen in adolescents. Acute complications, such as arterial damage and compartment syndrome, and also chronic complications, such as genu recurvatum, can be seen in these patients. In this review, we present the treatment and complications of 2 14-year-old patients, who were admitted to our emergency service as a result of acute trauma.

Epidemiology and management of proximal tibia fractures in children and adolescents: a population-based study based on the Kids’ Fracture Tool

“…Compartment syndrome may occur with these fractures due to damage to the popliteal artery, mechanical blockage of surrounding vascular structures by a displaced fracture, or collateral damage to soft tissues in high-energy injuries ( 4 ). Few examples of compartment syndromes with proximal physeal fractures have been reported ( 2 , 5 , 15 , 16 ). In our cohort, the incidence of compartment syndrome was very low (0.4%) in all children with proximal tibia fractures.…”

“…The most common type of intraarticular fracture was an ACL avulsion (61%, 43/70), with a median age of 13.1 years (range 6.7-15.9 years). This corresponds to a mean annual incidence of 3.4/100,000 children (range 2.5-4.5, CI 0.7-9.3) and 22/100 000 (range 15-25, CI [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] ACL-avulsion patients presented with an associated Segond fracture, while none sustained meniscal and concomitant other ligament injuries simultaneously (Table 2).…”