Salter-Harris-Typ-IV-Epiphysenfraktur am Außenknöchel

Lugeder, A.; Jäger, Christoph; Fecht, E.; Riemer, C.; Sattler, M.; Kalbe, P.; Zeichen, J.

doi:10.1007/s00113-013-2362-9

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…The diagnosis was confirmed with a CT scan. Treatment was performed with open reduction and fixation with K wire [ 10 ]. CT scan can be used to identify and accurately classify fractures of the distal tibial epiphysis.…”

Section: Discussionmentioning

confidence: 99%

Displaced Distal Fibular Epiphysis in a Child: A Clinical and Radiological Evaluation of a Rare Injury Hidden From the Initial Radiological Examination

Laliotis,

Konstantinidis,

Chrysanthou

et al. 2024

Cureus

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Fractures of the lateral malleolus are common in children. Isolated lesions of the distal fibula physis commonly comprise nondisplaced or minimally displaced fractures. An isolated, completely displaced epiphysiolisthesis of the distal fibula is an extremely rare lesion. This study introduces the case of an 11-year-old boy presenting an extremely rare lesion of an isolated, completely displaced distal fibular epiphysis that was difficult to diagnose on X-ray. Initial radiographic examination of the injured ankle showed normal configuration of the tibia and fibula on AP projection, with soft tissue swelling of the lateral malleolus. On the lateral projection, the talus completely covered the distal fibular epiphysis, and particular attention was required to reveal the complete displacement of the distal fibular epiphysis. A CT scan confirmed the diagnosis of an isolated, completely displaced distal fibular epiphysiolisthesis. The patient was treated with a closed reduction and made an uneventful recovery. This report highlights the importance of accurate clinical and radiological assessment of an isolated, completely displaced, distal fibular epiphysiolisthesis.

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Section: Discussionmentioning

confidence: 99%

Displaced Distal Fibular Epiphysis in a Child: A Clinical and Radiological Evaluation of a Rare Injury Hidden From the Initial Radiological Examination

Laliotis,

Konstantinidis,

Chrysanthou

et al. 2024

Cureus

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“…After this, two cases were reported in 2013: one was a SH type IV fracture with a fragment of the distal fibular metaphysis. The fragment was rotated and incarcerated in the distal tibiofibular joint causing syndesmotic diastasis [ 8 ]. The other was a SH type III fracture in which a displaced epiphyseal fragment was wedged in the syndesmosis.…”

Section: Discussionmentioning

confidence: 99%

Operative treatment of isolated epiphyseal fracture of the distal fibula: 1 case report and literature review

Jiang,

Yue,

Wang

et al. 2024

BMC Musculoskelet Disord

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Pediatric ankle injuries are common; ankle epiphyseal fractures are also common in children. But isolated distal epiphyseal fibular fractures of the distal fibula are clinically rare. We describe one unusual case of an adolescent with a completely displaced Salter-Harris type II distal fibular epiphyseal fracture. The attempt of closed reduction failed, and the patient required open reduction and internal fixation. The localized periosteum and the superior peroneal retinaculum were avulsed from the distal fibular metaphysis, with the peroneal tendons underneath exposed but no obvious subluxation. To the best of our knowledge, this combination of injuries has not been previously reported.

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“…The patient did well, and the implants were removed 7 months postoperatively. Plain radiographs at 3 years postoperatively showed healed fracture lines and a maintained ankle mortise (11).…”

mentioning

confidence: 89%

“…To the best of our knowledge, only 2 cases of physeal fractures of the distal fibula have been previously reported. One case reported in Germany described a SH-IV distal fibula fracture in a 9-year-old male (11). Plain radiographs showed a minimally displaced physeal distal fibula fracture.…”

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confidence: 99%

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Displaced Salter-Harris Type I Distal Fibula Fractures: Two Case Reports and a Review of the Literature

Korsh

Adolfsen

2017

The Journal of Foot and Ankle Surgery

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Salter-Harris type I (SH-I) fractures of the distal fibula are commonly encountered in pediatric orthopedics. We describe 2 unique cases of adolescents with completely displaced SH-I distal fibula fractures that were treated operatively. In the first case, a closed reduction attempt failed and the patient required open reduction and internal fixation of the distal fibula and syndesmosis. The syndesmotic ligaments were avulsed from the distal fibular metaphysis. In the second case, closed reduction of the distal fibula fracture was partially successful, but anatomic reduction could not be achieved without open reduction. The distal fibula fracture was fixed with an intramedullary screw. We believe this pattern of injury represents a variant of the adolescent transitional ankle fracture. Because the distal tibial physes were nearing complete closure in these patients, the energy propagated through the distal fibular physis. To the best of our knowledge, this combination of injuries has not been previously reported. This type of physeal fracture raises concern for premature physeal closure, fibular growth disturbance, syndesmotic instability, and medial (deltoid ligament) injury. Both patients had excellent outcomes after anatomic reduction and fixation of the displaced SH-I distal fibula fractures at 1 and 6 years of follow up, respectively.

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Salter-Harris-Typ-IV-Epiphysenfraktur am Außenknöchel

Cited by 5 publications

References 18 publications

Displaced Distal Fibular Epiphysis in a Child: A Clinical and Radiological Evaluation of a Rare Injury Hidden From the Initial Radiological Examination

Displaced Distal Fibular Epiphysis in a Child: A Clinical and Radiological Evaluation of a Rare Injury Hidden From the Initial Radiological Examination

Operative treatment of isolated epiphyseal fracture of the distal fibula: 1 case report and literature review

Displaced Salter-Harris Type I Distal Fibula Fractures: Two Case Reports and a Review of the Literature

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