Proximal fibular physeal injury.
Six children with a rare injury to the proximal fibular physis in a 5-year period were reviewed. This number of patients constituted only 0.09% of all children's fractures and 2.05% of all fibular fractures treated in our department. The group consisted of 4 girls and 2 boys. All patients incurred the fractures as pedestrians injured in traffic accidents by vehicles in motion and, all but one had multiple concomitant injuries. There were three type 2 injuries, one type 3 injury, and two type 4 injuries to the proximal physis of the fibula. All but one were treated with cylinder casts for 4-5 weeks. One boy with a type 4 injury was treated by open reduction and wire internal fixation. All patients healed uneventfully.
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Department of Pediatric Surgery, Thomayer Teaching Hospital, Prague, Czech Republic.
D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D004838:Epiphyses / Q000293:injuries; D005260:Female; D005360:Fibula / Q000293:injuries*; D005593:Fracture Fixation, Internal; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D011859:Radiography; D016896:Treatment Outcome