Coronal split fracture of the proximal tibia epiphysis through a partially closed physis: a new fracture pattern.
A comminuted coronal split fracture of the proximal tibial epiphysis is an uncommon injury in children. The authors evaluated and treated two patients who sustained an epiphyseal fracture through a partially closed proximal tibial epiphysis. Plain radiography and computed tomography with three-dimensional reconstruction showed a comminuted coronal split fracture of the proximal tibial epiphysis. Each patient underwent definitive operative fixation of the fracture and was followed at least 1 year after clinical union. A mechanism consisting of three-point bending on the tibial plateau is proposed.
Patari
S K
SK
Department of Orthopaedic Surgery, New Jersey Medical School, Newark, New Jersey 10032, U.S.A.
Lee
F Y
FY
Behrens
F F
FF
D000058:Accidental Falls; D000293:Adolescent; D001642:Bicycling / Q000293:injuries; D001696:Biomechanical Phenomena; D004838:Epiphyses / Q000293:injuries*; D016267:External Fixators; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000145:classification / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D005684:Gait; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular; D012307:Risk Factors; D013978:Tibial Fractures / Q000145:classification / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016474:Weight-Bearing