Concomitant multiple closed contiguous physeal injuries in a limb with an undescribed 'distractional-separation' type with vascular compromise: a report of two cases.
BACKGROUND
Though physeal injuries are common in children, concomitant multiple closed contiguous physeal injuries in a limb along with vascular compromise are rare. An associated distractional-separation type of physeal injury is being documented for the first time. We present here two such cases.


METHODS
Two children, aged 6 months and 3 years, respectively, suffered a roadside high velocity trauma and thus form the part of this case report.


RESULTS
Because of the delay in seeking treatment and, or, the nature of injuries, it was associated with a tragic complication--an amputation in both cases.


CONCLUSIONS
Although, the limb in our cases could not be salvaged, these reports describe these unusual injury patterns for the first time and re-emphasize the awareness of urgent recognition of the associated vascular insult.
Maheshwari
Aditya V
AV
Department of Orthopedics, University College of Medical Sciences and GTB Hospital, Dilshad Garden, 110095, Delhi, India. adi_maheshwari@rediffmail.com
Jain
Anil K
AK
Dhammi
Ish K
IK
Singh
Sandip
S
Chauhan
Ravindra S
RS
D000063:Accidents, Traffic; D000671:Amputation, Surgical / Q000379:methods*; D002675:Child, Preschool; D004838:Epiphyses / Q000293:injuries*; D005260:Female; D005360:Fibula / Q000293:injuries; D006801:Humans; D007223:Infant; D007718:Knee Injuries / Q000150:complications / Q000209:etiology / Q000601:surgery*; D009336:Necrosis / Q000209:etiology / Q000601:surgery*; D013978:Tibial Fractures / Q000150:complications / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*