title: Consecutive bilateral proximal tibial fractures after minor sports trauma.
abstract: BACKGROUND
  Fractures of the proximal tibia are infrequent during childhood and adolescence. However, intra-articular fractures, growth plate separations and metaphyseal fractures do appear.
  
  
  METHODS
  An obese adolescent male suffered from consecutive bilateral fractures of the tibia within 6 months of each after minor sports trauma. On the left side, the injury presented as a epiphyseal separation of the Salter-Harris I type; on the right side, as a transitional two-plane fracture. Both injuries were treated by percutaneous screwing and healed without any signs of posttraumatic growth disorder.
  
  
  CONCLUSIONS
  Although proximal tibial injuries are rare, they frequently seem to appear bilaterally after inadequate trauma. A causal connection to morphological changes prior to physeal closure can be assumed.
authors.affiliation: Department of Trauma Surgery, University Hospital Giessen, Giessen, Germany. ralf.kraus@chiru.med.uni-giessen.de
authors.forename: R
authors.initials: R
authors.lastname: Kraus
authors.forename: L D
authors.initials: LD
authors.lastname: Berthold
authors.forename: C
authors.initials: C
authors.lastname: Heiss
authors.forename: M
authors.initials: M
authors.lastname: Lässig
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002370:Casts, Surgical; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D006132:Growth Plate / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D009765:Obesity / Q000150:complications; D011859:Radiography; D012307:Risk Factors; D000072042:Salter-Harris Fractures; D012916:Soccer; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery