title: Flexion-type fractures of the proximal tibial physis: a report of five cases and review of the literature.
abstract: This study describes five patients who had sustained a rare flexion-type fracture separation of the proximal tibial epiphysis and reviews the previous reports of this injury in the literature. The average age of our patients at injury was 15 years. All were male. The left side was involved in four patients; the right in one patient. Four of the injuries occurred during sports activities. All five of these fractures healed in satisfactory alignment after 6 weeks of immobilization without complication. We conclude that these injuries can be safely managed by closed reduction and cast immobilization in a position of full knee extension.
authors.affiliation: Department of Orthopaedic Surgery, Geffen School of Medicine at UCLA, Orthopaedic Hospital, Los Angeles, California 90007, USA.
authors.forename: Shail
authors.initials: S
authors.lastname: Vyas
authors.forename: Edward
authors.initials: E
authors.lastname: Ebramzadeh
authors.forename: Caleb
authors.initials: C
authors.lastname: Behrend
authors.forename: Maurico
authors.initials: M
authors.lastname: Silva
authors.forename: Lewis E
authors.initials: LE
authors.lastname: Zionts
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000628:therapy; D002370:Casts, Surgical; D015331:Cohort Studies; D004838:Epiphyses / Q000293:injuries; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods; D006801:Humans; D007103:Immobilization / Q000379:methods*; D015601:Injury Severity Score; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000628:therapy*