title: Slipped upper tibial epiphysis in infantile tibia vara: three cases.
abstract: We describe three cases of infantile tibia vara   resulting from an atraumatic slip of the proximal tibial epiphysis   upon the metaphysis. There appears to be an association between   this condition and severe obesity. Radiologically, the condition   is characterised by a dome-shaped metaphysis, an open growth plate   and disruption of the continuity between the lateral borders of   the epiphysis and metaphysis, with inferomedial translation of the   proximal tibial epiphysis. All patients were treated by realignment   of the proximal tibia by distraction osteogenesis with an external   circulator fixator, and it is suggested that this is the optimal   method for correction of this complex deformity. There are differences   in the radiological features and management between conventional   infantile Blount's disease and this 'slipped upper tibial epiphysis'   variant.
authors.affiliation: Norfolk and Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, NR4 7UY, UK. anish.sangh@googlemail.com
authors.forename: A P
authors.initials: AP
authors.lastname: Sanghrajka
authors.forename: R A
authors.initials: RA
authors.lastname: Hill
authors.forename: C F
authors.initials: CF
authors.lastname: Murnaghan
authors.forename: A H R W
authors.initials: AH
authors.lastname: Simpson
authors.forename: M C
authors.initials: MC
authors.lastname: Bellemore
mesh_terms: D001848:Bone Diseases, Developmental / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D002648:Child; D004839:Epiphyses, Slipped / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009765:Obesity / Q000150:complications; D055034:Osteochondrosis / Q000151:congenital* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D019857:Osteogenesis, Distraction; D011859:Radiography