$salter 1 fracture$

$salter 1 fracture$

6 However, fractures of the proximal tibial physis are uncommon, representing only 1.6% of all physical fractures, 4 due to the inherent anatomical protection of this region by the proximal fibula and insertion of the medial collateral ligament onto the proximal metaphysis. Discussionĭamage to the physis is typical in pediatric populations due to the relative weakness of the structure these injuries occur most often during youth participation in athletic practice or competition. The patient was transferred to a tertiary Children’s Hospital with a pediatric orthopedic subspecialist for the operative procedure. Radiographs demonstrating Salter-Harris fracture type II. In addition, there is posterior angulation of the distal fragment and distraction of the fracture fragments. The fracture line appears to extend into the growth plate laterally. Knee radiographs were significant for Salter-Harris type II fracture of the tibial metaphysis with anterior subluxation of the proximal tibia, with a hiatus of approximately 1.6cm. He had tenderness at the proximal portion of his tibia, and there was no mobility when pressing on the patella, both downward and left or right.

$salter 1 fracture$

The patient had edema in the location where the patella should be. The appearance of the kneecap was above the bend in his knee. However, the patient was able to rotate the ankle and wiggle his toes. Physical examination was significant for the right knee bent at about 90 degrees and unable to straighten on his own. He denied other pain complaints or concerns. He heard a loud snap sound and immediately felt pain in his knee with the inability to move his knee. The patient was playing basketball when jumping in the air and landed incorrectly, causing his leg to bend back unusually. The patient was a 14-year-old male with a past medical history of Osgood-Schlatter disease who presented to the emergency department via EMS to evaluate the right knee injury that occurred shortly before arrival. The patient provided written informed consent for publication of this case report. 4 Here, the authors present an uncommon case of type II Salter-Harris physeal fracture to the proximal tibia resulting from a fall in an adolescent patient. 2 The majority of type II fractures are managed by closed reduction and should be monitored for complications such as growth arrest. 1,4 Type II injuries are characterized by fracture along the physis and into the metaphysis, without crossing into the growing epiphyseal region of bone. The Salter-Harris system classifies injuries about the growth plate into five different categories, with type II breakages representing the most common kind of Salter-Harris fracture. 5 Before fusion occurs, the physis is particularly weak during a child’s growth spurt, increasing its propensity to fracture when exposed to traumatic forces that result from falls or collisions. 4 Only children can present with physeal injuries because the growth plate fuses with age, typically occurring by age 16 in girls and 19 in boys. 1,2 However, fractures specifically about the proximal tibial physis are uncommon, 3 especially relative to injuries of the distal tibia. Physeal fractures, which account for 15% to 30% of all bony injuries in children, commonly occur in the tibia.

$salter 1 fracture$

Salter 1 fracture