Asymmetrical arrest of the proximal tibial physis and genu recurvatum deformity.

Pappas, A.; Anas, P; Toczylowski, H M

doi:10.2106/00004623-198466040-00013

Cited by 58 publications

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“…If the growth arrest is anterior or principally anterior, patients are likely to develop a progressive recurvatum deformity of the knee, which clinically manifests as hyperextension [1]. In two of the three cases, there was a definite history of trauma.…”

Section: Discussionmentioning

confidence: 96%

Spatial frame correction of anterior growth arrest of the proximal tibia: report of three cases

Siapkara

Nordin

Hill

2008

Journal of Pediatric Orthopaedics B

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We report three cases of anterior growth arrest of the tibia in adolescent boys. Two of the three cases had a clear history of trauma and although there was a history of trauma in the third case, the patient also had human leukocyte antigen-B27 negative enthesitis that had not previously affected the knee. In all cases, a slowly deteriorating hyperextension of the knee developed that in the two posttraumatic cases was initially misinterpreted as a posterior cruciate ligament injury. Radiographs demonstrated an abnormal relationship between the tibial plateau and the long axis of the tibia on the lateral view--anatomical posterior proximal tibial angle. All patients were successfully treated by the Taylor spatial frame with correction of the anatomical posterior proximal tibial angle to normal, equalization of the legs and correction of any concomitant coronal deformity. Hyperextension of the knee developing after an injury in adolescents should raise the suspicion of anterior growth arrest prompting careful analysis of the lateral radiograph.

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Section: Discussionmentioning

confidence: 96%

Spatial frame correction of anterior growth arrest of the proximal tibia: report of three cases

Siapkara

Nordin

Hill

2008

Journal of Pediatric Orthopaedics B

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“…This deformity is more common in females 1 . This condi on cause knee instability, pain and be associated with shortening of the limbs 2,3 . It can be either a congenital or acquired condi on.…”

Section: Discussionmentioning

confidence: 99%

Congenital Genu Recurvatum

Sharma¹,

Yadav

Garg

et al. 2014

J. Nepal Paedtr. Soc.

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“…None of these authors discussed the treatment of genu recurvatum associated with genu valgum, posterior subluxation of the knee, and/or ipsilateral shortening of the lower limb. 3,14 In recent years, the Ilizarov technique has gained wide popularity for correcting deformity and lengthening of bone. Apart from a few case reports on physeal distraction or callotasis of the proximal tibia, little has been published.…”

Section: Discussionmentioning

confidence: 99%

Correction of genu recurvatum by the Ilizarov method

Choi

Chung

Cho

et al. 1999

The Journal of Bone and Joint Surgery. British volume

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The Ilizarov apparatus was used to carry out opening-wedge callotasis of the proximal tibia in ten patients who had suffered premature asymmetrical closure of the proximal tibial physis and subsequent genu recurvatum. In four knees, the genu recurvatum was entirely due to osseous deformity, whereas in six it was associated with capsuloligamentous abnormality. Preoperatively, the angle of recurvatum Received 26 October 1998; Accepted after revision 9 December 1998Premature asymmetrical closure of the proximal tibial physis can result in osseous genu recurvatum. As the deformity increases it leads to pain, weakness, instability of the knee and disturbance of gait. Patella alta, impairment of the quadriceps mechanism and stretching of the posterior capsuloligamentous structure of the knee may also occur.

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Asymmetrical arrest of the proximal tibial physis and genu recurvatum deformity.

Cited by 58 publications

References 0 publications

Spatial frame correction of anterior growth arrest of the proximal tibia: report of three cases

Spatial frame correction of anterior growth arrest of the proximal tibia: report of three cases

Congenital Genu Recurvatum

Correction of genu recurvatum by the Ilizarov method

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