Fracture of the proximal metaphysis of the tibia in children

Skak, Sören Valdemar; Jensen, Tim Toftgård; Poulsen, Torben Dam

doi:10.1016/0020-1383(87)90127-6

Cited by 21 publications

(13 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In children, proximal tibial metaphyseal fractures are relatively uncommon injuries that occur between three and six years of age and are known as Cozen fractures (13,(18)(19)(20). They occur as complete or greenstick fractures of the proximal tibial metaphysis, with either no displacement or most commonly a lateral displacement.…”

Section: Discussionmentioning

confidence: 99%

“…The proximal tibial metaphyseal fractures in this study most commonly had craniomedial displacement of the distal fragment in relation to the proximal fragment, which results in caudolateral angulation of the limb. In children, the primary consideration in the treatment of both greenstick and complete fractures is the risk of development of a post-traumatic valgus deformity (18,20,21). This deformity may become clinically significant and is reported to occur in up to 53% of cases (19,29).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Proximal tibial metaphyseal fractures in immature dogs

Deahl¹,

Ben‐Amotz²,

Cáceres³

et al. 2017

Vet Comp Orthop Traumatol

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Proximal tibial metaphyseal fractures in immature dogs

Deahl¹,

Ben‐Amotz²,

Cáceres³

et al. 2017

Vet Comp Orthop Traumatol

View full text Add to dashboard Cite

show abstract

“…Numerous studies have documented valgus deformity after these fractures in children. This is most prevalent with greenstick and complete fractures (Skak et al 1987) when managed conservatively (Müller et al 2002). In our study, proximal tibial valgus was noted in five of /21 fractures in which we were able to assess alignment at follow-up.…”

Section: Discussionmentioning

confidence: 51%

“…This is most prevalent with greenstick and complete fractures (Skak et al . 1987) when managed conservatively (Müller et al . 2002).…”

Section: Discussionmentioning

confidence: 99%

Management of proximal metaphyseal curvilinear tibial fractures in 25 skeletally immature dogs (2009 to 2020)

Winter

Meeson

Egan³

et al. 2022

J of Small Animal Practice

View full text Add to dashboard Cite

Materials and MethOds: A multi-centre retrospective review was conducted, searching for skeletally immature dogs presenting with proximal metaphyseal curvilinear tibial fractures between January 2009 and September 2020. Signalment, fracture description and case management data were retrieved.Outcome was assessed by retrospectively evaluating follow-up radiographs, hospital records and an owner questionnaire.results: Twenty-five dogs met the inclusion criteria. All but one fracture was a result of minimal trauma. Twenty fractures were managed with internal fixation, two with external fixation and three conservatively. All 25 fractures healed. Eight major complications occurred in seven of 25 (28%) dogs.Twelve minor complications occurred in 10 of 25 (40%) dogs. Owner questionnaire data were available for 12 of 25 dogs; 11 of 12 were reported as having full function and one of 12 as having acceptable function at the time of questioning (median 34.5 months following presentation). At final follow-up, either by clinical examination or owner questionnaire, full function was achieved in 22 of 25 patients and acceptable function in three of 25.clinical significance: This study reported a series of proximal metaphyseal tibial fractures in skeletally immature dogs. The most common fixation method was internal fixation, which frequently resulted in full limb function at final follow-up. Owners reported outcome as fully functional in all dogs that underwent surgery at first presentation and had owner follow-up available, though positive outcomes may have been affected by participation bias. FIG 1. Proximal metaphyseal curvilinear tibial fracture. Radiographs demonstrate caudo-medial displacement and caudo-lateral angulation

show abstract

“…Proximal tibial metaphyseal fracture was relatively rare in 1980s, but with the recent popularization of trampoline activities, its incidence as one of trampoline-related injuries (TRIs) has increased, especially among children aged under six years. [1][2][3][4][5][6] Some studies have reported that proximal tibial metaphyseal fracture has a risk of post-traumatic valgus deformity. 7,8 However, it is currently suggested that the degree of valgus deformity would be minimal or absent in patients with proximal metaphyseal fracture by TRI.…”

Section: Introductionmentioning

confidence: 99%

Initial angular deformity and its recovery of the proximal tibial metaphyseal fracture according to the cause: Trampoline-related injury versus other injuries

Bae

Jeon

Park

et al. 2020

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

Purpose This study investigated the initial angular deformity of proximal tibial metaphyseal fracture in children and its recovery during follow-up according to the cause of injury. Methods Prospective data about the patients with a proximal tibial metaphyseal fracture at the age less than six years and available follow-up data at two years post-trauma were retrospectively reviewed. They were grouped into trampoline-related injuries (TRI) and non-TRI groups based on the cause of injury. Proximal tibial valgus and recurvatum angles were measured to assess angular deformity on the coronal and sagittal planes, respectively. Results A total of 47 patients (33 TRI and 14 non-TRI) were included. Initially, the valgus angles were -1.5° in TRI and 1.6° in non-TRI groups (p < 0.001) and the recurvatum angles were 7.8° in TRI and 4.1° in non-TRI groups (p = 0.048). After two-year follow-up, the valgus angles were 0.2° in TRI and 0.9° in non-TRI groups (p = 0.070), and the recurvatum angles were 6.5° in TRI and 2.3° in non-TRI groups (p = 0.001). Conclusion For children with a proximal tibial metaphyseal fracture, the initial coronal deformity was different according to the injury cause (varus in TRI whereas valgus in non-TRI). Although there was a near complete recovery after approximately two years of follow-up in the coronal deformities, the sagittal deformity (genu recurvatum) seems to recover incompletely or tardily, especially for those caused by TRI. Level of Evidence III

show abstract

Fracture of the proximal metaphysis of the tibia in children

Cited by 21 publications

References 7 publications

Proximal tibial metaphyseal fractures in immature dogs

Proximal tibial metaphyseal fractures in immature dogs

Management of proximal metaphyseal curvilinear tibial fractures in 25 skeletally immature dogs (2009 to 2020)

Initial angular deformity and its recovery of the proximal tibial metaphyseal fracture according to the cause: Trampoline-related injury versus other injuries

Contact Info

Product

Resources

About