Rotational injuries of the distal tibial growth plate

Nenopoulos, Savas P.; Papavasiliou, Vasilios; Papavasiliou, Athanasios

doi:10.1007/s00776-003-0723-x

Cited by 7 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In contrast, leg length differences are assumed to be equally frequent, no matter whether the growth disturbance occurs early (up to 6 months) or late after the injury. After rotational injuries, no leg length differences or secondary axial deviations appeared [27].…”

Section: Restrictive Growth Disturbances: Incidence and Consequencesmentioning

confidence: 89%

“…We Know? A Review of Current Literature [20,27]. The average age for Salter-Harris I fractures seems to be 1 to 2 years lower than for Salter-Harris II injuries [5,29,34].…”

Section: Growth Disturbances Of the Distal Tibia After Physeal Separamentioning

confidence: 99%

“…To date, no multicenter studies on this topic have been published. The second disadvantage is the frequent mixing of physeal sepa- [14] x x Nenopoulos et al 2003 [27] x Barmada et al 2003 [1] Phan et al 2002 [29] x Kay and Matthys 2001 [19] x Berson et al 2000 [2] x x x De Sanctis et al 2000 [9] x x Hasler and v. Laer 2000 [16] x Buddecke et al 1999 [3] x x x Moon et al 1997 [26] x x Marti et al 1991 [24] x Caterini et al 1991 [5] x Melchior et al 1990 [25] x x Chadwick and Bentley 1987 [6] x x Dugan et al 1987 [11] x Kling et al 1984 [20] x x Spiegel et al 1978 [34] x x n = 19 n = 9 n = 9 n = 7 n = 4…”

mentioning

confidence: 99%

See 2 more Smart Citations

Growth Disturbances of the Distal Tibia after Physeal Separation – What Do We Know, What Do We Believe We Know? A Review of Current Literature

Kraus

Kaiser

2008

Eur J Pediatr Surg

View full text Add to dashboard Cite

There are two major deficiencies in most of the reviewed literature. The first is that the numbers of cases reported in each article are low due to the rarity of the injury. The second deficiency is that many studies report "physeal injuries" but do not clearly distinguish physeal separations (Salter I and II) from epiphyseal fractures (Salter III and IV) and transitional fractures, all involving the physeal plate, but in completely different ways with completely different prognoses. A prospective multicenter study is taking place.

show abstract

Section: Restrictive Growth Disturbances: Incidence and Consequencesmentioning

confidence: 89%

“…We Know? A Review of Current Literature [20,27]. The average age for Salter-Harris I fractures seems to be 1 to 2 years lower than for Salter-Harris II injuries [5,29,34].…”

Section: Growth Disturbances Of the Distal Tibia After Physeal Separamentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Growth Disturbances of the Distal Tibia after Physeal Separation – What Do We Know, What Do We Believe We Know? A Review of Current Literature

Kraus

Kaiser

2008

Eur J Pediatr Surg

View full text Add to dashboard Cite

show abstract

“…be misdiagnosed and that clinicians must be vigilant in looking for the radiological finding of an 'open fish mouth' on lateral view radiographs. 9 Broock and Greer described a 7-year-old girl who sustained an external rotation injury, in which the foot was rotated 45°in relation to both malleoli. Radiographs demonstrated irregularity of the epiphyseal plate with no metaphyseal fracture.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Distal Tibia Physeal Injury Presenting with Acute In-toeing: A Case Report and Literature Review

Yin,

Englert,

Sareini

et al. 2023

JAAOS Glob Res Rev

View full text Add to dashboard Cite

Ankle fractures are among the most common fractures sustained in the pediatric population. Given the frequency of physeal involvement of the distal fragment, complications including growth arrest, overgrowth, and rotational deformities are not uncommon. This case report describes a 12-year-old adolescent boy who presented after an acute right ankle injury sustained while playing. He noted right ankle pain, swelling, and in-toeing of his foot. Radiographs of the ankle demonstrated a distal tibia Salter-Harris type II fracture that appeared nondisplaced. However, a CT scan of the ankle demonstrated a 60° difference in the rotational profile between the injured and noninjured tibias. The patient's acute rotational deformity was corrected with closed reduction and percutaneous pinning. Pediatric distal tibia physis fractures presenting with in-toeing are rare and difficult to diagnose accurately with radiographs alone. Accordingly, a detailed history, physical examination, comparison radiographs, and CT scans are imperative in making the correct diagnosis and determining the appropriate treatment.

show abstract

“…11,12,17,18 Furthermore, a residual gap at the physeal fracture site of greater than 3 mm after reduction will increase the rate of PPC to 60% compared with 17% if no gap is present. 30,31 Therefore, preoperative MRI can be essential in determining if this residual gap is caused by soft-tissue interposition or rotational malalignment. In a previous report by Whan et al, 4 the use of MRI in the detection of periosteum interposed within the proximal tibial physis was described.…”

Section: Discussionmentioning

confidence: 99%