The triplane variant of the tibial apophyseal fracture: a case report and a review of the literature

Hermus, Joris P.S.; Driessen, Marcel J. M.; Mulder, Hans; Bos, Cécile

doi:10.1097/00009957-200311000-00010

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…Our case is not the first to discuss a tibial apophyseal avulsion injury as the main presenting imaging finding 15 16. A sudden contraction of the quadriceps or passive flexion of the knee with contracted quadriceps is likely to be the primary mechanism for this type of injury, whereby the patella tendon pull exceeds the strength of the physis and periosteum causing avulsion at the insert 15…”

Section: Discussionmentioning

confidence: 85%

Proximal tibia triplane fracture with apophyseal avulsion

et al. 2023

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Tibial tuberosity fractures occur in fewer than 1% of all paediatric fractures. We present this unusual case of an early adolescent football player who presented to the emergency department after sustaining an injury during a tackle. CT confirmed a tibial apophyseal fracture concurrent with a proximal tibial triplane fracture. The fracture was subsequently reduced operatively with cancellous cannulated screws. There are only 11 cases published in the literature of triplane fractures of the proximal tibia. Both other cases that involve a concurrent tibial tuberosity fracture with a triplane extension were sustained following a footballing injury. We therefore propose that forced knee flexion alongside a rotational component, common to football, may promote this rare fracture pattern. It is hoped that this case can be used to shed light on a possible mechanism and to guide future management.

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Section: Discussionmentioning

confidence: 85%

Proximal tibia triplane fracture with apophyseal avulsion

et al. 2023

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“…Arthroscopy can be valuable to assess injury to other intra-articular structures such as the cruciate ligaments and menisci, to directly visualize the articular surface reduction, and to completely evacuate the fracture hemarthrosis. 2 , 6 If arthroscopy is not available to directly visualize the tibial epiphyseal cartilage, arthrography can also be used. In our case, arthroscopy allowed diagnosis and treatment of a minor meniscal injury.…”

Section: Discussionmentioning

confidence: 99%

Triplane Fracture of the Proximal Tibia

Whiting¹,

Younis²,

Saunee³

et al. 2021

JAAOS Glob Res Rev

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“…Theoretically, these fractures could occur in any other physeal growth plate of the body. However, locations other than the distal tibia are very rare and only a few individual case reports are documented [18][19][20][21]. Until today only five case reports of transitional fractures of the distal radius have been published [11][12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review

et al. 2020

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Background: Transitional fractures are fractures in adolescents where partial closure of the epiphyseal growth plate has occurred. These fractures are most commonly reported in the distal tibia. With respect to the distal radius, only a few case reports describing transitional fractures exist. Furthermore, relatively little is known about epiphyseal closure of the distal radius. A case series of four transitional fractures of the distal radius is presented by comparing non-operative and operative treatment options. At present, this is the largest case series in the literature dealing with this rare injury. Case presentation: We present three cases of four transitional fractures of the distal radius including 1-year followup. Patient age ranged from 16 to 18 years including a gender ratio of two males to one female. Clinical and radiographic assessments took place 6 and 12 weeks and 1 year after trauma/surgery. Three transitional fractures were treated with open reduction and internal volar plate fixation followed by functional rehabilitation. One transitional fracture was treated non-operatively. All cases showed an excellent functional outcome. Conclusions: The primary treatment goal in transitional fractures is anatomic reduction of the articular surface. Nonoperative treatment of transitional fractures of the distal radius is the most commonly reported treatment option. Additionally, different fixation options have been described, including the use of Kirschner wires (K-wires) and lag screws. The presented cases demonstrate that volar plate fixation followed by functional rehabilitation is a valuable treatment option in significantly displaced transitional fractures of the distal radius. Furthermore, we discuss the pathogenesis as well as the different treatment options by critical reviewing the literature.

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The triplane variant of the tibial apophyseal fracture: a case report and a review of the literature

Cited by 6 publications

References 9 publications

Proximal tibia triplane fracture with apophyseal avulsion

Proximal tibia triplane fracture with apophyseal avulsion

Triplane Fracture of the Proximal Tibia

Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review

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