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Consecutive bilateral proximal tibial fractures after minor sports trauma
R Kraus1, L D Berthold, C Heiss
1Department of Trauma Surgery, University Hospital Giessen, Giessen, Germany. ralf.kraus@chiru.med.uni-giessen.de
Introduction:
Fractures of the proximal tibia are infrequent during childhood and adolescence. However, intra-articular fractures, growth plate separations and metaphyseal fractures do appear.
Case Report:
An obese adolescent male suffered from consecutive bilateral fractures of the tibia within 6 months of each after minor sports trauma. On the left side, the injury presented as a epiphyseal separation of the Salter-Harris I type; on the right side, as a transitional two-plane fracture. Both injuries were treated by percutaneous screwing and healed without any signs of posttraumatic growth disorder.
Discussion:
Although proximal tibial injuries are rare, they frequently seem to appear bilaterally after inadequate trauma. A causal connection to morphological changes prior to physeal closure can be assumed.
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