Traumatic plastic deformation of the tibia: case report and literature review

Plastic deformation refers to the deformation of a bone, without fracture of its cortices, that persists once the deforming force has been removed. It is not a common condition but is seen more frequently in children than in adults. Of the cases published, there have been only three previous reports of tibial involvement, with the forearm being the most commonly affected site. We describe the case of a 10-year-old girl who, after falling down a slope, came to a sudden stop when her right foot hit a rock. This resulted in a fracture of the fibula and bowing of the tibia. We discuss the dilemmas faced in treatment and recommend regular follow up until the patient reaches skeletal maturity.