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Slipped upper tibial epiphysis in infantile tibia vara: three cases
A P Sanghrajka1, R A Hill, C F Murnaghan
1Norfolk and Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, NR4 7UY, UK. anish.sangh@googlemail.com
The Journal of Bone and Joint Surgery. British Volume
|August 31, 2012
Summary
Severe obesity may be linked to infantile tibia vara, a condition where the proximal tibial epiphysis slips. Distraction osteogenesis with external fixation is the optimal treatment for this deformity.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Radiology
Background:
- Infantile tibia vara is a rare condition affecting the proximal tibia.
- A potential association between infantile tibia vara and severe obesity has been observed.
Observation:
- Three cases of infantile tibia vara due to atraumatic slip of the proximal tibial epiphysis are presented.
- Radiological features include a dome-shaped metaphysis, open growth plate, and inferomedial translation of the epiphysis.
Findings:
- The condition, termed 'slipped upper tibial epiphysis' variant, differs from conventional infantile Blount's disease in radiological features and management.
- Distraction osteogenesis using an external fixator was the chosen treatment for all patients.
Implications:
- This study highlights a distinct variant of infantile tibia vara associated with obesity.
- Realignment by distraction osteogenesis is suggested as the optimal management strategy for this complex deformity.
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