Salter Harris Fracture Type II.
Trilok Stead1,2, Alice Bai1, Shreya Rajachandran1
1Brown University.
Orthopedic Reviews
|May 9, 2022
Summary
A 14-year-old boy sustained a Salter-Harris type II tibial fracture with subluxation after a basketball fall. This case highlights an unusual fracture pattern involving the proximal tibial physis without epiphyseal damage.
Area of Science:
- Pediatric Orthopedics
- Sports Medicine
- Radiology
Background:
- Salter-Harris type II fractures are common physeal injuries in pediatric patients.
- Tibial metaphyseal fractures require careful evaluation due to proximity to the physis.
- Basketball is a common sport associated with lower extremity injuries.
Observation:
- A 14-year-old male presented with right knee pain and immobility post-fall during basketball.
- Radiographic evaluation revealed a Salter-Harris type II fracture of the tibial metaphysis.
- Anterior subluxation of the proximal tibia was noted on X-ray.
Findings:
- The fracture involved the tibial metaphysis, extending into the physis (Salter-Harris type II).
- An unusual anterior subluxation of the proximal tibia was present.
- Crucially, the epiphysis remained intact, differentiating it from other physeal injury types.
Implications:
- This case underscores the importance of detailed radiographic assessment for physeal fractures.
- Operative management by a pediatric orthopedic specialist was indicated for optimal outcomes.
- Understanding unusual fracture patterns is vital for accurate diagnosis and treatment in pediatric orthopedics.
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