Related Experiment Video
Updated: Jul 14, 2026
03:57
Transverse Fracture of the Mouse Femur with Stabilizing Pin
Published on: December 29, 2021
3.6K
Distal Tibial Slipped Epiphysis in Stickler Syndrome: A Case Report
Nickolas J Nahm1,2, Andrew G Georgiadis1,2, Mark T Dahl1,2
1Gillette Children's Specialty Healthcare, Saint Paul, Minnesota.
JBJS Case Connector
|July 17, 2025
Summary
This case report details a rare instance of distal tibial slipped epiphysis (DTSE) in a boy with Stickler syndrome. Surgical correction improved his ankle pain and alignment.
Area of Science:
- Orthopedics
- Genetics
- Pediatric Endocrinology
Background:
- Stickler syndrome is a genetic collagen disorder.
- It is characterized by joint hypermobility and early-onset osteoarthritis.
- Ankle deformities can be a significant complication.
Purpose of the Study:
- To report a rare case of distal tibial slipped epiphysis (DTSE) in an adolescent with Stickler syndrome.
- To describe the surgical management and outcomes for this specific presentation.
- To highlight the association between Stickler syndrome and DTSE.
Main Methods:
- A 12-year-old male with Stickler syndrome presented with bilateral ankle pain.
- He was diagnosed with bilateral distal tibial recurvatum-valgus deformity and DTSE.
- The patient underwent surgical correction via osteotomy and internal fixation.
Main Results:
- Following surgery, the patient experienced reduced ankle pain.
- Clinical and radiographic assessments showed improved alignment of the ankles.
- This case represents the first reported instance of DTSE in association with Stickler syndrome.
Conclusions:
- Distal tibial slipped epiphysis (DTSE) is an uncommon cause of ankle deformity.
- While previously linked to renal osteodystrophy and myelomeningocele, this is the first report of DTSE occurring with Stickler syndrome.
- This association broadens the understanding of potential skeletal complications in Stickler syndrome.
Related Concept Videos
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:29Bone Disorders
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
01:10Bones of the Lower Limb: Tibia and Fibula
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
01:28Disorders of the Skeletal Muscle
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...