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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.
Case:
Stickler syndrome is a collagen disorder associated with hypermobility and juvenile osteoarthritis in multiple joints. This report presents a 12-year-old adolescent boy with Stickler syndrome presenting with bilateral ankle pain. He had bilateral distal tibial recurvatum-valgus deformity and distal tibial slipped epiphysis (DTSE). He underwent osteotomy along the true plane of deformity and internal fixation. At the latest follow-up, he had decreased pain and improved clinical and radiographic alignment.
Conclusions:
DTSE is a rare condition contributing to ankle deformity. Previously reported in renal osteodystrophy and myelomeningocele, DTSE is reported herein for the first time in association with Stickler syndrome.
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