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Proximal fibular physeal injury

P Havránek1

  • 1Department of Pediatric Surgery, Thomayer Teaching Hospital, Prague, Czech Republic.

Journal of Pediatric Orthopedics. Part B
|January 1, 1996
PubMed
Summary

This study reviews rare proximal fibular physis injuries in children, often resulting from traffic accidents. All patients experienced successful healing with conservative or surgical treatment.

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Area of Science:

  • Orthopedic surgery
  • Pediatric traumatology
  • Radiology

Background:

  • Proximal fibular physis injuries are rare in pediatric patients.
  • These fractures represent a small percentage of overall pediatric and fibular fractures.

Purpose of the Study:

  • To review cases of proximal fibular physis injuries in children.
  • To analyze the incidence, mechanism, injury types, treatment, and outcomes of these rare fractures.

Main Methods:

  • Retrospective review of six pediatric patients with proximal fibular physis injuries over five years.
  • Analysis of injury mechanisms, fracture classifications (Salter-Harris types), treatment modalities, and patient outcomes.

Main Results:

  • Six cases identified, comprising 0.09% of pediatric fractures and 2.05% of fibular fractures.
  • All injuries occurred in pedestrians involved in traffic accidents, with most patients having multiple injuries.
  • Fracture types included three Type 2, one Type 3, and two Type 4 injuries.

Conclusions:

  • Proximal fibular physis injuries in children are uncommon and frequently associated with significant trauma.
  • Most cases can be managed non-operatively with cylinder casting, achieving excellent outcomes.
  • Surgical intervention may be necessary for specific fracture types, with successful healing reported.

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