scholarly journals Proximal Tibial Epiphysis Fracture in a 13-Year-Old Male Athlete

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Ioannis M. Stavrakakis ◽  
Pavlos E. Katsoulis ◽  
Maria S. Katsafarou

Fractures of the proximal epiphysis of the tibia are rare, representing 0.5 to 3.0% of all epiphyseal injuries. These injuries can damage the popliteal vessels and their bifurcation, affecting the blood supply of the lower limb, as well as the nerves below the knee. Epiphyseal growth arrest is also a potential complication, leading to various angular deformities. We present a case of a 13-year-old male athlete with a posteriorly displaced Salter-Harris type II fracture of the proximal epiphysis of the left tibia who was treated conservatively with closed reduction and cast immobilization.

2012 ◽  
Vol 23 (2) ◽  
pp. 68-73 ◽  
Author(s):  
PK Sahoo ◽  
SK Das ◽  
S Pradhan ◽  
RN Mohanty

Abstract Background Genu valgum and genu varum deformity in the lower limb in children results in cosmetic problem, gait disturbance, pain and early joint degeneration. Most of them are physiological and improve to the normal adult femorotibial angle before the age of eight years. Persistent deformities are corrected by osteotomy and internal fixation or gradual correction by external fixation. Osteotomy has got its complications. Gradual correction also can be achieved by stapling, percutaneous drill technique and transphysial screw. Stapling has drawbacks related to implant failure including migration and breakage of implants. Drilling and screwing carries risk of permanent growth arrest. The timing of epiphysiodesis has to be perfect otherwise there may be under correction or overcorrection. 8-plate temporary hemi-epiphysiodesis is a new concept and producing good results with less complication. The objective of this study is to reduplicate the results of 8- plate hemiephiphysiodesis on angular deformities of knee joint. Methods We attempted gradual correction through 8-plate in 31 patients with 54 angular deformities around knee. Cases were followed for 38months (range, 24 to 52months) after removal of implants. Measurements were compared pre and postoperatively. Results There was statistically significant improvement in all the outcome measures measured. There was gross reduction of intermalleolar distance and reduction in angular deformity. Conclusions 8-plate hemiepiphysiodesis is an effective means for correcting angular deformity around the knee in skeletally immatured patients.


2021 ◽  
Vol 14 (3) ◽  
pp. e239619
Author(s):  
Gopalkrishna G Verma ◽  
Vijay Kumar Jain ◽  
Karthikeyan P Iyengar

Maffucci syndrome is a rare congenital, non-hereditary condition characterised by presence of multiple enchondromas and haemangiomas. Enchondromatous lesions affecting epiphysial growth plates can lead to angular deformities and leg-length discrepancy in the lower limb. We describe a 12-year-old girl with monomelic Maffucci syndrome affecting her left lower limb. She presented with progressive genu valgus deformity of her left knee. This caused her to limp during her gait and was a cosmetic dissatisfaction. The deformity affected her quality of life. She underwent a supracondylar distal femoral corrective osteotomy with a successful clinical outcome and restoration of her gait and cosmetic deformity.


Orthopedics ◽  
2000 ◽  
Vol 23 (11) ◽  
pp. 1197-1198
Author(s):  
Wade P McAlister ◽  
Richard L Uhl

2010 ◽  
Vol 15 (1) ◽  
pp. 153-158 ◽  
Author(s):  
Nobuyuki Yoshino ◽  
Nobuyoshi Watanabe ◽  
Yukihisa Fukuda ◽  
Nobuhiko Fujita ◽  
Tetsuya Kitamura ◽  
...  

Author(s):  
GS Kulkarni ◽  
RM Kulkarni ◽  
Rajiv Negandhi

2020 ◽  
Vol 11 (2) ◽  
pp. 196-201
Author(s):  
Parmanand Gupta ◽  
Vikas Gupta ◽  
Bharath Patil ◽  
Vishal Verma

2019 ◽  
Vol 29 (1) ◽  
pp. 33103
Author(s):  
Viviane Leite ◽  
Lisiane Piazza Luza ◽  
Sara Maria Soffiatti Dias ◽  
Thamara Caviquioni ◽  
Ediane Roberge Fernandes Zampirolo ◽  
...  

AIMS: To evaluate the posture of subjects with lower limb amputee.METHODS: Ten subjects participated in the study, males, with 38,2 ± 8,2 years, with unilateral lower limb amputation and prosthesis users. For the postural evaluation, the Postural Evaluation Software (SAPO) was used, and the images were evaluated according to the software protocol. Data were analyzed through descriptive and inferential statistics (independent t test), with a significance level of p ≤ 0,05.RESULTS: The main alterations observed were: rearfoot valgus enlargement, flexed ankle, head tilted to the right and trunk in flexion. When compared the posture according to time of amputation, was observed a statistically significant difference in the horizontal asymmetry of scapula in relation to T3 (p = 0,004), being that subjects with amputation time of up to six years presented the left scapula higher than the right one (-5,28 ± 8,16°) and those with more than six years of amputation had the right upper right scapula (19,42 ± 11°). In the comparison between amputation levels, there was a statistically significant difference in the ankle angle (p = 0,008), with subjects with amputation below the knee presenting greater ankle flexion (81,97 ± 1,72°) than those with amputation at the level of the knee and above this (87,30 ± 2,65°).CONCLUSIONS: The findings of the present study demonstrate that all the evaluated subjects presented some postural alteration, however, it cannot be affirmed that the postural asymmetry of these is due to the amputation.


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