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Open Orthop J. 2011;5:315-8. doi: 10.2174/1874325001105010315. Epub 2011 Aug 10.

Simultaneous Bilateral Flexion-Type Salter-Harris II Fractures of the Proximal Tibia: A Case Report and Review of the Literature.

The open orthopaedics journal

V Potenza, R Caterini, P Maglione, S Bisicchia, P Farsetti

Affiliations

  1. Department of Orthopaedic Surgery, University of Rome Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.

PMID: 21886687 PMCID: PMC3162252 DOI: 10.2174/1874325001105010315

Abstract

A rare case is reported of bilateral physeal lesions of the proximal tibia classified as Salter-Harris type II, which occurred simultaneously after a "flexion type" injury in a 14-year-old boy. Treatment was conservative on the nondisplaced side and surgical, by closed reduction and internal fixation, on the displaced side. There was no previous diagnosis of Osgood-Schlatter disease. After reviewing all the cases described previously, which occurred either consecutively or simultaneously, we conclude that less resistance of the growth plate, typical of late adolescence, likely represents the cause of this type of lesion.

Keywords: Bilateral physeal fractures; flexion-type.; proximal tibia

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