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Gulabi D, Erdem M, Bulut G, et al. Ipsilateral distal femoral and proximal tibial epiphyseal growth plate injury: a case report. J Med Case Rep. 2013;7:146doi: 10.1186/1752-1947-7-146.
Gulabi, D., Erdem, M., Bulut, G., Avci, C. C., & Asci, M. (2013). Ipsilateral distal femoral and proximal tibial epiphyseal growth plate injury: a case report. Journal of medical case reports, 7146. https://doi.org/10.1186/1752-1947-7-146
Gulabi, Deniz, et al. "Ipsilateral distal femoral and proximal tibial epiphyseal growth plate injury: a case report." Journal of medical case reports vol. 7 (2013): 146. doi: https://doi.org/10.1186/1752-1947-7-146
Gulabi D, Erdem M, Bulut G, Avci CC, Asci M. Ipsilateral distal femoral and proximal tibial epiphyseal growth plate injury: a case report. J Med Case Rep. 2013 May 31;7:146. doi: 10.1186/1752-1947-7-146. PMID: 23724954; PMCID: PMC3673860.
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J Med Case Rep. 2013 May 31;7:146. doi: 10.1186/1752-1947-7-146.

Ipsilateral distal femoral and proximal tibial epiphyseal growth plate injury: a case report.

Journal of medical case reports

Deniz Gulabi, Mehmet Erdem, Guven Bulut, Cem Coskun Avci, Murat Asci

Affiliations

  1. Dr, Lütfi K?rdar Kartal Training and Research Hospital, Semsi Denizer Cd E 5 Karayolu Cevizli Mevkii 4 Kartal, ?stanbul 34890, Turkey. [email protected].

PMID: 23724954 PMCID: PMC3673860 DOI: 10.1186/1752-1947-7-146

Abstract

INTRODUCTION: Both the isolated distal femoral epiphysiolysis and the isolated proximal tibial epiphysiolysis are the least common epiphyseal injuries. Even though they are uncommon, they have a high incidence rate of complications.

CASE PRESENTATION: We present a case with Gustilo-Anderson grade 3b open and Salter-Harris type 1 epiphysiolysis of the distal femur and proximal tibia caused by a farm machinery accident. The patient was a 10-year-old boy, treated by open reduction and internal fixation.

CONCLUSION: Although distal femoral and proximal tibial growth plate injuries are rarely seen benign fractures, their management requires meticulous care. Anatomic reduction is important, especially to minimize the risk of growth arrest and the development of degenerative arthritis. However, there is a high incidence of growth arrest and neurovascular injury with these type of fractures.

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