J Knee Surg 2018; 31(06): 498-503
DOI: 10.1055/s-0038-1636911
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Proximal Tibial Fractures in the Pediatric Population

Kali Tileston
1   Department of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford, California
,
Steven Frick
1   Department of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford, California
› Author Affiliations
Further Information

Publication History

14 January 2018

28 January 2018

Publication Date:
07 March 2018 (online)

Abstract

Injuries about the proximal tibia are quite common in children. Understanding the mechanisms of injury and treatment strategies is imperative for practitioners caring for these patients. Similarly, appreciating the anatomy of the proximal tibia and the adjacent neurovascular structures can assist a practitioner in recognizing the potential associated risks following fracture. Patients with injuries about the proximal tibia require long-term follow-up, and knowledge of the natural history of these fractures is imperative.

 
  • References

  • 1 The Pediatric Athlete: Seminar, Oklahoma City, Oklahoma, November 1988. Park Ridge, IL: American Academy of Orthopaedic Surgeons; 1990
  • 2 Flynn JM, Skaggs DL, Waters PM. Rockwood and Wilkins' Fractures in Children . Philadelphia: Lippincott Williams & Wilkins; 2015
  • 3 Micheli LJ, Foster TE. Acute knee injuries in the immature athlete. Instr Course Lect 1993; 42: 473-481
  • 4 Shelton WR, Canale ST. Fractures of the tibia through the proximal tibial epiphyseal cartilage. J Bone Joint Surg Am 1979; 61 (02) 167-173
  • 5 Burkhart SS, Peterson HA. Fractures of the proximal tibial epiphysis. J Bone Joint Surg Am 1979; 61 (07) 996-1002
  • 6 Mann DC, Rajmaira S. Distribution of physeal and nonphyseal fractures in 2,650 long-bone fractures in children aged 0-16 years. J Pediatr Orthop 1990; 10 (06) 713-716
  • 7 Peterson HA, Madhok R, Benson JT, Ilstrup DM, Melton III LJ. Physeal fractures: part 1. Epidemiology in Olmsted County, Minnesota, 1979-1988. J Pediatr Orthop 1994; 14 (04) 423-430
  • 8 Wood KB, Bradley JP, Ward WT. Pes anserinus interposition in a proximal tibial physeal fracture. A case report. Clin Orthop Relat Res 1991; (264) 239-242
  • 9 Poulsen TD, Skak SV, Jensen TT. Epiphyseal fractures of the proximal tibia. Injury 1989; 20 (02) 111-113
  • 10 Bertin KC, Goble EM. Ligament injuries associated with physeal fractures about the knee. Clin Orthop Relat Res 1983; (177) 188-195
  • 11 Bright RW, Burstein AH, Elmore SM. Epiphyseal-plate cartilage. A biomechanical and histological analysis of failure modes. J Bone Joint Surg Am 1974; 56 (04) 688-703
  • 12 Moen CT, Pelker RR. Biomechanical and histological correlations in growth plate failure. J Pediatr Orthop 1984; 4 (02) 180-184
  • 13 Jaramillo D, Kammen BF, Shapiro F. Cartilaginous path of physeal fracture-separations: evaluation with MR imaging--an experimental study with histologic correlation in rabbits. Radiology 2000; 215 (02) 504-511
  • 14 Brashear HRJ. Epiphyseal fractures: a microscopic study of the healing process in rats. J. Bone 1959; 41: 1055-1076
  • 15 Wattenbarger JM, Gruber HE, Phieffer LS. Physeal fractures, part I: histologic features of bone, cartilage, and bar formation in a small animal model. J Pediatr Orthop 2002; 22 (06) 703-709
  • 16 Dale GG, Harris WR. Prognosis of epiphysial separation: an experimental study. J Bone Joint Surg Br 1958; 40-B (01) 116-122
  • 17 Barmparas G, Inaba K, Talving P. , et al. Pediatric vs adult vascular trauma: a National Trauma Databank review. J Pediatr Surg 2010; 45 (07) 1404-1412
  • 18 Reed MK, Lowry PA, Myers SI. Successful repair of pediatric popliteal artery trauma. Am J Surg 1990; 160 (03) 287-290
  • 19 Tjoumakaris FP, Wells L. Popliteal artery transection complicating a non-displaced proximal tibial epiphysis fracture. Orthopedics 2007; 30 (10) 876-877
  • 20 Shinomiya R, Sunagawa T, Nakashima Y, Nakabayashi A, Makitsubo M, Adachi N. Slow progressive popliteal artery insufficiency after neglected proximal tibial physeal fracture: a case report. J Pediatr Orthop B 2018; 27 (01) 35-39
  • 21 Ciszewski WA, Buschmann WR, Rudolph CN. Irreducible fracture of the proximal tibial physis in an adolescent. Orthop Rev 1989; 18 (08) 891-893
  • 22 Jaramillo D, Shapiro F, Hoffer FA. , et al. Posttraumatic growth-plate abnormalities: MR imaging of bony-bridge formation in rabbits. Radiology 1990; 175 (03) 767-773
  • 23 Jaramillo D, Hoffer FA, Shapiro F, Rand F. MR imaging of fractures of the growth plate. AJR Am J Roentgenol 1990; 155 (06) 1261-1265
  • 24 Campbell CJ, Grisolia A, Zanconato G. The effects produced in the cartilaginous epiphyseal plate of immature dogs by experimental surgical traumata. J Bone Joint Surg Am 1959; 41-A: 1221-1242
  • 25 Hasler CC, Foster BK. Secondary tethers after physeal bar resection: a common source of failure?. Clin Orthop Relat Res 2002; (405) 242-249
  • 26 Cozen L. Fracture of the proximal portion of the tibia in children followed by valgus deformity. Surg Gynecol Obstet 1953; 97 (02) 183-188
  • 27 Nenopoulos S, Vrettakos A, Chaftikis N, Beslikas T, Dadoukis D. The effect of proximal tibial fractures on the limb axis in children. Acta Orthop Belg 2007; 73 (03) 345-353
  • 28 Jackson DW, Cozen L. Genu valgum as a complication of proximal tibial metaphyseal fractures in children. J Bone Joint Surg Am 1971; 53 (08) 1571-1578
  • 29 Jordan SE, Alonso JE, Cook FF. The etiology of valgus angulation after metaphyseal fractures of the tibia in children. J Pediatr Orthop 1987; 7 (04) 450-457
  • 30 Zionts LE, Harcke HT, Brooks KM, MacEwen GD. Posttraumatic tibia valga: a case demonstrating asymmetric activity at the proximal growth plate on technetium bone scan. J Pediatr Orthop 1987; 7 (04) 458-462
  • 31 Zionts LE, MacEwen GD. Spontaneous improvement of post-traumatic tibia valga. J Bone Joint Surg Am 1986; 68 (05) 680-687
  • 32 Balthazar DA, Pappas AM. Acquired valgus deformity of the tibia in children. J Pediatr Orthop 1984; 4 (05) 538-541
  • 33 Ippolito E, Pentimalli G. Post-traumatic valgus deformity of the knee in proximal tibial metaphyseal fractures in children. Ital J Orthop Traumatol 1984; 10 (01) 103-108
  • 34 Herring JA, Moseley C. Posttraumatic valgus deformity of the tibia. J Pediatr Orthop 1981; 1 (04) 435-439