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  • Title: Consecutive bilateral proximal tibial fractures after minor sports trauma.
    Author: Kraus R, Berthold LD, Heiss C, Lässig M.
    Journal: Eur J Pediatr Surg; 2009 Feb; 19(1):41-3. PubMed ID: 18629771.
    Abstract:
    INTRODUCTION: Fractures of the proximal tibia are infrequent during childhood and adolescence. However, intra-articular fractures, growth plate separations and metaphyseal fractures do appear. CASE REPORT: An obese adolescent male suffered from consecutive bilateral fractures of the tibia within 6 months of each after minor sports trauma. On the left side, the injury presented as a epiphyseal separation of the Salter-Harris I type; on the right side, as a transitional two-plane fracture. Both injuries were treated by percutaneous screwing and healed without any signs of posttraumatic growth disorder. DISCUSSION: Although proximal tibial injuries are rare, they frequently seem to appear bilaterally after inadequate trauma. A causal connection to morphological changes prior to physeal closure can be assumed.
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