Harb Ziad, Malhi Arfan
Croydon University Hospital, London Road, Surrey CR7 7YE, UK.
Lewisham & Greenwich NHS Trust, Lewisham High Street, London SE13 6LH, UK.
Case Rep Orthop. 2015;2015:783046. doi: 10.1155/2015/783046. Epub 2015 Sep 6.
Fractures involving the proximal tibial epiphysis are rare and form 0.5% of all epiphyseal injuries. The specific anatomical and developmental features of the proximal tibial epiphysis make it vulnerable to unique patterns of fractures. Vitamin-D plays a vital role in bone homeostasis and its deficiency has an impact on fracture risk and healing. We present the first ever reported case of simultaneous bilateral proximal tibial physeal fractures in an athlete with vitamin-D deficiency. Treatment consisted of plaster immobilisation, and the patient made a full recovery and returned to preinjury level of activities. We report this case for its uniqueness and as an educational review of the importance of the developmental anatomy of the proximal tibia. We review the literature and discuss how the stages of the growing physis determine the type of fracture sustained.
涉及胫骨近端骨骺的骨折很少见，占所有骨骺损伤的0.5%。胫骨近端骨骺独特的解剖和发育特征使其容易发生独特类型的骨折。维生素D在骨稳态中起着至关重要的作用，其缺乏会影响骨折风险和愈合。我们报告了首例维生素D缺乏的运动员双侧胫骨近端骺板同时骨折的病例。治疗包括石膏固定，患者完全康复并恢复到受伤前的活动水平。我们报告这个病例是因其独特性，也是对胫骨近端发育解剖学重要性的教育性回顾。我们回顾文献并讨论生长中的骺板阶段如何决定所遭受骨折的类型。
