Gopinathan Nirmal R, Saibaba Balaji, Santhanam Siva S, Syam Kevin
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
J Pediatr Orthop B. 2018 Jan;27(1):47-51. doi: 10.1097/BPB.0000000000000497.
We report a unique case of post-traumatic avascular necrosis of tibia in a 12-year-old boy following a Salter-Harris type II physeal injury of the proximal tibia. The diagnosis was made on the basis of classical radiological findings. The only clinical symptom was diffuse shin pain. The patient was managed conservatively. At our 2-year follow-up, there was clinical and radiological evidence of spontaneous resolution of avascular necrosis, but with sequelae. The child developed a limb-length discrepancy and genu valgum. The parents of the child refused further treatment.
我们报告了一例独特的病例，一名12岁男孩在胫骨近端发生Salter-Harris II型骨骺损伤后出现创伤后胫骨缺血性坏死。诊断基于典型的放射学表现。唯一的临床症状是弥漫性胫骨疼痛。该患者接受了保守治疗。在我们的2年随访中，有临床和放射学证据表明缺血性坏死自发消退，但出现了后遗症。患儿出现了肢体长度差异和膝外翻。患儿家长拒绝进一步治疗。
