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Rare Combination of Distal Tibial Physeal Injury (Salter-Harris Type IV) with Sagittal Plane Fracture of Talus Body: A Case Report.

作者信息

Bhatia Nishant, Goel Akash, Dabas Vineet, Yadav Akash

机构信息

Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.

出版信息

J Orthop Case Rep. 2022 Feb;12(2):93-96. doi: 10.13107/jocr.2022.v12.i02.2682.

DOI:10.13107/jocr.2022.v12.i02.2682
PMID:36199727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9499159/
Abstract

INTRODUCTION

Distal tibial physeal fractures and talus fractures are rare injuries in children and adolescents. Even rare is a combination of these two fractures. Axial compression is an accepted mechanism of injury in talus fractures with position of foot at the point of impact determining the extended patterns. A concomitant medial malleolus fracture suggests a supinated foot at the time of impact.

CASE PRESENTATION

We report a case of a 13-year-old girl child who sustained a Type IV Salter-Harris injury of distal tibial physis along with a displaced vertical (sagittal) type fracture of the talus body. The uniqueness in our case was that the talar body fracture was a vertical type and that too displaced in the same line along with medial malleolus fragment. Open reduction of both the fractures was done through anteromedial approach followed by minimal fixation with K-wires. Good results were observed at 1 year following the surgery.

CONCLUSION

Injuries of this nature are very uncommon and even more unusual in pediatric age group. This case report emphasizes the importance of having a high suspicion of uncommon fracture patterns in pediatric age group. Early and prompt diagnosis should be made using CT/MRI as a lot of these injuries may go unnoticed on plain radiographs.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/c3e0a3a7b04f/JOCR-12-93-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/976beae191b2/JOCR-12-93-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/df358474c0ec/JOCR-12-93-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/b84f585d180a/JOCR-12-93-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/c617f5ae9cde/JOCR-12-93-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/c3e0a3a7b04f/JOCR-12-93-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/976beae191b2/JOCR-12-93-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/df358474c0ec/JOCR-12-93-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/b84f585d180a/JOCR-12-93-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/c617f5ae9cde/JOCR-12-93-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8a4/9499159/c3e0a3a7b04f/JOCR-12-93-g005.jpg

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本文引用的文献

1
Paediatric Salter-Harris type IV injury of distal tibia with talus fracture.小儿胫骨远端Salter-Harris IV型损伤伴距骨骨折。
BMJ Case Rep. 2017 Nov 27;2017:bcr-2017-222226. doi: 10.1136/bcr-2017-222226.
2
Foot and ankle fractures during childhood: review of the literature and scientific evidence for appropriate treatment.儿童足部和踝关节骨折：文献综述及恰当治疗的科学证据
Rev Bras Ortop. 2016 Sep 13;51(6):630-639. doi: 10.1016/j.rboe.2016.09.001. eCollection 2016 Nov-Dec.
3
Unusual fracture combination in a paediatric acute ankle (combined medial talar compression fracture with medial malleolus fracture in an immature skeleton): a case report.
小儿急性踝关节的罕见骨折组合（未成熟骨骼中的距骨内侧压缩骨折合并内踝骨折）：病例报告
J Surg Case Rep. 2014 Oct 15;2014(10):rju100. doi: 10.1093/jscr/rju100.
4
Pediatric physeal ankle fracture.小儿骨骺踝部骨折。
J Am Acad Orthop Surg. 2013 Apr;21(4):234-44. doi: 10.5435/JAAOS-21-04-234.
5
Value of MRI in diagnosing injuries after ankle sprains in children.MRI 在诊断儿童踝关节扭伤后的损伤中的价值。
Foot Ankle Int. 2012 Dec;33(12):1063-8. doi: 10.3113/FAI.2012.1063.
6
[Ankle injuries without fracture in children. Prospective study with magnetic resonance in 116 patients].[儿童无骨折的踝关节损伤。116例患者的磁共振前瞻性研究]
Rev Chir Orthop Reparatrice Appar Mot. 2008 Sep;94(5):427-33. doi: 10.1016/j.rco.2008.03.034. Epub 2008 May 21.
7
Talar neck and body fractures.距骨颈和体部骨折。
Injury. 2009 Feb;40(2):120-35. doi: 10.1016/j.injury.2008.01.021. Epub 2008 Apr 24.
8
[Fractures of the pediatric foot].
Unfallchirurg. 1998 Jan;101(1):2-11. doi: 10.1007/s001130050225.
9
Talar neck fractures.
Foot Ankle. 1993 May;14(4):225-34. doi: 10.1177/107110079301400409.
10
Growth disturbance lines after injury of the distal tibial physis. Their significance in prognosis.
J Bone Joint Surg Br. 1988 Mar;70(2):231-3. doi: 10.1302/0301-620X.70B2.3346295.