Proximal Tibia Physeal Fracture with Entrapped Medial Collateral Ligament Tear: A Report of 2 Cases and Review of Literature

Journal Title: Journal of Orthopedics & Rheumatology - Year 2014, Vol 1, Issue 1

Abstract

Knee injuries are common in young athletes, with the Medial Collateral Ligament (MCL) being the most frequently injured structure. Proximal tibia physeal fractures, on the other hand, are relatively uncommon, comprising less than 1% of all physeal fractures in the skeletally immature [1]. There are few reports discussing soft tissue interposition in physeal fractures about the knee. We present 2 cases of MCL entrapment within a displaced Salter Harris 1 proximal tibia fracture, both of which were treated surgically. One patient subsequently developed a premature physeal closure with an associated leg length discrepancy. We believe these cases should heighten clinician awareness of this injury pattern and emphasize the importance of advanced imaging in the evaluation of skeletally immature patients with significant medial sided knee injuries.

Authors and Affiliations

Andrew T Pennock

Keywords

Related Articles

Femoroacetabular Impingement and Labral Tear Management: Review of Current Literature and Techniques

The incidence of hip pain in the adult is fairly common, accounting for roughly 10% of visits to sports medicine physicians annually, and the origin of the pain is often elusive. For the active patient, femoroacetabular...

Searching for the Molecular Pathways Regulating Bone Mineral Density in the Proteome and RNA Interference Era

Osteoporosis is a polygenic disorder associated with low bone mineral density and deterioration of bone microarchitecture with increased chance of bone fractures. Although bone matrix mineralization and osteoporosis are...

Revision with Locking Plate and Sliding Inlay Bone Graft for Hypertrophic Nonunion after Combined Treatment of Ender Nails and Teriparatide for Atypical Femoral Stress Fracture A Unique Case Report

Introduction: Atypical femoral fractures (AFFs), whose characteristic radiograph patterns include beaking and the dreaded black line, are uncommon in elderly patients with osteoporosis. Bisphosphonates (BPs) are commonly...

Yoga as a treatment for chronic low back pain: A systematic review of the literature

Objectives: Chronic low back pain (CLBP) affects millions of people worldwide, and appears to be increasing in prevalence. It is associated not only with pain, but also with increased disability, psychological symptoms,...

Lumbar Epidural Injections: Review of Efficacy and Discussion of Practice Options

Background: In the United States, low back pain remains a common problem and a number one reason to see a physician in the outpatient setting. Etiology is complex and likely multifactorial and includes; degenerative disc...

Download PDF file
  • EP ID EP206797
  • DOI 10.13188/2334-2846.1000001
  • Views 120
  • Downloads 0

How To Cite

Andrew T Pennock (2014). Proximal Tibia Physeal Fracture with Entrapped Medial Collateral Ligament Tear: A Report of 2 Cases and Review of Literature. Journal of Orthopedics & Rheumatology, 1(1), 1-3. https://europub.co.uk/articles/-A-206797