Trampoline fracture of the proximal tibial metaphysis in children may not progress into valgus: A report of seven cases and a brief review - 02/06/12
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Summary |
Background |
Fracture of the proximal tibial metaphysis in children is a rare injury but notorious for carrying the risk of subsequent valgus deformity of the tibia.
Hypothesis |
Trampoline-caused fracture of the proximal tibial metaphysis in children may not progress into valgus.
Materials and methods |
We followed up six children who collectively sustained seven fractures of the proximal tibial metaphysis while trampolining with other heavier and/or older children. Initial and follow-up x-rays were reviewed by an orthopaedic surgeons and two radiologists.
Results |
None of the patients developed valgus deformity with follow-up.
Conclusion |
Trampoline is associated with a specific type of injury to the proximal tibia when children are trampolining with other heavier children even without falling off the trampoline. This fracture is linear and complete, often non-displaced. Unlike “other” proximal tibial metaphyseal fractures, trampoline-associated proximal tibial metaphysical fracture in children is not associated with a risk of subsequent valgus deformity.
Level of evidence |
Level 4. Type of study: case series.
Le texte complet de cet article est disponible en PDF.Keywords : Trampoline, Tibia, Fracture, Valgus
Plan
Vol 98 - N° 4
P. 446-449 - juin 2012 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.