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KMID : 0386419990120041046
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Journal of the Korean Fracture Society
1999 Volume.12 No. 4 p.1046 ~ p.1050
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Peristeal Impingement in Salter - Harris Type 2 Injury of Proximal Tibial Epiphysis
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Moon Sang-Ho
Chung Phil-Hyun
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Abstract
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Despite the frequent exposure of the knee in children to violent trauma, the incidence offracture of the proximal tibial epiphysis is extremely low, accounting for about 0.5 per cent ofall epiphyseal injuries. This is due to its freedom from collateral ligament attachments andtherefore the frequent varus and valgus stresses to the knee are transmitted not to the epiphysisbut rather to the metaphysis distal to it. Closed reduction and external immobilization isadequate treatment for most type - I or 3 fractures. Patients with displaced type - III or IVfractures undergo open reduction and internal fixation when there was significant displacementof the fragments or incongruity of the joint. The authors reviewed a case of Salter-Harris type II injury of proximal tibial epiphysis whichrequired open reduction and internal fixation because it had the insertion spread of theperiosteum into the separation site.
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KEYWORD
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Proximal Tibial Epiphysis, Salter-Harris Type II Injury, Periosteal Impingement
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