Dept of Trauma and Orthopaedic Surgery, Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SU, UK. nickclement@doctors.org.uk.
ABSTRACT: We present a case of a Salter-Harris II injury to the proximal tibia associated with both vascular compromise and compartment syndrome. The potential complications of this injury are limb threatening and the neurovasular status of the limb should be continually monitored. Maintaining anatomic reduction is difficult and fixation may be needed to achieve optimal results.