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J Orthop Trauma. 2000 Nov;14(8):585-8.

Bilateral epiphyseal fractures of the proximal tibia within a six-month interval: a case report.

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Department of Orthopaedic Surgery, Kyoto Prefectural University of Medicine, Japan.


An epiphyseal fracture commonly results from avulsion of the epiphysis by traction through the attached ligaments. A fracture of the proximal tibial epiphysis is, therefore, a rare injury because of the absence of collateral ligament attachments. Most proximal tibial epiphyseal injuries occur as avulsion fractures of the tibial tubercle; Salter-Harris Types I or II injuries involving pressure epiphyses are rare. In the current case of a thirteen-year-old boy, the proximal tibial epiphyseal injuries in both knees occurred during quadriceps contraction in the absence of violent trauma, and there was a six-month interval between the two injuries.

[Indexed for MEDLINE]

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