Bilateral crush injury of the proximal tibial physis in an adolescent gymnast

George C. Balazs; Elizabeth M. Polfer; Jefferson W. Jex

doi:10.2106/JBJS.CC.N.00216

Bilateral crush injury of the proximal tibial physis in an adolescent gymnast

George C. Balazs, Elizabeth M. Polfer, Jefferson W. Jex

Research output: Contribution to journal › Article › peer-review

Abstract

Case: A thirteen-year-old female gymnast experienced bilateral knee pain after landing from a jump off a vault during a competition. Initial radiographs revealed negative findings, but magnetic resonance imaging demonstrated periphyseal osseous edema of the proximal parts of the tibiae. The patient later developed an anterior physeal bar on the right side, with recurvatum deformity. Conclusion: Despite similar initial imaging findings bilaterally and identical mechanisms of injury, only the injury on the right side met the strict criteria for classification as a Salter-Harris type-V injury. This case illustrates the difficulty encountered with current diagnostic criteria for type-V injuries.

Original language	English
Article number	e50
Journal	JBJS Case Connector
Volume	5
Issue number	2
DOIs	https://doi.org/10.2106/JBJS.CC.N.00216
State	Published - 8 Apr 2015
Externally published	Yes

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10.2106/JBJS.CC.N.00216

Cite this

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title = "Bilateral crush injury of the proximal tibial physis in an adolescent gymnast",

abstract = "Case: A thirteen-year-old female gymnast experienced bilateral knee pain after landing from a jump off a vault during a competition. Initial radiographs revealed negative findings, but magnetic resonance imaging demonstrated periphyseal osseous edema of the proximal parts of the tibiae. The patient later developed an anterior physeal bar on the right side, with recurvatum deformity. Conclusion: Despite similar initial imaging findings bilaterally and identical mechanisms of injury, only the injury on the right side met the strict criteria for classification as a Salter-Harris type-V injury. This case illustrates the difficulty encountered with current diagnostic criteria for type-V injuries.",

author = "Balazs, {George C.} and Polfer, {Elizabeth M.} and Jex, {Jefferson W.}",

note = "Publisher Copyright: Copyright {\textcopyright} 2016 by The Journal of Bone and Joint Surgery, Incorporated.",

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AU - Polfer, Elizabeth M.

AU - Jex, Jefferson W.

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N2 - Case: A thirteen-year-old female gymnast experienced bilateral knee pain after landing from a jump off a vault during a competition. Initial radiographs revealed negative findings, but magnetic resonance imaging demonstrated periphyseal osseous edema of the proximal parts of the tibiae. The patient later developed an anterior physeal bar on the right side, with recurvatum deformity. Conclusion: Despite similar initial imaging findings bilaterally and identical mechanisms of injury, only the injury on the right side met the strict criteria for classification as a Salter-Harris type-V injury. This case illustrates the difficulty encountered with current diagnostic criteria for type-V injuries.

AB - Case: A thirteen-year-old female gymnast experienced bilateral knee pain after landing from a jump off a vault during a competition. Initial radiographs revealed negative findings, but magnetic resonance imaging demonstrated periphyseal osseous edema of the proximal parts of the tibiae. The patient later developed an anterior physeal bar on the right side, with recurvatum deformity. Conclusion: Despite similar initial imaging findings bilaterally and identical mechanisms of injury, only the injury on the right side met the strict criteria for classification as a Salter-Harris type-V injury. This case illustrates the difficulty encountered with current diagnostic criteria for type-V injuries.

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