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Pediatric Distal Tibia Physeal Injury Presenting with Acute In-toeing: A Case Report and Literature Review. | LitMetric

Pediatric Distal Tibia Physeal Injury Presenting with Acute In-toeing: A Case Report and Literature Review.

J Am Acad Orthop Surg Glob Res Rev

From the Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, MI (Dr. Yin, Dr. Englert, and Dr. Saleh) and Wayne State University, School of Medicine, Detroit, MI (Dr. Sareini).

Published: August 2023

AI Article Synopsis

Article Abstract

Ankle fractures are among the most common fractures sustained in the pediatric population. Given the frequency of physeal involvement of the distal fragment, complications including growth arrest, overgrowth, and rotational deformities are not uncommon. This case report describes a 12-year-old adolescent boy who presented after an acute right ankle injury sustained while playing. He noted right ankle pain, swelling, and in-toeing of his foot. Radiographs of the ankle demonstrated a distal tibia Salter-Harris type II fracture that appeared nondisplaced. However, a CT scan of the ankle demonstrated a 60° difference in the rotational profile between the injured and noninjured tibias. The patient's acute rotational deformity was corrected with closed reduction and percutaneous pinning. Pediatric distal tibia physis fractures presenting with in-toeing are rare and difficult to diagnose accurately with radiographs alone. Accordingly, a detailed history, physical examination, comparison radiographs, and CT scans are imperative in making the correct diagnosis and determining the appropriate treatment.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400042PMC
http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00134DOI Listing

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