Purpose Of Review: The purpose of this review is to describe the current trends in the treatment of Cozen's phenomenon and evaluate if there are changes in the treatment paradigm due to the advent of implant-mediated guided growth.
Recent Findings: Current literature emphasizes the need for early recognition of Cozen's phenomenon (tibia valgus), with a high incidence associated with proximal tibia fractures. There are cases with late onset progression of the valgus deformity, which can be easily treated with implant-mediated guided growth.
Summary: Clinical observation continues to be the current standard of treatment for this phenomenon. An average surveillance time of 2 years postfracture is recommended to observe for valgus deformity of the tibia. During this period, implant-mediated guided growth may be utilized to correct tibial deformity, which is an easier and safer solution than tibial osteotomy.
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Purpose Of Review: The purpose of this review is to describe the current trends in the treatment of Cozen's phenomenon and evaluate if there are changes in the treatment paradigm due to the advent of implant-mediated guided growth.
Recent Findings: Current literature emphasizes the need for early recognition of Cozen's phenomenon (tibia valgus), with a high incidence associated with proximal tibia fractures. There are cases with late onset progression of the valgus deformity, which can be easily treated with implant-mediated guided growth.
Cozen's Phenomenon After Repair of a Medial Collateral Ligament Periosteal Avulsion in a Pediatric Athlete: A Case Report.
JBJS Case Connect
October 2021
Department of Orthopaedics, University of Utah, Salt Lake City, Utah.
Case: A 13-year-old boy sustained an acute, grade III medial collateral ligament (MCL) distal periosteal avulsion injury while playing noncontact football. Treatment consisted of diagnostic knee arthroscopy with open physeal-sparing MCL repair. At approximately 1-year follow-up, new development of genu valgum in the operative extremity was noted.
View Article and Find Full Text PDFResponse: Letter to the Editor of Prevalence of Cozen's Phenomenon of the Proximal Tibia.
J Pediatr Orthop
January 2022
Boston Childrens Hospital, Harvard Medical School, Boston, MA.
Does Cozen's phenomenon warrant surgical intervention?
J Child Orthop
June 2020
Karamandaneio Children's Hospital, Patras, Greece.
Purpose: Proximal tibial metaphyseal fractures can be complicated by a late valgus deformity, referred to as Cozen's phenomenon. We studied children with such fractures to determine whether the child's age at the time of injury influenced the development of Cozen's as well as the occurrence of elongation. In addition, we explored whether the deformity resolved at long-term follow-up.
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