Paediatric Salter-Harris type IV injury of distal tibia with talus fracture

Fracture of talus with Salter-Harris injury of the distal end of tibia is a rare injury in paediatric age group. The authors report a case of a 13-year-old male child who sustained type IV Salter-Harris injury to the medial malleolus with coronal spilt along with spilt and depressed fracture of the...

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Bibliographic Details
Published in:BMJ case reports 2017-11, Vol.2017, p.bcr-2017-222226
Main Authors: Kothadia, Swapnil, Birole, Umesh, Ranade, Ashish
Format: Article
Language:English
Subjects:
Ankle
Case reports
Children & youth
Exercise
Injuries
Knee
Medical imaging
Novel Treatment (New Drug/Intervention
Established Drug/Procedure in New Situation)
Pain
Pediatrics
Surgery
Vertebrae
Wire
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Summary:Fracture of talus with Salter-Harris injury of the distal end of tibia is a rare injury in paediatric age group. The authors report a case of a 13-year-old male child who sustained type IV Salter-Harris injury to the medial malleolus with coronal spilt along with spilt and depressed fracture of the neck of talus and fracture of the lateral process of talus with stable compression fracture of spine sustained due to fall from 6 meters height. CT scan delineated the morphology of fracture pattern and helped in preoperative planning. Talar articular fracture was reduced and fixed arthroscopically while distal tibial fracture was fixed under image intensifier. We observed favourable outcome following arthroscopic reduction at 4-year follow-up.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-222226