Abstract
Introduction: salter–Harris type 1 injuries of distal femur are very rare accounting for a mere 7.7% of all distal femoral injuries. No report of bilateral slips in otherwise normal child has been ever reported. case report: We herein present a case of a six-year-old boy with one month old trauma that caused bilateral distal femoral physeal slips. Patient was managed conservatively to avoid any further physeal damage. the slips healed completely with excellent range of motion. Due to late presentation, the fracture was already in stage of healing and was not frankly mobile and therefore open reduction or closed manipulation of physis was not possible without causing additional injury to growth plate. therefore, slips were managed conservatively. conclusion: this case presents a number of unique features. salter– Harris type 1 injury is uncommon in the age group presented in our case. secondly, bilateral distal femoral slips in otherwise normal child have never been reported. thirdly, it further shows that remodeling of slips presenting late is possible if the physeal damage is prevented and
Highlights
Salter–Harris type 1 injuries of distal femur are very rare accounting for a mere 7.7% of all distal femoral injuries
Case Report: We present a case of a six-year-old boy with one month old trauma that caused bilateral distal femoral physeal slips
Salter– Harris type 1 injury is uncommon in the age group presented in our case
Summary
The distal femoral epiphysis is the largest and fastest growing epiphysis in the body. Distal femoral physeal injuries are even more rarer accounting for 1–6 % of all physeal injuries and less than 1% of all fractures Among these most common is Salter–Harris type 2 injuries. The epiphyseal displacement is in the coronal plain producing a varus or valgus deformity This is confirmed by a plain radiograph and treatment consists of closed manipulation followed by a long leg cast till fracture healing. We present one case of a six-year-old year male child with bilateral traumatic distal femoral slips with normal metabolic parameters. Patient was given intermittent skin traction for flexion deformity with range of motion exercises.
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