Abstract
We present a case of a Salter-Harris II injury to the proximal tibia associated with both vascular compromise and compartment syndrome. The potential complications of this injury are limb threatening and the neurovasular status of the limb should be continually monitored. Maintaining anatomic reduction is difficult and fixation may be needed to achieve optimal results.
Highlights
Salter-Harris injuries of the proximal tibia are rare, with an incidence of 0.5 to 3% of all epiphyseal injuries [1,2]. This rarity is due to the anatomy of the proximal epiphysis; the collateral ligaments insert distally into the metaphysis shielding the epiphysis
We report a posteriorly displaced Salter-Harris II injury to the proximal tibia associated with both vascular compromise and compartment syndrome
A 14-year-old girl presented to our accident and emergency department after sustaining a direct blow from a fence post to the anterior aspect of her proximal tibia whilst riding her horse at approximately 15 km/hr
Summary
Salter-Harris injuries of the proximal tibia are rare, with an incidence of 0.5 to 3% of all epiphyseal injuries [1,2]. A 14-year-old girl presented to our accident and emergency department after sustaining a direct blow from a fence post to the anterior aspect of her proximal tibia whilst riding her horse at approximately 15 km/hr. She fell to the ground, forcing the knee into valgus. 1 year post injury; there was no deformity, instability or leg length discrepancy Radiographs at this point demonstrated healing of the fracture (Figure 3)
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