Presentation
Intense knee pain after landing from a jump.
Patient Data
Age: 15 years
Gender: Male
From the case:
Proximal tibial physeal fracture - Salter-Harris type IV
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Knee radiographs revealed a proximal tibial physeal fracture. The fracture line passes through the metaphysis, growth plate, and epiphysis, characterizing a Salter-Harris type IV physeal fracture. Moderate knee joint effusion is also noted.
Case Discussion
Proximal tibial physeal fractures are a rare type of physeal fracture and usually require a great amount of force to happen.
The present case is classified as a Salter-Harris type IV fracture, there is intra-articular involvement as the fracture line goes through the metaphysis, across the physis, and into the epiphysis.
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