Self-inflicted partial epiphyseolysis of the distal femur—a case report
IntroductionInjuries to the epiphyseal plate are of great concern as they can affect bone growth. Although epiphyseal fractures are common in adolescents, fractures of the distal femoral epiphyseal plate are rare.Case presentationWe present a case of a Salter–Harris type 1 fracture of the distal epi...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1425358/full |
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| author | Anna Kanewska Johannes Krause Mario Perl |
| author_facet | Anna Kanewska Johannes Krause Mario Perl |
| author_sort | Anna Kanewska |
| collection | DOAJ |
| description | IntroductionInjuries to the epiphyseal plate are of great concern as they can affect bone growth. Although epiphyseal fractures are common in adolescents, fractures of the distal femoral epiphyseal plate are rare.Case presentationWe present a case of a Salter–Harris type 1 fracture of the distal epiphysis of the femur that was self-inflicted by a patient with paraplegia due to spina bifida. The patient was brought to the pediatrician's attention during a routine checkup with an apparent swelling of the right thigh. Upon presentation, we performed a radiograph and an additional MRI, which revealed a partial ventero-medial epiphyseolysis, consistent with a Salter–Harris type 1 fracture. Due to the dislocation, we indicated closed reduction with K-wires. Repositioning was performed using a modified Kapandji maneuver and was completed with additional K-wires.ConclusionDistal epiphyseolysis is a relatively rare injury that can lead to serious complications. Therefore, although rare, epiphyseal fractures should be considered in pediatric patients presenting with uncertain limb swelling. |
| format | Article |
| id | doaj-art-9f6622861bf94d04aa0b1bdd93517306 |
| institution | Kabale University |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-9f6622861bf94d04aa0b1bdd935173062025-01-23T06:56:27ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.14253581425358Self-inflicted partial epiphyseolysis of the distal femur—a case reportAnna KanewskaJohannes KrauseMario PerlIntroductionInjuries to the epiphyseal plate are of great concern as they can affect bone growth. Although epiphyseal fractures are common in adolescents, fractures of the distal femoral epiphyseal plate are rare.Case presentationWe present a case of a Salter–Harris type 1 fracture of the distal epiphysis of the femur that was self-inflicted by a patient with paraplegia due to spina bifida. The patient was brought to the pediatrician's attention during a routine checkup with an apparent swelling of the right thigh. Upon presentation, we performed a radiograph and an additional MRI, which revealed a partial ventero-medial epiphyseolysis, consistent with a Salter–Harris type 1 fracture. Due to the dislocation, we indicated closed reduction with K-wires. Repositioning was performed using a modified Kapandji maneuver and was completed with additional K-wires.ConclusionDistal epiphyseolysis is a relatively rare injury that can lead to serious complications. Therefore, although rare, epiphyseal fractures should be considered in pediatric patients presenting with uncertain limb swelling.https://www.frontiersin.org/articles/10.3389/fped.2024.1425358/fullepiphyseal fracturesepiphyseal fracture of the distal femurspina bifidacase reportKirschner wire (K-wire) |
| spellingShingle | Anna Kanewska Johannes Krause Mario Perl Self-inflicted partial epiphyseolysis of the distal femur—a case report Frontiers in Pediatrics epiphyseal fractures epiphyseal fracture of the distal femur spina bifida case report Kirschner wire (K-wire) |
| title | Self-inflicted partial epiphyseolysis of the distal femur—a case report |
| title_full | Self-inflicted partial epiphyseolysis of the distal femur—a case report |
| title_fullStr | Self-inflicted partial epiphyseolysis of the distal femur—a case report |
| title_full_unstemmed | Self-inflicted partial epiphyseolysis of the distal femur—a case report |
| title_short | Self-inflicted partial epiphyseolysis of the distal femur—a case report |
| title_sort | self inflicted partial epiphyseolysis of the distal femur a case report |
| topic | epiphyseal fractures epiphyseal fracture of the distal femur spina bifida case report Kirschner wire (K-wire) |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1425358/full |
| work_keys_str_mv | AT annakanewska selfinflictedpartialepiphyseolysisofthedistalfemuracasereport AT johanneskrause selfinflictedpartialepiphyseolysisofthedistalfemuracasereport AT marioperl selfinflictedpartialepiphyseolysisofthedistalfemuracasereport |