Trampoline fracture of the proximal tibial metaphysis in children may not progress into valgus: a report of seven cases and a brief review

Orthopaedics & Traumatology, Surgery & Research : OTSR
R Kakel

Abstract

Fracture of the proximal tibial metaphysis in children is a rare injury but notorious for carrying the risk of subsequent valgus deformity of the tibia. Trampoline-caused fracture of the proximal tibial metaphysis in children may not progress into valgus. We followed up six children who collectively sustained seven fractures of the proximal tibial metaphysis while trampolining with other heavier and/or older children. Initial and follow-up x-rays were reviewed by an orthopaedic surgeons and two radiologists. None of the patients developed valgus deformity with follow-up. Trampoline is associated with a specific type of injury to the proximal tibia when children are trampolining with other heavier children even without falling off the trampoline. This fracture is linear and complete, often non-displaced. Unlike "other" proximal tibial metaphyseal fractures, trampoline-associated proximal tibial metaphysical fracture in children is not associated with a risk of subsequent valgus deformity. Level 4. case series.

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Citations

Sep 21, 2013·Annals of Nuclear Medicine·Mathieu GauthéFlorent Cachin
Apr 11, 2017·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·Lauren DeahlKimberly A Agnello
Mar 1, 2019·Journal of Pediatric Orthopedics·Brian W YangMichael P Glotzbecker
Jan 20, 2017·BMC Pediatrics·E HauthM Beer
Nov 18, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Moon-Jib Yoo Kang-Heo
Sep 10, 2021·Journal of Orthopaedic Surgery and Research·Changhoon JeongSun Young Joo

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