Irreducible Distal Tibia Physeal Injury with Tibialis Posterior Tendon Interposition
A 14-year-old basketball player presented with a displaced distal tibia physeal fracture which is typically treated with closed reduction with or without internal fixation. However, repeated attempts at closed reduction failed to align the fracture fragments. At open reduction, tibialis posterior te...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2021/6646953 |
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author | Chintan Doshi Simran Dua Shital N. Parikh |
author_facet | Chintan Doshi Simran Dua Shital N. Parikh |
author_sort | Chintan Doshi |
collection | DOAJ |
description | A 14-year-old basketball player presented with a displaced distal tibia physeal fracture which is typically treated with closed reduction with or without internal fixation. However, repeated attempts at closed reduction failed to align the fracture fragments. At open reduction, tibialis posterior tendon interposition was identified within the fracture site and bowstringing of the tendon prevented closed reduction. A tendon interposition should be suspected when repeated closed reduction attempts fail to achieve satisfactory fracture reduction. The features of tendon interposition should be differentiated from the more common periosteal interposition for physeal fractures of the tibia. |
format | Article |
id | doaj-art-6358582f36ee4bd4a1f59449e190c2d2 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-6358582f36ee4bd4a1f59449e190c2d22025-02-03T01:21:26ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/66469536646953Irreducible Distal Tibia Physeal Injury with Tibialis Posterior Tendon InterpositionChintan Doshi0Simran Dua1Shital N. Parikh2Division of Pediatric Orthopaedics, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USALambert High School, 805 Nichols Rd, Suwanee, GA 30024, USADivision of Pediatric Orthopaedics, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USAA 14-year-old basketball player presented with a displaced distal tibia physeal fracture which is typically treated with closed reduction with or without internal fixation. However, repeated attempts at closed reduction failed to align the fracture fragments. At open reduction, tibialis posterior tendon interposition was identified within the fracture site and bowstringing of the tendon prevented closed reduction. A tendon interposition should be suspected when repeated closed reduction attempts fail to achieve satisfactory fracture reduction. The features of tendon interposition should be differentiated from the more common periosteal interposition for physeal fractures of the tibia.http://dx.doi.org/10.1155/2021/6646953 |
spellingShingle | Chintan Doshi Simran Dua Shital N. Parikh Irreducible Distal Tibia Physeal Injury with Tibialis Posterior Tendon Interposition Case Reports in Orthopedics |
title | Irreducible Distal Tibia Physeal Injury with Tibialis Posterior Tendon Interposition |
title_full | Irreducible Distal Tibia Physeal Injury with Tibialis Posterior Tendon Interposition |
title_fullStr | Irreducible Distal Tibia Physeal Injury with Tibialis Posterior Tendon Interposition |
title_full_unstemmed | Irreducible Distal Tibia Physeal Injury with Tibialis Posterior Tendon Interposition |
title_short | Irreducible Distal Tibia Physeal Injury with Tibialis Posterior Tendon Interposition |
title_sort | irreducible distal tibia physeal injury with tibialis posterior tendon interposition |
url | http://dx.doi.org/10.1155/2021/6646953 |
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