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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Main Authors: Chintan Doshi, Simran Dua, Shital N. Parikh
Format: Article
Language:English
Published: Wiley 2021-01-01
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.
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institution Kabale University
issn 2090-6749
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language English
publishDate 2021-01-01
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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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AT simrandua irreducibledistaltibiaphysealinjurywithtibialisposteriortendoninterposition
AT shitalnparikh irreducibledistaltibiaphysealinjurywithtibialisposteriortendoninterposition