Bilateral epiphyseal fractures of the proximal tibia within a six-month interval: a case report

J Orthop Trauma. 2000 Nov;14(8):585-8. doi: 10.1097/00005131-200011000-00013.


An epiphyseal fracture commonly results from avulsion of the epiphysis by traction through the attached ligaments. A fracture of the proximal tibial epiphysis is, therefore, a rare injury because of the absence of collateral ligament attachments. Most proximal tibial epiphyseal injuries occur as avulsion fractures of the tibial tubercle; Salter-Harris Types I or II injuries involving pressure epiphyses are rare. In the current case of a thirteen-year-old boy, the proximal tibial epiphyseal injuries in both knees occurred during quadriceps contraction in the absence of violent trauma, and there was a six-month interval between the two injuries.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Athletic Injuries / diagnostic imaging
  • Athletic Injuries / therapy
  • Basketball / injuries*
  • Casts, Surgical*
  • Epiphyses / diagnostic imaging
  • Epiphyses / injuries
  • Follow-Up Studies
  • Fracture Healing / physiology
  • Humans
  • Knee Injuries / diagnostic imaging
  • Knee Injuries / therapy*
  • Male
  • Radiography
  • Recurrence
  • Tibial Fractures / diagnostic imaging
  • Tibial Fractures / pathology*
  • Tibial Fractures / therapy*
  • Time Factors
  • Treatment Outcome