Skip to main content

Advertisement

SpringerLink
Log in

Stress-induced Salter-Harris I growth plate injury of the proximal tibia: first report

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

We describe a case of chronic Salter-Harris I injury of the proximal tibial epiphysis. To our knowledge such an injury has not been described in the English language literature. The radiological appearance can mimic chronic infection. The possibility of chronic athletic stress-related change should be considered in such scenarios to avoid a misdiagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1A, B
Fig. 2
Fig. 3 A
Fig. 4 A
Fig. 5 A

Similar content being viewed by others

References

  1. Hogan KA, Gross RH. Overuse injuries in paediatric athletes. Orthop Clin North Am 2003; 34:405–415.

    Google Scholar 

  2. Hutchinson MR, Ireland ML. Overuse and throwing injuries in the skeletally immature athlete. Instr Course Lect 2003; 52:25–36.

    Google Scholar 

  3. Lipp EJ. Athletic physeal injury in children and adolescents. Orthop Nurs 1998; 17:17–22.

    Google Scholar 

  4. Rogers LF, Jones S, Davis AR, Dietz G. “Clipping injury” fracture of the epiphysis in the adolescent football player: an occult lesion of the knee. AJR Am J Roentgenol 1974; 121:69–78.

    Google Scholar 

  5. Larson RL. Epiphyseal injuries in the adolescent athlete. Orthop Clin North Am 1973; 4:839–851.

    Google Scholar 

  6. Oh WH, Craig C, Banks HH. Epiphyseal injuries. Pediatr Clin North Am 1974; 21:407–422.

    Google Scholar 

  7. Aitken AP, Ingersoll RE. Fractures of the proximal tibial epiphyseal cartilage. J Bone Joint Surg Am 1956; 33:787–796.

    Google Scholar 

  8. Rhemrev SJ, Sleeboom C, Ekkelkamp S. Epiphyseal fractures of the proximal tibia. Injury 2000; 31:131–134.

    Google Scholar 

  9. Burkhart SS, Peterson HA. Fractures of proximal tibial epiphysis. J Bone Joint Surg Am 1979; 61:996–1002.

    Google Scholar 

  10. Mudgal CS, Popovitz LE, Kasser JR. Flexion-type Salter-Harris I injury of the proximal tibial epiphysis. J Orthop Trauma 2000; 14:302–305.

    Google Scholar 

  11. Welch PH, Wynne GF. Proximal tibial epiphyseal fracture separation. Case report. J Bone Joint Surg Am 1963; 45:782–784.

    Google Scholar 

  12. Takai S, Yoshino N, Kubo Y, Suzuki M, Hirasawa Y. Bilateral epiphyseal fractures of the proximal tibia within a six-month interval: a case report. J Orthop Trauma 2000; 14:585–588.

    Google Scholar 

  13. Shih C, Chang CY, Penn IW, Tiu CM, Chang T, Wu JJ. Chronically stressed wrists in adolescent gymnasts: MR imaging appearance. Radiology 1995; 195:855–859.

    Google Scholar 

  14. Fleming JL, Hollingsworth CL, Squire DL, Bisset GS. Little Leaguer’s shoulder. Skeletal Radiol 2004; 33:352–354.

    Google Scholar 

  15. Wasserlauf BL, Paletta GA Jr. Shoulder disorders in the skeletally immature throwing athlete. Orthop Clin North Am 2003; 34:427–437.

    Google Scholar 

  16. Carson WG Jr, Gasser SI. Little Leaguer’s shoulder. A report of 23 cases. Am J Sports Med 1998; 26:575–580.

    Google Scholar 

  17. Chan D, Aldridge MJ, Maffulli N, Davies AM. Chronic stress injuries of the elbow in young gymnasts. Br J Radiol 1991; 64:1113–1118.

    Google Scholar 

  18. Carter SR, Aldridge MJ. Stress injury of the distal radial growth plate. J Bone Joint Surg Br 1988; 70:834–836.

    Google Scholar 

  19. Gerbino PG. Elbow disorders in throwing athletes. Orthop Clin North Am 2003; 34:417–426.

    Google Scholar 

  20. Parr TJ, Burns TC. Overuse injuries of the olecranon in adolescents. Orthopedics 2003; 26:1143–1146.

    Google Scholar 

  21. Cahill BR. Stress fracture of the proximal tibial epiphysis: a case report. Am J Sports Med 1977; 5:186–187.

    Google Scholar 

  22. Sato T, Shinozaki T, Fukuda T, Watanabe H, Aoki J, Yanagawa T, Takagishi K J. Atypical growth plate closure: a possible chronic Salter and Harris type V injury. Pediatr Orthop B 2002; 11:155–158.

    Google Scholar 

  23. Connolly SA, Connolly LP, Jaramillo D. Imaging of sports injuries in children and adolescents. Radiol Clin North Am 2001; 39:773–790.

    Google Scholar 

  24. Osbahr DC, Cannon DL, Speer KP. Retroversion of the humerus in the throwing shoulder of college baseball pitchers. Am J Sports Med 2002; 30:347–353.

    Google Scholar 

  25. Reagan KM, Meister K, Horodyski MB, Werner DW, Carruthers C, Wilk K. Humeral retroversion and its relationship to glenohumeral rotation in the shoulder of college baseball players. Am J Sports Med 2002; 30:354–360.

    Google Scholar 

  26. Moore SG, Bisset GS 3rd, Siegel MJ, Donaldson JS. Pediatric musculoskeletal MR imaging. Radiology 1991; 179:345–360.

    Google Scholar 

  27. Dye SF. The knee as a biologic transmission with an envelope of function: a theory. Clin Orthop 1996; 325:10–18.

    Google Scholar 

  28. Resnick D, Niwayama G. Osteomyelitis, septic arthritis, and soft tissue infection: mechanisms and situations. In: Resnick D, Niwayama G, eds. Diagnosis of bone and joint disorders, 3rd edn. Philadelphia: WB Saunders, 1995:2389–2392.

  29. Ogden JA, Skeletal injury in the child, 3rd edn. Berlin Heidelberg New York: Springer, 2000:399–418, 987–1015.

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, SY10 7AG, UK

    M. Nanni, S. Butt, R. Mansour, T. Muthukumar & V. N. Cassar-Pullicino

  2. Department of Paediatric Orthopaedic Surgery, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, SY10 7AG, UK

    A. Roberts

Authors
  1. M. Nanni
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Butt
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Mansour
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Muthukumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. V. N. Cassar-Pullicino
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. A. Roberts
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to V. N. Cassar-Pullicino.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nanni, M., Butt, S., Mansour, R. et al. Stress-induced Salter-Harris I growth plate injury of the proximal tibia: first report. Skeletal Radiol 34, 405–410 (2005). https://doi.org/10.1007/s00256-004-0892-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-004-0892-5

Keywords

Search

Navigation