Proximal Tibial Metaphyseal Fracture

  • Bryan Tompkins
Living reference work entry


A 5-year female twisted her right knee while sledding sustaining a nondisplaced fracture of the proximal tibia metaphysis. This was treated in a long leg cast initially healing with good angular alignment. About 6 months after the injury, the patient developed progressive valgus in the proximal tibia, a known complication of this fracture pattern. Initially, this was treated with observation, and with time the patient showed some correction of alignment but eventually stopped improving. Guided growth was used at age 10 for correction of the deformity.

References and Suggested Reading

  1. Jackson DW, Cozen L (1971) Genu valgum as a complication of proximal tibial metaphyseal fractures in children. J Bone Joint Surg Am 53(8):1572–1578CrossRefGoogle Scholar
  2. McCarthy JJ, Kim DH, Eilert RE (1998) Posttraumatic genu valgum: operative versus nonoperative treatment. J Pediatr Orthop 18(4): 518–521PubMedGoogle Scholar
  3. Riccio A, Wilson P, Wimberly RL (2014) Tachdjian’s pediatric orthopaedics: lower extremity injuries, 5th edn. Elsevier Saunders, Philadelphia, pp 1459–1465Google Scholar
  4. Stevens PM, Pease F (2006) Hemiepiphysiodesis for prosttraumatic tibial valgus. J Pediatr Orthop 26(3):385–392CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Shriners Hospitals for ChildrenSpokaneUSA

Section editors and affiliations

  • Eric D. Shirley
    • 1
  1. 1.Pediatric Orthopaedic AssociatesAltantaUSA

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