CASE REPORT

Kreiskrankenhaus Mechernich

Kreiskrankenhaus Mechernich GmbH

I would consider it a SH IV as it crosses the epiphysis and metaphysis. I would put a cannulated screw (or two) across the epiphysis and one in the metaphysis.

Nice result! Would’ve used partially threaded screws though. Medial as well in the epiphysis just because it’s easier to place the wire.

Thanks to sharing. Triplane fracture .My strategy is ORIF to Remove entrapped periosteum 1-anterolateral approach to reduce and stabilize the epiphyseal fracture.2 Temporarily stabilization of the fracture using K-wire 3- fist screw (epiphyseal screw )is placed from the lateral side and runs paralle...l to the physis : perpendicular to the fracture line. 4- metaphyseal fracture is fixed by an anterolateral to posterior screw .

Operative Ct to guide amount of displacement (if >2 mm) and direction of screws (pattern) Reduction (if possible closed )and fixation Probably 3 screws 3,5 mm partial threaded cannulated, diameter dependent on size patient

PD Dr. med. Michael C. Tanner Saturday, December 31, 2011Kump's HumpE BELININg SEATOME PLKump's hump, also known as kump's bump, is named after the radiologist Warren Kump, who described an undulation of the anteromedial aspect of the distal tibial physis.Kump's hump is the site of first closure of ...the physis and should not be mistake for a fracture. On MRI, the normal loss of cartilaginous signal intensity of the physis begins at Kump's hump.

https://upload.orthobullets.com/comments/1511895/comment_attachment_image_638760172798269666.png

Triplane Fractures

PMID: 721852 J Bone Joint Surg Am. 1978 Dec;60(8):1046-50.

post

Epiphyseal fractures of the distal ends of the tibia and fibula. A retrospective study of two hundred and thirty-seven cases in children.

Epiphyseal fractures of the distal ends of the tibia and fibula. A retrospective study of two hundred and thirty-seven cases in children.

Poll

1 of 4

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change

BIG change

100% Article relates to my practice (7/7)

0% Article does not relate to my practice (0/7)

0% Undecided (0/7)

Will this article lead to more cost-effective healthcare?

71% Yes (5/7)

28% No (2/7)

0% Undecided (0/7)

Was this article biased? (commercial or personal)

0% Yes (0/7)

100% No (7/7)

0% Undecided (0/7)

What level of evidence do you think this article is?

0% Level 1 (0/7)

0% Level 2 (0/7)

85% Level 3 (6/7)

14% Level 4 (1/7)

0% Level 5 (0/7)

Card

0 of 0

Congratulations!
All cards in this set are done

Question

1 of 1

Epiphyseal fractures of the distal ends of the tibia and fibula. A retrospective study of two hundred and thirty-seven cases in children.

Question

1 of 1