tailieunhanh - báo cáo hóa học:" Salter-Harris II injury of the proximal tibial epiphysis with both vascular compromise and compartment syndrome: a case report"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Salter-Harris II injury of the proximal tibial epiphysis with both vascular compromise and compartment syndrome: a case report | Journal of Orthopaedic Surgery and Research BioMed Zentral Case report Open Access Salter-Harris II injury of the proximal tibial epiphysis with both vascular compromise and compartment syndrome a case report Nicholas D Clement 1 3 and Anukul Goswami2 Address 1Dept of Trauma and Orthopaedic Surgery Royal Infirmary of Edinburgh Little France Edinburgh EH16 4SU UK 2Borders General Hospital Melrose TD6 9BS UK and 317 Weybourne Lea Eastshore Village Seaham SR7 7WE UK E-mail Nicholas D Clement - nickclement@ Anukul Goswami - Corresponding author Published 29 June 2009 Received 23 February 2009 Journal of Orthopaedic Surgery and Research 2009 4 23 doi 1749-799X-4-23 Accepted 29 June 2009 This article is available from http content 4 1 23 2009 Clement and Goswami licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract We present a case of a Salter-Harris II injury to the proximal tibia associated with both vascular compromise and compartment syndrome. The potential complications of this injury are limb threatening and the neurovasular status of the limb should be continually monitored. Maintaining anatomic reduction is difficult and fixation may be needed to achieve optimal results. Introduction Salter-Harris injuries of the proximal tibia are rare with an incidence of to 3 of all epiphyseal injuries 1 2 . This rarity is due to the anatomy of the proximal epiphysis the collateral ligaments insert distally into the metaphysis shielding the epiphysis. There have been limited reports of these injuries to date with the largest published series reporting 39 cases 3 . This injury is potentially limb threatening secondary to vascular compromise or .