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Paediatrics
intermediate
X-Type

Proximal Tibial Physeal Injuries - Vascular Risk and Management

Pediatric Trauma

A 13-year-old boy sustains a hyperextension injury to his knee during a tackle in football. Radiographs show a Salter-Harris Type II fracture of the proximal tibia with posterior metaphyseal displacement. On examination, the dorsalis pedis pulse is diminished compared to the opposite side, and the leg appears tense. The boy reports severe pain with passive toe extension. Regarding proximal tibial physeal injuries:

Mark each as TRUE or FALSE

A

The proximal tibial physis contributes 55% of tibial length and 25% of total leg length; proximal ti...

B

The popliteal artery is tethered as it passes under the soleal arch; hyperextension injuries stretch...

C

Compartment syndrome is rare following proximal tibial physeal injuries; the proximal tibial physis ...

D

Compartment syndrome commonly follows vascular injury or direct trauma to the proximal tibia; pain w...

E

Growth arrest occurs in 20-30% of proximal tibial physeal fractures; anatomic reduction is essential...

Answer the questions to see explanations

Click T (True) or F (False) for each option