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Case Report
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| Bilateral traumatic distal femoral physeal slips: A very rare case presentation | ||||||
| Anil Mehtani1, Jatin Prakash2, Suresh Chand3, Abhinav Sinha2, Ajeet Singh2, Harvinder Dev2 | ||||||
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1Head of Department of Orthopedics, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi, India.
2MBBS, MS(Ortho), DNB, Department of Orthopedics, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi, India. 3Rresident ,Department of Orthopedics, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi, India. | ||||||
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| How to cite this article |
| Mehtani A, Prakash J, Chand S, Sinha A, Singh A, Dev H. Bilateral traumatic distal femoral physeal slips: A very rare case presentation. International Journal of Case Reports and Images 2014;5(5):334–338. |
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Abstract
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Introduction:
Salter-Harris type 1 injuries of distal femur are very rare accounting for a mere 7.7% of all distal femoral injuries. No report of bilateral slips in otherwise normal child has been ever reported.
Case Report: We herein present a case of a six-year-old boy with one month old trauma that caused bilateral distal femoral physeal slips. Patient was managed conservatively to avoid any further physeal damage. The slips healed completely with excellent range of motion. Due to late presentation, the fracture was already in stage of healing and was not frankly mobile and therefore open reduction or closed manipulation of physis was not possible without causing additional injury to growth plate. Therefore, slips were managed conservatively. Conclusion: This case presents a number of unique features. Salter–Harris type 1 injury is uncommon in the age group presented in our case. Secondly, bilateral distal femoral slips in otherwise normal child have never been reported. Thirdly, it further shows that remodeling of slips presenting late is possible if the physeal damage is prevented and open reduction in late presenting slips is not required. | |
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Keywords:
Paediatric, Trauma, Distal femur, Physeal
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Author Contributions
Anil Mehtani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Suresh Chand – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Abhinav Sinha – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Ajeet Singh – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Harvinder Dev – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Jatin Prakash – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Anil Mehtani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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