Secondary Logo

Institutional members access full text with Ovid®

Share this article on:

Pan-tibial avascular necrosis in a 12-year-old boy: a case report

Gopinathan, Nirmal, R.; Saibaba, Balaji; Santhanam, Siva, S.; Syam, Kevin

Journal of Pediatric Orthopaedics B: January 2018 - Volume 27 - Issue 1 - p 47–51
doi: 10.1097/BPB.0000000000000497
KNEE & LEG

We report a unique case of post-traumatic avascular necrosis of tibia in a 12-year-old boy following a Salter–Harris type II physeal injury of the proximal tibia. The diagnosis was made on the basis of classical radiological findings. The only clinical symptom was diffuse shin pain. The patient was managed conservatively. At our 2-year follow-up, there was clinical and radiological evidence of spontaneous resolution of avascular necrosis, but with sequelae. The child developed a limb-length discrepancy and genu valgum. The parents of the child refused further treatment.

Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India

Correspondence to Balaji Saibaba, MBBS, MS, DNB, Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, Punjab, India Tel/fax: +91 413 420 7476; e-mail: balajijipmergmail.com

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.