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Salter-Harris-Typ-IV-Epiphysenfraktur am Außenknöchel

Eine seltene Verletzung im Kindesalter

Salter-Harris type IV epipyseal fracture of the lateral malleolus

A rare injury in childhood

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Zusammenfassung

Wir beschreiben den seltenen Fall einer isolierten distalen Fibulafraktur vom Typ Salter-Harris IV mit fibulaseitigem knöchernen Ausriss des vorderen Syndesmosenbands bei einem 9-jährigen Jungen. Es erfolgte eine offene Reposition und Osteosynthese mittels Kirschner-Draht und Cerclage. Mögliche posttraumatische Wachstumsstörungen und ihre schwerwiegenden Folgezustände werden aufgezeigt.

Abstract

This is a case presentation of a 9-year-old boy who sustained a rare Salter-Harris type IV distal fibular fracture including an avulsion fracture of the anterior inferior tibiofibular ligament at the fibular attachment. Treatment consisted of open reduction and internal fixation by Kirschner wire and cerclage. Possible posttraumatic growth disturbances and the major implications are highlighted.

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Literatur

  1. Cummings RJ, Hahn GA Jr (2004) The incisural fracture. Foot Ankle Int 25:132–135

    PubMed  Google Scholar 

  2. Frick SL, Shoemaker S, Mubarak SJ (2001) Altered fibular growth patterns after tibiofibular synostosis in children. J Bone Joint Surg Am 83:247–254

    PubMed  Google Scholar 

  3. Karrholm J, Hansson LI, Laurin S (1983) Supination-adduction injuries of the ankle in children – radiographical classification and treatment. Arch Orthop Trauma Surg 101:193–200

    Article  CAS  PubMed  Google Scholar 

  4. Karrholm J, Hansson LI, Selvik G (1984) Changes in tibiofibular relationships due to growth disturbances after ankle fractures in children. J Bone Joint Surg Am 66:1198–1210

    CAS  PubMed  Google Scholar 

  5. Lui TH (2010) Tri-ligamentous reconstruction of the distal tibiofibular syndesmosis: a minimally invasive approach. J Foot Ankle Surg 49:495–500

    Article  PubMed  Google Scholar 

  6. Lui TH, Chan KB, Ngai WK (2008) Premature closure of distal fibular growth plate: a case of longitudinal syndesmosis instability. Arch Orthop Trauma Surg 128:45–48

    Article  CAS  PubMed  Google Scholar 

  7. Martinek H, Egkher E (1978) Biomechanical investigations of the ankle joint after shortening of the distal end of the fibula (author’s transl). Arch Orthop Trauma Surg 91:39–43

    Article  CAS  PubMed  Google Scholar 

  8. Obrink-Hansen K, Borris LC (2011) Tillaux fracture and fracture of the lateral malleolus with no medial soreness. Ugeskr Laeger 173:2049–2050

    PubMed  Google Scholar 

  9. Olerud C, Molander H (1984) A scoring scale for symptom evaluation after ankle fracture. Arch Orthop Trauma Surg 103:190–194

    Article  CAS  PubMed  Google Scholar 

  10. Pannier S, Odent T, Milet A et al (2006) Tillaux fractures in teenagers: a review of nineteen cases. Rev Chir Orthop Reparatrice Appar Mot 92:158–164

    Article  CAS  PubMed  Google Scholar 

  11. Pesl T, Havranek P (2006) Rare injuries to the distal tibiofibular joint in children. Eur J Pediatr Surg 16:255–259

    Article  CAS  PubMed  Google Scholar 

  12. Ramsey PL, Hamilton W (1976) Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg Am 58:356–357

    CAS  PubMed  Google Scholar 

  13. Salter RB, Harris WR (1963) Injuries involving the epiphyseal plate. J Bone Joint Surg Am 45:587–622

    Google Scholar 

  14. Schneidemüller D, Marzi I (2006) Sprunggelenk. In: Marzi I (Hrsg) Kindertraumatologie. Steinkopff, Darmstadt, S 353–378

  15. Schneider F (2007) Sprunggelenk. In: Laer L von (Hrsg) Das verletzte Kind. Thieme, Stuttgart, S 97–105

  16. Sharma OP, Sharma N, Patond KR (1994) Fibular shortening in poliomyelitis. Indian J Pediatr 61:71–74

    Article  CAS  PubMed  Google Scholar 

  17. Suß J (2011) Sprunggelenk. In: Dietz HG, Illing P, Schmittenbecher PP, Slongo T, Sommerfeldt DW (Hrsg) Praxis der Kinder- und Jugendtraumatologie. Springer, Berlin Heidelberg New York, S 437–453

  18. Von Laer L, Kraus R, Linhart WE (2007) Frakturen und Luxationen im Wachstumsalter. Thieme, Stuttgart

  19. Wagener ML, Beumer A, Swierstra BA (2011) Chronic instability of the anterior tibiofibular syndesmosis of the ankle. Arthroscopic findings and results of anatomical reconstruction. BMC Musculoskelet Disord 12:212

    Article  PubMed Central  PubMed  Google Scholar 

  20. Weber BG (1972) Die Verletzungen des oberen Sprunggelenkes. Huber, Bern

  21. Weinberg AM, Kutschera C, Kutscha-Lissberg F et al (2006) Distaler Unterschenkel. In: Tscherne Unfallchirurgie – Unfallchirurgie im Kindesalter, Bd 2. Springer, Berlin Heidelberg New York, S 775–805

  22. Yasui Y, Takao M, Miyamoto W et al (2011) Anatomical reconstruction of the anterior inferior tibiofibular ligament for chronic disruption of the distal tibiofibular syndesmosis. Knee Surg Sports Traumatol Arthrosc 19:691–695

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Abteilung der Berufsgenossenschaftlichen Unfallklinik Duisburg, Klinik für Unfallchirurgie und Orthopädie, Johannes Wesling Klinikum Minden, Hans-Nolte-Straße 1, 32429, Minden, Deutschland

    A. Lugeder, C. Jäger, E. Fecht, C. Riemer, M. Sattler & J. Zeichen

  2. Praxis am Wall, Gelenkzentrum Schaumburg, Rinteln, Deutschland

    P. Kalbe

Authors
  1. A. Lugeder
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  2. C. Jäger
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  3. E. Fecht
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  4. C. Riemer
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  5. M. Sattler
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  6. P. Kalbe
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  7. J. Zeichen
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Correspondence to A. Lugeder.

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Lugeder, A., Jäger, C., Fecht, E. et al. Salter-Harris-Typ-IV-Epiphysenfraktur am Außenknöchel. Unfallchirurg 117, 169–173 (2014). https://doi.org/10.1007/s00113-013-2362-9

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  • DOI: https://doi.org/10.1007/s00113-013-2362-9

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