• R Kraus, L D Berthold, C Heiss, and M Lässig.
• Department of Trauma Surgery, University Hospital Giessen, Giessen, Germany. ralf.kraus@chiru.med.uni-giessen.de
• Eur J Pediatr Surg. 2009 Feb 1;19(1):41-3.

IntroductionFractures of the proximal tibia are infrequent during childhood and adolescence. However, intra-articular fractures, growth plate separations and metaphyseal fractures do appear.Case ReportAn obese adolescent male suffered from consecutive bilateral fractures of the tibia within 6 months of each after minor sports trauma. On the left side, the injury presented as a epiphyseal separation of the Salter-Harris I type; on the right side, as a transitional two-plane fracture. Both injuries were treated by percutaneous screwing and healed without any signs of posttraumatic growth disorder.DiscussionAlthough proximal tibial injuries are rare, they frequently seem to appear bilaterally after inadequate trauma. A causal connection to morphological changes prior to physeal closure can be assumed.

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