Triplane fracture: A rare variant of type III physeal injury of distal femur in paediatric population
Introduction: Distal femoral physeal fractures are commonly observed in children with open growth plates who experience direct trauma. Biplane fractures have been documented, but triplane fractures are exceedingly rare. We present the case of a 17-year-old male with an immature skeletal structure wh...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-06-01
|
| Series: | Journal of Orthopaedic Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X23001297 |
| _version_ | 1797454261062205440 |
|---|---|
| author | Abdul Qayyum Khan Mohammad Baqar Abbas Dilip Kumar Sankhwar Yasir Salam Siddiqui Atul Kumar Saroj Md Faraz Jamil |
| author_facet | Abdul Qayyum Khan Mohammad Baqar Abbas Dilip Kumar Sankhwar Yasir Salam Siddiqui Atul Kumar Saroj Md Faraz Jamil |
| author_sort | Abdul Qayyum Khan |
| collection | DOAJ |
| description | Introduction: Distal femoral physeal fractures are commonly observed in children with open growth plates who experience direct trauma. Biplane fractures have been documented, but triplane fractures are exceedingly rare. We present the case of a 17-year-old male with an immature skeletal structure who sustained a direct blow to his right knee in a road traffic accident, leading to this uncommon injury. Case presentation: The patient underwent a knee X-ray initially, followed by a CT scan for a more detailed assessment. The CT scan confirmed the diagnosis of a distal femoral physeal triplane fracture. Subsequently, open reduction and internal fixation were performed using a lateral parapatellar approach. Discussion: Distal femoral physeal triplane fractures are infrequently reported in medical literature, highlighting the rarity of this injury. Accurate diagnosis necessitates meticulous radiological examination, with CT scans being particularly useful. Treatment involves achieving anatomical alignment and stabilizing the fracture with screws or K-wires. Given the potential complication of limb length discrepancy, long-term monitoring until skeletal maturity is crucial. Conclusion: This clinical case highlights the scarcity of documentation in the literature of distal femur physeal triplaner and underscores the significance of precise radiological evaluation for accurate diagnosis. Early surgical intervention, along with careful long-term monitoring, can help mitigate potential complications and ensure favorable outcomes in these rare cases. |
| first_indexed | 2024-03-09T15:34:43Z |
| format | Article |
| id | doaj.art-1a52e8328ddf4529b617693fa14b1b3e |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2024-03-09T15:34:43Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-1a52e8328ddf4529b617693fa14b1b3e2023-11-26T05:14:42ZengElsevierJournal of Orthopaedic Reports2773-157X2024-06-0132100257Triplane fracture: A rare variant of type III physeal injury of distal femur in paediatric populationAbdul Qayyum Khan0Mohammad Baqar Abbas1Dilip Kumar Sankhwar2Yasir Salam Siddiqui3Atul Kumar Saroj4Md Faraz Jamil5Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, 202002, IndiaDepartment of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, 202002, India; Corresponding author.Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, 202002, IndiaDepartment of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, 202002, IndiaDepartment of Orthopaedic Surgery, King George's Medical University, Lucknow, Uttar Pradesh, 226003, IndiaDepartment of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, 202002, IndiaIntroduction: Distal femoral physeal fractures are commonly observed in children with open growth plates who experience direct trauma. Biplane fractures have been documented, but triplane fractures are exceedingly rare. We present the case of a 17-year-old male with an immature skeletal structure who sustained a direct blow to his right knee in a road traffic accident, leading to this uncommon injury. Case presentation: The patient underwent a knee X-ray initially, followed by a CT scan for a more detailed assessment. The CT scan confirmed the diagnosis of a distal femoral physeal triplane fracture. Subsequently, open reduction and internal fixation were performed using a lateral parapatellar approach. Discussion: Distal femoral physeal triplane fractures are infrequently reported in medical literature, highlighting the rarity of this injury. Accurate diagnosis necessitates meticulous radiological examination, with CT scans being particularly useful. Treatment involves achieving anatomical alignment and stabilizing the fracture with screws or K-wires. Given the potential complication of limb length discrepancy, long-term monitoring until skeletal maturity is crucial. Conclusion: This clinical case highlights the scarcity of documentation in the literature of distal femur physeal triplaner and underscores the significance of precise radiological evaluation for accurate diagnosis. Early surgical intervention, along with careful long-term monitoring, can help mitigate potential complications and ensure favorable outcomes in these rare cases.http://www.sciencedirect.com/science/article/pii/S2773157X23001297Distal femurFracturesTriplanePhyseal injuriesHoffa's |
| spellingShingle | Abdul Qayyum Khan Mohammad Baqar Abbas Dilip Kumar Sankhwar Yasir Salam Siddiqui Atul Kumar Saroj Md Faraz Jamil Triplane fracture: A rare variant of type III physeal injury of distal femur in paediatric population Journal of Orthopaedic Reports Distal femur Fractures Triplane Physeal injuries Hoffa's |
| title | Triplane fracture: A rare variant of type III physeal injury of distal femur in paediatric population |
| title_full | Triplane fracture: A rare variant of type III physeal injury of distal femur in paediatric population |
| title_fullStr | Triplane fracture: A rare variant of type III physeal injury of distal femur in paediatric population |
| title_full_unstemmed | Triplane fracture: A rare variant of type III physeal injury of distal femur in paediatric population |
| title_short | Triplane fracture: A rare variant of type III physeal injury of distal femur in paediatric population |
| title_sort | triplane fracture a rare variant of type iii physeal injury of distal femur in paediatric population |
| topic | Distal femur Fractures Triplane Physeal injuries Hoffa's |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X23001297 |
| work_keys_str_mv | AT abdulqayyumkhan triplanefractureararevariantoftypeiiiphysealinjuryofdistalfemurinpaediatricpopulation AT mohammadbaqarabbas triplanefractureararevariantoftypeiiiphysealinjuryofdistalfemurinpaediatricpopulation AT dilipkumarsankhwar triplanefractureararevariantoftypeiiiphysealinjuryofdistalfemurinpaediatricpopulation AT yasirsalamsiddiqui triplanefractureararevariantoftypeiiiphysealinjuryofdistalfemurinpaediatricpopulation AT atulkumarsaroj triplanefractureararevariantoftypeiiiphysealinjuryofdistalfemurinpaediatricpopulation AT mdfarazjamil triplanefractureararevariantoftypeiiiphysealinjuryofdistalfemurinpaediatricpopulation |