Fractures of the Proximal Tibial Epiphyseal Cartilage

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Fracture of the proximal tibial epiphyseal cartilage is one of the most uncommon fractures of childhood. The immunity of this cartilage plate to injury is due to the absence of powerful ligamentous attachments to the periphery of the epiphysis. Most reported cases have resulted from hyperextension injuries and show posterior displacement of the tibial shaft with a high incidence of damage to the popliteal vessels. Two unusual cases are presented, both of which show an apparent anterior displacement of the shaft in relation to the epiphysis. In Case 1, the type of fracture has been reported only twice previously, while the medical displacement found in Case 2 has never been reported.

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