Slipped upper tibial epiphysis in infantile tibia vara: Three cases

A. P. Sanghrajka*, R. A. Hill, C. F. Murnaghan, A. H R W Simpson, M. C. Bellemore

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We describe three cases of infantile tibia vara resulting from an atraumatic slip of the proximal tibial epiphysis upon the metaphysis. There appears to be an association between this condition and severe obesity. Radiologically, the condition is characterised by a dome-shaped metaphysis, an open growth plate and disruption of the continuity between the lateral borders of the epiphysis and metaphysis, with inferomedial translation of the proximal tibial epiphysis. All patients were treated by realignment of the proximal tibia by distraction osteogenesis with an external circulator fixator, and it is suggested that this is the optimal method for correction of this complex deformity. There are differences in the radiological features and management between conventional infantile Blount's disease and this 'slipped upper tibial epiphysis' variant.

Original languageEnglish
Pages (from-to)1288-1291
Number of pages4
JournalJournal of Bone and Joint Surgery, British Volume
Volume94 B
Issue number9
DOIs
Publication statusPublished - 1 Sep 2012

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