Bilateral Crush Injury of the Proximal Tibial Physis in an Adolescent Gymnast by George C. Balazs,...

Bilateral Crush Injury of the Proximal Tibial Physis in an Adolescent Gymnast

by George C. Balazs, Elizabeth M. Polfer, and Jefferson W. Jex

JBJS Case ConnectVolume 5(2):e50June 10, 2015

©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior and lateral radiographs of both knees, demonstrating no apparent osseous abnormality.

George C. Balazs et al. JBJS Case Connect 2015;5:e50


Coronal (left) and sagittal (right) T2-weighted MRI scans of the right knee, demonstrating periphyseal edema without a discrete fracture.



Coronal (left) and sagittal (right) T2-weighted MRI scans of the left knee, demonstrating periphyseal edema without a discrete fracture.



Anteroposterior and lateral radiographs of both knees, made at the time of the two-month follow-up, again demonstrating no apparent osseous fracture and no apparent growth abnormality or

premature physeal closure.



Anteroposterior radiograph of both knees, made at the time of the ten-month follow-up, concerning for premature closure of the proximal tibial physis bilaterally.



Left: Bilateral coronal CT scan, showing an apparent physeal bar (arrow) constituting 25% of the right proximal tibial physis.



Clinical photographs demonstrating the development of right knee recurvatum.



Lateral radiographs, made with the knees in full extension, demonstrating right knee recurvatum deformity.



Bilateral Crush Injury of the Proximal Tibial Physis in an Adolescent Gymnast by George C. Balazs,...

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