In the case presented, the mechanism of injury was twisting force with the foot fixed to the ground. The proximal fibular epiphysis fragment was displaced anteriorly with no injury to femoral epiphysis and no patellar fracture, Radiograph also revealed no intra-articular fracture as joint appears congruent ( Fig. Plain radiographs were taken which revealed, separated proximal tibial epiphysis (salter harris Type 1 injury) The epiphysis was anteriorly displaced fracture line extending beyond growth plate through metaphysis and tibial tuberosity also displaced anteriorly. Compartment pressures were evaluated clinically which did not reveal any significant increase. Assessment of collateral ligaments, menisci could not be done as the patient was in extreme pain, but it did not reveal any significant abnormalities. On clinical examination, left knee was in hyperextension attitude, patient had edematous swelling and intra-articular effusion over the left knee with generalized tenderness over the knee, palpation revealed no fracture of the patella or disruption of quadriceps or patellar tendon, any movement at the knee level provoked severe pain so were restricted, patient had palpable distal pulses, and had no sensory or motor loss distal to left knee. The patient presented in emergency room with extremely swollen knee and soft tissue swelling (hemarthrosis), he was unable to lift his leg actively due to severe pain because of hamstrings spasm, and he had no wound over his left knee and had no other associated injuries. He tried to bear weight following trauma but he collapsed. We present a case of a 16-year-old boy who while playing cricket on a road was hit by a car from behind He was standing in knee flexed position approximately 10°, at the time of injury, his leg was fixed to the ground and his knee was pushed anteriorly and leg was fixed at the ground resulting in hyperextension injury at the left knee.
SALTER 1 FRACTURE FULL
At 6 weeks, both the knee joints appeared symmetrical with no abnormalities or limb length discrepancy or instability with knee from 0° to 140°, with full weight bearing. After 4 weeks slab was removed, K-wires were removed, and partial weight bearing was started with rehabilitation for full range of motion of the left knee. Post-operative patient was immobilized with nil weight bearing for 4 weeks, check X-rays taken, he was mobilized in wheelchair. Proximal fibular epiphysis also snapped back in place. Under spinal anesthesia, under all aseptic precautions traction was applied for few minutes, the fracture was reduced closed as the hamstring spasm gave way, reduction was confirmed under image intensifier in both AP and lateral planes, and joint congruity was examined. Plain radiographs were taken which revealed, separated proximal tibial epiphysis (salter harris Type 1 injury) The epiphysis was anteriorly displaced fracture line extending beyond growth plate through metaphysis and tibial tuberosity also displaced anteriorly, the proximal fibular epiphysis fragment was displaced anteriorly with no injury to femoral epiphysis and no patellar fracture, radiograph also revealed no intra-articular fracture as joint appears congruent.
We present a case of a 16-year-old boy who while playing cricket on the road was hit by a car.
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