CASE REPORTS
JOURNAL ARTICLE
REVIEW
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Trampoline fracture of the proximal tibial metaphysis in children may not progress into valgus: a report of seven cases and a brief review.

BACKGROUND: Fracture of the proximal tibial metaphysis in children is a rare injury but notorious for carrying the risk of subsequent valgus deformity of the tibia.

HYPOTHESIS: Trampoline-caused fracture of the proximal tibial metaphysis in children may not progress into valgus.

MATERIALS AND METHODS: We followed up six children who collectively sustained seven fractures of the proximal tibial metaphysis while trampolining with other heavier and/or older children. Initial and follow-up x-rays were reviewed by an orthopaedic surgeons and two radiologists.

RESULTS: None of the patients developed valgus deformity with follow-up.

CONCLUSION: Trampoline is associated with a specific type of injury to the proximal tibia when children are trampolining with other heavier children even without falling off the trampoline. This fracture is linear and complete, often non-displaced. Unlike "other" proximal tibial metaphyseal fractures, trampoline-associated proximal tibial metaphysical fracture in children is not associated with a risk of subsequent valgus deformity.

LEVEL OF EVIDENCE: Level 4.

TYPE OF STUDY: case series.

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