{"title":"Proximal Tibial Epiphyseal Injury in a 14-Year-Old Asian Male With Vitamin D Deficiency as a Possible Cause: A Case Report.","authors":"Shotaro Kawamura, Kenta Kamo, Hidehiko Kido, Akihisa Haraguchi, Yoshihide Shinjo, Shigemasa Kuga","doi":"10.1155/cro/9556018","DOIUrl":null,"url":null,"abstract":"<p><p>We report a case of a 14-year-old Asian male who presented with a Salter-Harris Type II injury of the proximal tibial epiphysis and a fibular fracture following a minor mechanism of injury. The patient was emergency transported to our hospital with complaints of pain and flexion deformity around the left knee following a contusion. Imaging studies confirmed the diagnosis of a Salter-Harris Type II injury of the proximal tibial epiphysis. Given the minor mechanism of injury, blood tests revealed vitamin D deficiency. Under general anesthesia, manual reduction and percutaneous pin fixation were performed, resulting in good bone union and functional recovery. This case highlights the importance of considering vitamin D status when managing pediatric fractures following minor mechanisms of injury or unusual fractures and epiphyseal injuries.</p>","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2026 ","pages":"9556018"},"PeriodicalIF":0.6000,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13106866/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Orthopedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/cro/9556018","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
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Abstract
We report a case of a 14-year-old Asian male who presented with a Salter-Harris Type II injury of the proximal tibial epiphysis and a fibular fracture following a minor mechanism of injury. The patient was emergency transported to our hospital with complaints of pain and flexion deformity around the left knee following a contusion. Imaging studies confirmed the diagnosis of a Salter-Harris Type II injury of the proximal tibial epiphysis. Given the minor mechanism of injury, blood tests revealed vitamin D deficiency. Under general anesthesia, manual reduction and percutaneous pin fixation were performed, resulting in good bone union and functional recovery. This case highlights the importance of considering vitamin D status when managing pediatric fractures following minor mechanisms of injury or unusual fractures and epiphyseal injuries.
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