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Proximal Tibial Epiphyseal Injury in a 14‐Year‐Old Asian Male With Vitamin D Deficiency as a Possible Cause: A Case Report

Year: 2026

Type: article

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.

Source: Case Reports in Orthopedics

DOI: 10.1155/cro/9556018

Authors: Shotaro Kawamura, Kenta Kamo, Hidehiko Kido, Akihisa Haraguchi, Yoshihide Shinjo, Shigemasa Kuga

Institutions: Kyushu University, Yamaguchi Red Cross Hospital

Language: English

Topic: Bone fractures and treatments

Subfield: Orthopedics and Sports Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $790