PMC10323821_01
(A) T2-weighted MRI demonstrated a rough, high signal fracture line, surrounded by extensive high signal bone marrow edema (blue arrow) with a compression injury to the medial tibial growth plate (Salter V fracture) (green arrow). (B) After 3 months of conservative treatment, the stress fracture line disappeared and the Salter V fracture was clearly observed (C-E). Changes of the patient's lower limb force line. The blue circle represents the range of stress fractures. The arrow represents the location of the osteotomy.
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F1
Radiographs of the left knee showed varus deformity (Figure 1C), and magnetic resonance imaging (MRI) revealed a Salter-Harris V fatigue fracture at the proximal tibial metaphysis (Figure 1A). With conservative treatment, the stress fracture healed after 3 months, and valgus osteotomy of the knee was performed (Figure 1B). The patient recovered 17 months after surgery, and the force line of both legs was significantly improved compared with the preoperative condition (Figure 1E).
Timeline of patient treatment.
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F2
At a recent telephonic follow-up, the patient reported good recovery with both legs roughly equal in length and without claudication after 7 years (Figure 2).