Trampoline-Related Fractures of the Proximal Tibial Metaphysis in Children: A Systematic Review

Description

The video presentation features Brad Bergin discussing a systematic review focused on trampoline-related fractures of the proximal tibial metaphysis in children. He outlines the nature of these fractures, typically occurring in children aged two to six during simultaneous bouncing on a trampoline, which causes an axial load leading to characteristic linear, non-displaced fractures. Bergin emphasizes the importance of understanding the mechanism behind these injuries, particularly the potential progression to valgus deformity and leg length discrepancy.



The review highlights that the majority of fractures were managed conservatively with above-knee cast immobilization, with no surgical interventions required and no cases of long-term deformity reported. The findings indicate that these injuries are identifiable without advanced imaging and stress the importance of appropriate non-operative management and follow-up. Additionally, the presentation addresses limitations of the study such as small sample sizes and variability in follow-up reporting. Brad concludes by reiterating key points regarding the demographic of affected patients, the nature of the fractures, and the effective management practices, while encouraging awareness of this specific injury pattern.

DOI: 10.1302/3114-220822

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