Topi Laaksonen,Jussi Kosola,Yrjänä Nietosvaara,Antti  Stenroos,
Premature Physeal Closure after a Non-Displaced Physeal Fracture of Distal  Fibula
Surgical Case Reports
2021
2613-5965
http://dx.doi.org/10.31487/j.SCR.2021.06.08
https://www.sciencerepository.org/premature-physeal-closure-after-a-non-displaced-physeal-fracture_SCR-2021-6-108 
Abstract: Premature physeal closure (PPC) may lead to clinically significant progressive angular deformity or leg 
length discrepancy. Many variables seem to play a role in determining which injuries result in PPC. A 8-
year-old boy sustained a non-displaced physeal fracture of distal tibia and fibula. He showed no signs of 
PPC at 7 months post-injury. Seven years later, his ankle became painful. He had developed PPC of distal 
fibula causing angular ankle deformity, which was treated successfully by corrective osteotomy. To our 
knowledge, this is the first reported case of a non-displaced fracture of the distal fibula leading to PPC 
several years after the initial injury, which in our understanding was impossible to predict.Keywords: Premature physeal closure, ankle fracture, fibula fracture, pediatric trauma, trauma