Proximal Tibia Metaphyseal Fractures — Pediatrics
Occurs in ages 3–6; risk of late valgus (Cozen phenomenon) due to asymmetric overgrowth. Usually metaphyseal greenstick/complete fractures from low‑energy mechanisms (trampoline, slide). Treat with long‑leg cast in slight varus; close follow‑up for 12–18 months. Most remodel; corrective osteotomy for persistent valgus >10–15° after growth potential declines. Beware associated fibular injury and compartment syndrome (rare).
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