Anna Kanewska ^* Johannes Krause mario perl

• Clinic for Trauma Surgery and Orthopedic Surgery, University Hospital Erlangen, Erlanger, Germany

Introduction Injuries to the epiphyseal plate can affect bone growth and are therefore of great concern. Although epiphyseal fractures are common in adolescents, fractures of the distal femoral epiphyseal plate are rare.Case presentation We present a case of a Salter Harris 1 fracture of the distal epiphysis of the femur that was self-inflicted by a patient with paraplegia due to spina bifida. The patient came to the pediatrician's attention during a routine checkup with an apparent swelling of the right thigh. On presentation, we performed a radiograph and an additional MRI, which showed a partial venteromedial epiphyseolysis consistent with a Salter-Harris 1 fracture. Due to the dislocation, we indicated closed reduction with K-wires. The repositioning was performed with a modified Kapanji maneuver and completed with additional K-wires.Distal epiphyseolysis is a relatively rare injury that can lead to serious complications. Therefore, although rare, epiphyseal fracture should be considered in pediatric patients with uncertain limb swelling.