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Rehabilitation of simultaneous bilateral epiphysial fracture of proximal tibia in adolescent
  1. Jennifer Pires1,
  2. Sandra Oliveira1,
  3. Pedro Figueiredo2,
  4. João Páscoa Pinheiro2
  1. 1Rehabilitation Medicine Department, Rovisco Pais Rehabilitation Medicine Center, Tocha, Portugal
  2. 2Rehabilitation Medicine Departement, Coimbra University Hospital, Coimbra, Portugal
  1. Correspondence to Dr Jennifer Pires, jenniferpires{at}


Simultaneous and bilateral epiphysial fracture of the proximal tibia is an extremely rare injury, with only 23 cases reported in the literature. In this paper, we present a 15-year-old adolescent with a simultaneous and bilateral epiphysial fracture of the proximal tibia in sport context (trampoline jump). He underwentsurgical repair with bilateral closed reduction and internal fixation, followed by outpatient rehabilitation programme during 4 months. There was a good functional outcome, without limitation in activities of daily living and with resumption of amateur sports activity. Since there are no guidelines described for this pathology, the authors suggest a rehabilitation protocol for bilateral epiphysial fractures of the proximal tibia that underwent surgical treatment previously and in which there were no complications in the acute phase.

  • rehabilitation medicine
  • physiotherapy (sports medicine)

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  • Contributors All authors have contributed to the writing and editing of this case report. PF identified the case and initially examined the patient in physical and rehabilitation medicine consultation. JP did the construction of the case report and elaborated the rehabilitation programme protocol suggested in the article. JP and SO did the literature review and text adjustments. JPP and PF guided the areas of discussion and made grammatical and syntax adjustments. All authors approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.