Pediatric patient with a bilateral Salter-Harris II fracture and slipped capital femoral epiphysis secondary to autosomal recessive osteopetrosis

This article discusses the rare occurrence of a 5-year-old female patient who suffered from bilateral Salter-Harris type II fractures with associated slippage of the growth plates secondary to confirmed autosomal recessive osteopetrosis. The patient underwent operative treatment with closed reduction and internal fixation with cannulated screws, but experienced a loss of fixation on the left side 7 months postoperatively. A revision surgery with reosteosynthesis and a valgus osteotomy was performed, which resulted in good subjective and objective results 1 year postoperatively with complete bony union.

• 1
  The study presents a case of successful surgical treatment of a rare combination of conditions: bilateral Salter-Harris II fractures associated with growth plate slippage secondary to confirmed osteopetrosis (OP).
• 2
  Genetic testing confirmed the diagnosis of autosomal recessive osteopetrosis (ARO) after revealing mutations in the TCIRG1 gene in the patient and both parents.
• 3
  Despite initial surgical intervention, a revision surgery was necessary due to loss of fixation and coxa vara deformity, highlighting the challenges in treating osteopetrotic bone.