My 7 year old daughter spiral fractured her tibia at the end of July and spent just under 6/52 in an above knee cast. Was weightbearing fully for last 3. Has now been out of POP for nearly 3/52 and is continuing to walk with flexed knee and complain of pain at the knee and ankle....not over fracture sites.
My concern is hams length appears fine, quads and calf a little tight but walking as if off loading medial joint. Ext rot tibia with flexed knee, step too and not flexing at ankle, which she can do with bilat squat.
Knee ligs appear fine but med compartment appears to be catching and fully flexing knee she complains of pain in the knee. My concern is possible internal derrangement and growth plate... Picture of fracture shows possible growth plate injury (I think) dissmissed by reg at time as fine, which it may well be.
It's hard to be objective when it's your own child and am seeing paeds Physio next week.
Question is ...if meniscal / growth plate what can we / I do? I know watch and wait is probably the initial approach, however she is very sporty and is starting to compensate already with hip and back and getting increasingly frustrated she can't walk better / quicker.
Any advice from experienced MSK paeds Physios would be greatly appreciated.
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