Distal Tibial Slipped Epiphysis in Stickler Syndrome A Case Report

Case: Stickler syndrome is a collagen disorder associated with hypermobility and juvenile osteoarthritis in multiple joints. This report presents a 12-year-old adolescent boy with Stickler syndrome presenting with bilateral ankle pain. He had bilateral distal tibial recurvatum-valgus deformity and distal tibial slipped epiphysis (DTSE). He underwent osteotomy along the true plane of deformity and internal fixation. At the latest follow-up, he had decreased pain and improved clinical and radiographic alignment. Conclusions: DTSE is a rare condition contributing to ankle deformity. Previously reported in renal osteodystrophy and myelomeningocele, DTSE is reported herein for the first time in association with Stickler syndrome.