Fig. 1

This 3.5-year-old girl (neurosegmental level of lesion below L3) sustained a fracture of the left lower leg with no history of injury. Bilateral clubfoot surgery with subsequent 10-week plaster cast immobilization had been performed 11 weeks prior to the fracture. The fracture was treated by cast immobilization. Approximately 4 months later, the patient sustained a fracture of the proximal epiphyseal plate of the tibia, again without any history of trauma. The fracture was immobilized in a long leg cast for 7 weeks