{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:03:32Z","timestamp":1777899812426,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,8,1]],"date-time":"2013-08-01T00:00:00Z","timestamp":1375315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p>A four-year-old child attended Accident and Emergency following a fall from a slide with a displaced and angulated proximal tibial metaphyseal fracture. Treatment included closed manipulation under anaesthesia and an above knee cast for seven weeks. Serial radiographs over the following few months were satisfactory demonstrating good alignment and evidence of healing. However, at four-months review new-onset genu valgum with mechanical axis deviation was noted. No evidence of spontaneous resolution was noted over the following 12 months and hence a corrective hemi-epiphysiodesis was performed. At 12-months post-operatively, there was marked clinical and radiographical improvement in alignment. Classically Cozen\u2019s phenomenon is described as the late-onset post-traumatic valgus deformity associated with proximal tibial metaphyseal fractures in children. We want to reemphasise the early recognition of children at risk of this unique complication. In addition, we wish to highlight the progression of the late-onset valgus and its subsequent management.<\/jats:p>","DOI":"10.1177\/0036933013496922","type":"journal-article","created":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T11:34:07Z","timestamp":1376912047000},"page":"e10-e13","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Cozen\u2019s phenomenon: a reminder\n                    <sup>a<\/sup>"],"prefix":"10.1177","volume":"58","author":[{"given":"S","family":"Dorman","sequence":"first","affiliation":[{"name":"Core Surgical Trainee, Department of Orthopaedics, Countess of Chester Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Jariwala","sequence":"additional","affiliation":[{"name":"Clinical Lecturer & Speciality Registrar, Department of Orthopaedics and Trauma Surgery, TORT Centre, Ninewells Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Campbell","sequence":"additional","affiliation":[{"name":"Consultant Paediatric Orthopaedic Surgeon, Department of Orthopaedics, Ninewells Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,8,19]]},"reference":[{"key":"bibr1-0036933013496922","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197153080-00009"},{"key":"bibr2-0036933013496922","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.52B1.93"},{"key":"bibr3-0036933013496922","doi-asserted-by":"crossref","first-page":"659","DOI":"10.2106\/00004623-196345010-00020","volume":"45","author":"Taylor SL","year":"1963","journal-title":"J Bone Joint Surg"},{"key":"bibr4-0036933013496922","first-page":"230","volume":"1","author":"Cozen L","year":"1959","journal-title":"Orthopaedics"},{"key":"bibr5-0036933013496922","unstructured":"Egol AK, Koval KJ and Zuckerman JD. Paediatric fractures and dislocations. In: Egol AK (ed.)\n                      Handbook of fractures\n                      . Chapter 50, Part V. 2010, pp. 728\u2013730."},{"key":"bibr6-0036933013496922","first-page":"183","volume":"97","author":"Cozen L","year":"1953","journal-title":"Surg Gynecol Obstet"},{"key":"bibr7-0036933013496922","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.59B3.893506"},{"key":"bibr8-0036933013496922","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668050-00007"},{"key":"bibr9-0036933013496922","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199906000-00007"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933013496922","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0036933013496922","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933013496922","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:15:29Z","timestamp":1777630529000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0036933013496922"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1177\/0036933013496922"],"URL":"https:\/\/doi.org\/10.1177\/0036933013496922","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8]]}}}