Avulsion de la tubérosité tibiale antérieure chez un jeune sportif

Elouakili, I.; Riffi, M.; Najib, Ainun; Chahbouni, Mohammed; Lamrani, Moulay Omar; Kharmaz, Mohamed; Lahlou, Abdou; Ismael, Farid; Moustaine, M.R.; Bardouni, Ahmed El; Mahfoud, Mustapha; Berrada, M.; Yaacoubi, M. El

doi:10.1016/j.jts.2012.01.009

Cited by 1 publication

(3 citation statements)

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“…Avulsion-fractures of the tibial tubercle apophysis are rare. Few cases are described in the literature in Africa and in the world [1] , [7] , [8] , [9] , [10] . They occur in adolescents on average at the age of 15 (between 10 and 19 years) [1] .…”

Section: Discussionmentioning

confidence: 99%

“…In Osgood-Schlatter disease, the primary lesion appears to be an avulsion of the anterior part of the epiphysis and/or the center of ossification of the tuberosity, whereas the Tuberosity tears separate the entire tuberosity including the epiphysis and especially the underlying metaphysis. Osgood-Schlatter disease alters the biomechanical response of the tuberosity cartilage by increasing the proportion of columnar cartilage relative to the fibrocartilage, before adequate maturation of the secondary nucleus of ossification [7] . Associated lesions (28/182) such as patellar ligament lesions, meniscal lesions, damage to the central pivot and sprain of the medial collateral ligament are described [1] .…”

Section: Discussionmentioning

confidence: 99%

“…They are well described [4] , [5] , [6] then classified from 1955 to 1985 by Watson-Jones [6] , Ogden [4] , Ryu and Debenham [5] . Its relation to Osgood-Schlatter disease, much more frequent, occurring earlier, but often found in the antecedents, remains to be clarified [7] . We described cases of tibial tubercle apophysis avulsion-fractures in two Cameroonian adolescents treated at Adlucem hospital in bonamoussadi-Douala.…”

Section: Introductionmentioning

confidence: 97%

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Fracture-avulsion of tibial tubercle apophyseal in two Cameroonian adolescents

Bombah

Nana

Ekani

et al. 2021

Trauma Case Reports

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Introduction Avulsion-fractures of the tibial tubercle apophysis are a rare lesion of active adolescent. They are relatively uncommon injuries that occur in the active adolescent. We described cases of tibial tubercle apophysis avulsion-fractures in two Cameroonian adolescents. Cases We observed 2 cases which occurred in boys after contraction of the quadriceps during sports activity (high jump and football). The lesions were classified as Type IV by Ryu and Debenham (case 1) and type IA by Ogden (Case 2). The treatment was surgical by double screwing (case 1) and orthopedic by plaster knee brace (Case 2). The functional result was excellent without complications. Discussion Non-displaced fracture of the anterior tibial tubercle I type IA Ogden has good prognosis and responding very well to non-surgical treatment. It should be considered as a separate entity. The other cases of displaced fracture generally require surgery which enables an assessment of often associated lesions. Type IV can required supplemental plate fixation to stabilize the proximal tibia. The prognosis of displaced fractures is poor due to the associated lesions and potential complications. Functional results are excellent despite a few cases of previous pain limiting sports activity. Conclusion Avulsion fractures of the anterior tuberosity in adolescents remain rare in Africa and worldwide. The circumstances of the occurrence are stereotypical. If treated properly, the outcome is usually good.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%