Avulsion Fractures of the Tibial Tubercle

Abalo, Anani; Akakpo-Numado, K.G.; Dossim, Assang; Walla, A; Gnassingbe, K; Tekou, A.

doi:10.1177/230949900801600308

Cited by 30 publications

(52 citation statements)

References 14 publications

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“…They are considered rare, representing less than 3% of all epiphyseal and 1% of all physeal injuries in adolescents [1–4]. Bilateral injuries are extremely rare, with 21 cases described in the literature [5–25].…”

Section: Introductionmentioning

confidence: 99%

Surgical Fixation of Bilateral Simultaneous Avulsion Fractures of the Proximal Tibia in a 12-Year-Old with History of Conservatively Managed Unilateral Tibial Avulsion Fracture

Newman

Musiienko

Law

2017

Case Reports in Orthopedics

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Fractures of the proximal tibial epiphysis are rare, representing less than 3% of all epiphyseal and 1% of all physeal injuries in adolescents. Bilateral injuries are extremely rare. The specific anatomical and histological features of the proximal tibial epiphysis make it vulnerable to a specific fracture pattern that occurs when the tensile force of the quadriceps is greater than the fibrocartilaginous tissue underlying the tibial tuberosity. We report the first case to our knowledge of a 12-year-old boy who sustained simultaneous bilateral tibial avulsion fractures on the background of a previous conservatively managed unilateral tibial tuberosity avulsion fracture. We report this case for its uniqueness and as an educational review of the anatomy, the mechanism of injury, and the development of classifying these fractures and discussion of the stages of the growing physis that determine the treatment approach.

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Section: Introductionmentioning

confidence: 99%

Surgical Fixation of Bilateral Simultaneous Avulsion Fractures of the Proximal Tibia in a 12-Year-Old with History of Conservatively Managed Unilateral Tibial Avulsion Fracture

Newman

Musiienko

Law

2017

Case Reports in Orthopedics

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“…Displaced tibial tuberosity fractures of any type require open reduction and internal fixation [53,64]. Even in type III injuries, the outcome is usually good to excellent [53,55].…”

Section: Treatmentmentioning

confidence: 99%

“…Numerous complications have been reported [51,64] with an overall 28 % rate [65•]. Bursitis over the screw heads is the most common, occurring in 55 % [65•].…”

Section: Complicationsmentioning

confidence: 99%

“…Even in type III injuries, the outcome is usually good to excellent [53,55]. Closed reduction can be attempted under anesthesia and, if adequately reduced, clamped and fixed with screws percutaneously [51] [6,64]. A medial or midline longitudinal incision is made to expose the fracture site.…”

Section: Treatmentmentioning

confidence: 99%

“…Nondisplaced fractures are treated nonoperatively with 3 to 4 weeks of immobilization, either long leg casting or splinting in extension [53,64]. Ogden type I fractures with minimal displacement and type II injuries with acceptable displacement after closed reduction have also been successfully treated with closed reduction and casting [6,51,52,55].…”

Section: Treatmentmentioning

confidence: 99%

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Physeal fractures about the knee

Little

Milewski

2016

Curr Rev Musculoskelet Med

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While some fractures may be managed similarly in adults and children, physeal fractures are uniquely limited to the pediatric population and require special consideration. Although physeal fractures about the knee are relatively rare, they are occurring more frequently due to increasing youth participation in sports and high-energy recreational activities. The evaluation and management of distal femoral and proximal tibial physeal fractures are similar to one another, but fractures of the tibial spine and tibial tubercle are approached somewhat differently. A thorough understanding of the pertinent developmental anatomy is critical for correlating the clinical findings with the imaging work-up, and for anticipating the most common and the most serious complications of each fracture. Diagnosis is usually made with appropriate plain radiographs with advanced imaging often used for preoperative planning. In general, fracture pattern and degree of displacement determine the need for surgical intervention and the overall outcome. While a variety of fixation techniques or constructs may be used, because of the importance of restoring physeal and articular anatomy for avoidance of growth disturbance and degenerative joint disease, respectively, achieving anatomic, rigid fixation is of greater importance than with many other fracture locations in the growing skeleton.

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Current Role for Ultrasonography

Wilson

2010

Sports Injuries in Children and Adolescents

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Avulsion Fractures of the Tibial Tubercle

Abstract: Closed reduction and cast immobilisation for minimally displaced fractures, and open reduction and internal fixation for displaced fractures resulted in favourable outcomes.

Cited by 30 publications

References 14 publications

Surgical Fixation of Bilateral Simultaneous Avulsion Fractures of the Proximal Tibia in a 12-Year-Old with History of Conservatively Managed Unilateral Tibial Avulsion Fracture

Surgical Fixation of Bilateral Simultaneous Avulsion Fractures of the Proximal Tibia in a 12-Year-Old with History of Conservatively Managed Unilateral Tibial Avulsion Fracture

Physeal fractures about the knee

Current Role for Ultrasonography

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