Fracture of the Intercondylar Eminence of the Tibia

Meyers, Marvin H.; McKeever, Francis M.

doi:10.2106/00004623-195941020-00002

Cited by 513 publications

(301 citation statements)

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“…Bicycle injuries are a classically described mechanism, accounting for greater than 50 % of tibial avulsion fractures [34,35]. However, athletic injuries may also result from either contact or noncontact injuries [25].…”

Section: Tibial Spine Fracturesmentioning

confidence: 99%

“…The tibial spine, also known as the tibial intercondylar eminence, is the elevated region between the articular portions of the medial and lateral tibial plateaus [6,26,27]. The ACL attaches between the lateral aspect of the medial tibial spine and the tibial eminence, 10-14 mm behind the anterior border of the tibia [6,27].…”

Section: Anatomymentioning

confidence: 99%

“…The ACL attaches between the lateral aspect of the medial tibial spine and the tibial eminence, 10-14 mm behind the anterior border of the tibia [6,27]. Both mid-substance ACL tears and tibial spine fractures may occur in skeletally immature patients, but the intercondylar eminence is more prone to failure than the ligamentous structures that attach to it due to the relatively weak, incompletely ossified tibial epiphysis [6,25].…”

Section: Anatomymentioning

confidence: 99%

“…The original classification system described by Meyers and McKeever in 1959 established three types of fracture pattern [27]. Type I is nondisplaced from its bed, type II is minimally or mildly displaced with an intact posterior hinge while the anterior third is elevated, and type III is completely elevated from its bed with disruption of the posterior cortex [6].…”

Section: Classificationmentioning

confidence: 99%

“…A large immediate knee effusion is usually noted, and the knee is flexed with limited range of motion secondary to pain and muscle spasm [6,25,27]. Extension can be blocked by the fragment also.…”

Section: Clinical Presentationmentioning

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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Section: Tibial Spine Fracturesmentioning

confidence: 99%

Section: Anatomymentioning

confidence: 99%