Fractures of the tibial tuberosity in adolescents.

Ogden, John A.; Tross, R B; Murphy, Mary

doi:10.2106/00004623-198062020-00006

Cited by 370 publications

(309 citation statements)

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“…Thus, genu recurvatum is usually not considered a complication often associated with this fracture due to the time in which the fracture occurs relative to physiologic physiodesis [2,4,7,19]. However, leg length discrepancy and/or genu recurvatum would most likely be associated with young physiologic age or improper surgical technique.…”

Section: Discussionmentioning

confidence: 99%

Tibial tuberosity fractures in adolescents

Frey

Hosalkar

Cameron

et al. 2008

Journal of Children's Orthopaedics

125

149

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Background Tibial tuberosity fractures in adolescents are uncommon. We retrospectively reviewed all tibial tuberosity fractures in adolescents (10-19) who presented to our level 1 pediatric trauma center over a 7-year period to review fracture morphology, mechanism of injury, fracture management including return to play, as well as complications. Additionally, we present a review of the literature and treatment algorithm. Methods We reviewed the clinical charts and radiographs of consecutive patients with tibial tuberosity fractures between

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Section: Discussionmentioning

confidence: 99%

Tibial tuberosity fractures in adolescents

Frey

Hosalkar

Cameron

et al. 2008

Journal of Children's Orthopaedics

125

149

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“…Acute tibial tubercle avulsions are relatively uncommon, but severe apophyseal fractures are usually seen in adolescent males approaching skeletal maturity involved in jumping sports [50][51][52][53]. Christie and Dvonch reported that all of their cases occurred while playing basketball [51].…”

Section: Tibial Tubercle Fracturesmentioning

confidence: 99%

“…A type III fracture extends posteriorly to cross the primary ossification center. The Ogden modifiers include A for nondisplaced and B for displaced and/or comminuted [52]. Additional descriptions have now been added to the original system.…”

Section: Classificationmentioning

confidence: 99%

“…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%

“…Anatomic reduction of the joint surface may be visualized arthroscopically or via a midline approach or median parapatellar open arthrotomy [52,63]. The obvious advantage of the arthrotomy is the ability to address intra-articular extension and soft tissue injuries.…”

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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