Insufficiency fracture at an osteochondroma bridging the proximal fibula and the tibia: Case report

Sakamoto, Akio; Okamoto, Takeshi; Matsuda, Shinya

doi:10.1016/j.jor.2018.03.009

Cited by 2 publications

(1 citation statement)

References 20 publications

(31 reference statements)

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“…Mendelson et al 9 reported on an 89-year-old woman with a proximal tibia and fibula fragility fracture in 2011. Cheung et al 10 reported on an 82-year-old man who experienced an insufficiency fracture of the proximal fibula and the tibia in 2013. There is a need for a clear definition of PTFF that accurately describes its anatomy and scope and is universally applicable in adults.…”

Section: Introductionmentioning

confidence: 99%

A New Three‐Dimensional Classification of Proximal Tibiofibular Fractures: A Multicenter Study

Mayr

Cai

et al. 2021

Orthopaedic Surgery

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Objectives:To propose an updated definition of proximal tibia and fibula fracture (PTFF) and establish a threedimensional (3D) structure-based classification of PTFF.Methods: In total, 1358 adult patients (837 males and 521 females; 43.61 AE 15.13 years， 1364 affected knees) who were diagnosed with PTFF at the departments of orthopaedic surgery of four hospitals from January 2010 to December 2019 were enrolled. The new classification of PTFF, termed Wu classification, included three parts: classification of columns in the horizontal plane, regions in the frontal plane, and segments in the sagittal plane. All PTFFs were classified according to Schatzker, Luo, and Wu classification systems. Additionally, the incidence and characteristics of PTFFs were analyzed. Results:The major internal structural fractures of PTFF were tibial plateau fracture (TPF) only (725, 53.15%), TPF and proximal fibular fracture (274, 20.09%), and isolated avulsion fracture of the posterior cruciate ligament (PCL) (189, 13.86%). Approximately a quarter of PTFF cases could not be classified using Schatzker or Luo classifications, but all PTFF cases could be classified using Wu classification. The most frequent PTFFs included all four columns in region IV, segment 2 (235, 17.23%); the posterolateral and posteromedial columns in region II, segment 2 (191, 14.00%); and the lateral and posterolateral columns in region IV, segment 2 (136, 9.97%). Isolated avulsion fracture of the anterior cruciate ligament (ACL) was categorized as three injury types, most of which involved the lateral and medial columns in region II, segment 1 (40/63, 64%). More than 97% of cases of isolated fractures of the PCL involved the posterolateral and posteromedial columns in region II, segment 2. The most frequent combined avulsion fracture of the ACL and PCL included all four columns in region II, segment 2 (18/24, 75%). All of the isolated avulsion fractures of the ACL were located in segment 1, and all those of the PCL in segment 2. The most common type of isolated proximal fibular fracture involved the posterolateral column in region III, segment 2 (23/26, 88%). The most frequent combined TPF and proximal fibular fracture involved all four columns in region IV, segment 2 (107/274, 39.05%).Conclusions: All cases of PTFF could be classified by the new 3D Wu classification which should be beneficial for clinical diagnosis, guidance of treatment, statistical analysis, academic communication, and prognosis, and the most frequent PTFF involved all four columns in region IV, segment 2.

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Section: Introductionmentioning

confidence: 99%

A New Three‐Dimensional Classification of Proximal Tibiofibular Fractures: A Multicenter Study

Mayr

Cai

et al. 2021

Orthopaedic Surgery

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Osteochondroma Fracture in Young Athlete: A Case Report

Irsyam

Andriandi

Meliala

2021

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Background: Osteochondroma is a benign bone tumor that most cases are asymptomatic. The symptoms may occur as a complication of osteochondroma, which is rarely happened. Surgical intervention is needed to treat the complications.Case: A 20-year old male football athlete presented with pain on his left thigh's lump after he fell during his training. Mass and tenderness on the medial side of the left distal femur were found. Plain X-Ray showed an irregular mass on the left distal femur's surface with a fracture through the stalk of pedunculated osteochondroma. The patient underwent total excision of the osteochondroma.Discussion: The fracture of the osteochondroma often occurs in teenagers because they are more active physically. It happens due to direct or indirect injury. The treatment of this fracture is controversial between observation or surgical excision. In this case report, the patient could demonstrate full weight-bearing right after the surgery.Conclusion: Fracture as a complication in osteochondroma often happens to teenagers, and surgery proved to give a good outcome in this case.

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Insufficiency fracture at an osteochondroma bridging the proximal fibula and the tibia: Case report

Cited by 2 publications

References 20 publications

A New Three‐Dimensional Classification of Proximal Tibiofibular Fractures: A Multicenter Study

A New Three‐Dimensional Classification of Proximal Tibiofibular Fractures: A Multicenter Study

Osteochondroma Fracture in Young Athlete: A Case Report

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