Lower Extremity Avulsion Fractures in the Pediatric and Adolescent Athlete

Schiller, Jonathan R.; DeFroda, Steven F.; Blood, Travis

doi:10.5435/jaaos-d-15-00328

Cited by 60 publications

(54 citation statements)

References 37 publications

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“…The tibial tubercle ossifies in a systematic mechanism from the superior aspect of the epiphysis to the inferior margin [ 3 ]. The primary goal in treating this injury is to restore the extensor mechanism and, if the joint space is involved (as seen in types III and IV), to restore the integrity of the joint surface [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Tibial Tubercle Avulsion Fracture with Multiple Concomitant Injuries in an Adolescent Male Athlete

Agarwalla

Puzzitiello

Stone

et al. 2018

Case Reports in Orthopedics

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Tibial tubercle avulsion fractures are an uncommon injury occurring due to strong contraction of the quadriceps femoris muscle during leg extension, ultimately causing failure of the physis at the patellar tendon insertion. This injury has been previously reported with various concomitant injuries, such as compartment syndrome from bleeding into the anterior compartment, vascular injury, patellar tendon avulsion, and meniscal injury—exhibited only with fracture types that extend intra-articularly. We report the case of a 14-year-old healthy adolescent male basketball player who sustained this injury as a result of a collision with another player. He initially reported to the emergency department and then presented to our practice, where he was diagnosed with a tibial tubercle avulsion fracture with patellar tendon rupture. During the operative management of these injuries, it was noted that fascial tissue avulsed through the injury site causing subacute extensive bleeding within the anterolateral compartments. Due to concerns of compartment syndrome, a fascial release was performed along the anterolateral compartments. By five months postoperatively, the patient demonstrated near-normal function, no evidence of extensor lag, and nearly full range of motion. Unlike previously reported cases, this is the first report of a patient who suffered such an injury with multiple concomitant injuries to the neighboring structures. Due to the severity of compartment syndrome and the variability in its temporal presentation from the initial injury, it is paramount that careful evaluation of vascular integrity and a low threshold for fasciotomy be in place to prevent vascular compromise.

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Section: Discussionmentioning

confidence: 99%

Tibial Tubercle Avulsion Fracture with Multiple Concomitant Injuries in an Adolescent Male Athlete

Agarwalla

Puzzitiello

Stone

et al. 2018

Case Reports in Orthopedics

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“…39 In the pelvis, the ASIS, AIIS, and the ischial tuberosity are the most common sites of injury. 32,55,56 Extreme contraction of the sartorius and tensor fascia lata (ASIS), the rectus femoris muscle (AIIS), or hamstrings (ischial tuberosity) are the cause of trauma. Clinically, an acute popping or tearing painful sensation at the attachment sites with antalgic gait or even an inability to walk is seen.…”

Section: Avulsion Fracturesmentioning

confidence: 99%

Imaging of Pediatric Lower Limb Sports Injuries

Weil

Hemke

Reurink

et al. 2021

Semin Musculoskelet Radiol

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The importance of physical activity during childhood and adolescence has come to light, with an increase in sports-related acute traumatic and overuse injuries as a major disadvantage. A solid understanding of the physiology of the growing skeleton, together with knowledge about age- and sex-related differences in the occurrence of acute traumatic and overuse injuries is necessary. Every musculoskeletal radiologist should also be familiar with the appearances of these injuries on different imaging modalities. This review focuses on all these aspects concerning acute traumatic and overuse injuries among children and adolescents.

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“…But error in diagnosis and management can cause further displacement and nonunion. Improper management also leads to nerve irritation, chronic pain and gait dysfunction depending on the avulsion fracture site [2].…”

Section: Introductionmentioning

confidence: 99%

Avulsion Fracture in Distal Phalanx of Left Great Toe: A Rare Unnoticed Karate Sports Injury

Rahman¹,

Hossain²,

Banna³

et al. 2019

J Curr Surg

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Great toe injury is common in athletes. Besides violence, the sports injuries to the great toe vary according to the sharing force or impact. However, some great toe injuries can seriously affect the daily activities and some could also remain unnoticed. This case report documents an athlete with an unnoticed avulsion fracture of distal phalanx of the left great toe during karate practice on regular mat.

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Lower Extremity Avulsion Fractures in the Pediatric and Adolescent Athlete

Cited by 60 publications

References 37 publications

Tibial Tubercle Avulsion Fracture with Multiple Concomitant Injuries in an Adolescent Male Athlete

Tibial Tubercle Avulsion Fracture with Multiple Concomitant Injuries in an Adolescent Male Athlete

Imaging of Pediatric Lower Limb Sports Injuries

Avulsion Fracture in Distal Phalanx of Left Great Toe: A Rare Unnoticed Karate Sports Injury

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