Simultaneous bilateral tibial tuberosity avulsion fractures in adolescence: Case report and review of 60 years of literature

Nag, Kushal

doi:10.1016/j.injury.2013.04.006

Cited by 21 publications

(37 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This case report presents similar aetiological characteristics to those mentioned in the literature 5. Predisposition to this kind of fractures has been reported in individuals with Osgood-Schlatter disease,13 osteogenesis imperfecta14 and vitamin D deficiency15 which did not occur in our case.…”

Section: Discussionsupporting

confidence: 88%

Rehabilitation of simultaneous bilateral epiphysial fracture of proximal tibia in adolescent

Pires¹,

Oliveira²,

Figueiredo

et al. 2018

BMJ Case Reports

View full text Add to dashboard Cite

Simultaneous and bilateral epiphysial fracture of the proximal tibia is an extremely rare injury, with only 23 cases reported in the literature. In this paper, we present a 15-year-old adolescent with a simultaneous and bilateral epiphysial fracture of the proximal tibia in sport context (trampoline jump). He underwentsurgical repair with bilateral closed reduction and internal fixation, followed by outpatient rehabilitation programme during 4 months. There was a good functional outcome, without limitation in activities of daily living and with resumption of amateur sports activity. Since there are no guidelines described for this pathology, the authors suggest a rehabilitation protocol for bilateral epiphysial fractures of the proximal tibia that underwent surgical treatment previously and in which there were no complications in the acute phase.

show abstract

Section: Discussionsupporting

confidence: 88%

Rehabilitation of simultaneous bilateral epiphysial fracture of proximal tibia in adolescent

Pires¹,

Oliveira²,

Figueiredo

et al. 2018

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…There are studies that correlate the avulsion fracture of the tibial tuberosity with Osgood-Schlatter lesion as a predisposing factor,8 9 but this man denied prior symptoms in both knees, as well as surgery. Some studies correlate avulsion of the tibial tuberosity with associated injuries of the knee6 10–12 as meniscal tears, collateral ligaments ruptures, capsule avulsion and intra-articular fractures, but we also could not find any on the clinical examination.…”

Section: Discussionmentioning

confidence: 94%

“…Watson-Jones and Ogden described classification systems for immature skeletons 9. For this reason, we did not use any specific classification of fractures of the tibial tuberosity.…”

Section: Discussionmentioning

confidence: 99%

Fracture of tibial tuberosity in an adult

Albuquerque

Campos²,

Araújo

et al. 2013

BMJ Case Reports

View full text Add to dashboard Cite

SUMMARYThe fracture of tibial tuberosity is a rare lesion and still more unusual in adults. We describe a case in an adult who suffered a left knee injury due to a fall from height. No risk factors were identified. The lesion was treated with surgical reduction and internal fixation. The rehabilitation method was successful, resulting in excellent function and rage of motion of the knee. The aim of this study was to present an unusual case of direct trauma of the tibial tuberosity in an adult and the therapy performed. BACKGROUND

show abstract

“…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]. The first case of simultaneous bilateral avulsion fractures of the tibial tubercle was reported by Borch-Madsen [23] in 1954.…”

Section: Introductionmentioning

confidence: 99%

“…The epiphyseal plate fuses completely between the ages of 13 and 15 years in girls and the ages of 15 and 19 years in boys [24], meaning that athletic young males with powerful quadriceps tendons relative to their bone maturity are at an increased risk of avulsion fractures. Different mechanisms have been proposed by various authors [24, 25]; however in simple terms the avulsion occurs when the tensile force of the quadriceps is greater than the fibrocartilaginous tissue underlying the tibial tuberosity. This happens usually during quadriceps muscle contraction (Figure 1(a)) or where the knee is rapidly forced into flexion.…”

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

View full text Add to dashboard Cite

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.

show abstract

Simultaneous bilateral tibial tuberosity avulsion fractures in adolescence: Case report and review of 60 years of literature

Cited by 21 publications

References 11 publications

Rehabilitation of simultaneous bilateral epiphysial fracture of proximal tibia in adolescent

Rehabilitation of simultaneous bilateral epiphysial fracture of proximal tibia in adolescent

Fracture of tibial tuberosity in an adult

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

Contact Info

Product

Resources

About