scholarly journals Clinical and epidemiological features of tibial tubercle avulsion fracture in Chinese adolescents

2020 ◽  
Vol 3 (3) ◽  
pp. e000169
Author(s):  
Yueqiang Mo ◽  
Dahui Wang
Keyword(s):  
Avulsion Fracture ◽  
Chinese Adolescents ◽  
Tibial Tubercle ◽  
Type I ◽  
Cannulated Screws ◽  
Excellent Outcome ◽  
Type Iv ◽  
Epidemiological Features ◽  
Satisfactory Outcome ◽  
Tibial Tubercle Avulsion Fracture

BackgroundTibial tubercle avulsion fracture is rare in children. Accumulated knowledge on clinical and epidemiological features of this fracture is of practical significance for clinical colleagues to deal effectively with such fractures.MethodsClinical and epidemiological parameters were reviewed retrospectively in 29 patients with tibial tubercle avulsion fracture that was treated in our hospital in the past 7 years.ResultsTotally, 29 children with 30 tibial tubercle fractures were enrolled. They were all boys; the average age was 13.8 (12–15) years, and the average Body Mass Index (BMI) was 26.4 (19.2–34.3). Statistically, 41.4% of injuries occurred during jumping activities, and 1 (3.4%), 12 (41.4%) and 16 (55.2%) patients were injured bilaterally, on the right and left sides, respectively. The patients were classified into type I (4), II (3), III (13) and IV (10) fractures. Two patients (three knees) with fractures of type IV received close reduction and cast immobilization for 6 weeks. One patient with fracture of type IV underwent close reduction and was fixed with two cannulated screws. The remaining 26 patients underwent open reduction and were fixed with two or three cannulated screws. The average follow-up time was 38 (14–98) months; no complication was noted. Twenty-seven patients had an excellent outcome.ConclusionIn Chinese adolescents, the tibial tubercle avulsion fracture predisposes to boys with higher body weight; jumping is the most common cause of injury; treatments show satisfactory outcome regardless of fracture types.

scholarly journals Avulsion Fracture of the Coracoid Process at the Coracoclavicular Ligament Insertion: A Report of Three Cases

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Takeshi Morioka ◽  
Kiyohisa Ogawa ◽  
Masaaki Takahashi
Keyword(s):  
Avulsion Fracture ◽  
Attachment Site ◽  
Coracoid Process ◽  
Type I ◽  
Coracoclavicular Ligament ◽  
Clavicular Fracture ◽  
Avulsion Fractures ◽  
Inferior Surface ◽  
Excellent Outcome ◽  
Conoid Ligament

Avulsion fracture at the site of attachment of the coracoid process of the coracoclavicular ligament (CCL) is extremely rare. We presented three adult cases of this unusual avulsion fracture associated with other injuries. Case  1 was a 25-year-old right-handed male with a left distal clavicular fracture with an avulsion fracture of the coracoid attachment of the CCL; this case was treated surgically and achieved an excellent outcome. Case  2 was a 39-year-old right-handed male with dislocation of the left acromioclavicular joint with two avulsion fractures: one at the posteromedial surface of the coracoid process at the attachment of the conoid ligament and one at the inferior surface of the clavicle at the attachment site of the trapezoid ligament; this case was treated conservatively, and unfavorable symptoms such as dull pain at rest and sharp pain during some daily activities remained. Case  3 was a 41-year-old right-handed female with a right distal clavicular fracture with an avulsion fracture of the coracoid attachment of the conoid ligament; this case was treated conservatively, and the distal clavicular fracture became typical nonunion. These three cases corresponded to type I fractures according to Ogawa’s classification as the firm scapuloclavicular connection was destroyed and also to double disruption of the superior shoulder suspensory complex. We recommend surgical intervention when treating patients with this type of acute or subacute injury, especially in those engaging in heavy lifting or overhead work.

scholarly journals Simultaneous Bilateral Tibial Tubercle Avulsion Fracture

2021 ◽  
Vol 53 (8S) ◽  
pp. 432-432
Author(s):  
Harnek Singh ◽  
Alex Casey ◽  
Felicia Cummings ◽  
Phoebe Bui ◽  
Hamed Shalikar
Keyword(s):  
Avulsion Fracture ◽  
Tibial Tubercle ◽  
Tibial Tubercle Avulsion Fracture

Tibial Tubercle Avulsion Fracture

2012 ◽  
pp. 1216-1217
Author(s):  
Marc R. Safran ◽  
James Zachazewski ◽  
David A. Stone
Keyword(s):  
Avulsion Fracture ◽  
Tibial Tubercle ◽  
Tibial Tubercle Avulsion Fracture

scholarly journals Tibial tubercle avulsion fracture according to different mechanisms of injury in adolescents

Medicine ◽  
2019 ◽  
Vol 98 (32) ◽  
pp. e16700
Author(s):  
Yong-Woon Shin ◽  
Dae-Wook Kim ◽  
Kun-Bo Park
Keyword(s):  
Avulsion Fracture ◽  
Tibial Tubercle ◽  
Tibial Tubercle Avulsion Fracture

Simultaneous bilateral tibial tubercle avulsion fracture in a male teenager

2018 ◽  
Vol 27 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Alexandre P. Nicolini ◽  
Rogerio T. Carvalho ◽  
Mario Ferretti ◽  
Moises Cohen
Keyword(s):  
Avulsion Fracture ◽  
Tibial Tubercle ◽  
Tibial Tubercle Avulsion Fracture

Simultaneous Bilateral Tibial Tubercle Avulsion Fracture

Orthopedics ◽  
1988 ◽  
Vol 11 (11) ◽  
pp. 1599-1601
Author(s):  
Dean C Maar ◽  
Clyde B Kernek ◽  
Raymond O Pierce
Keyword(s):  
Avulsion Fracture ◽  
Tibial Tubercle ◽  
Tibial Tubercle Avulsion Fracture

scholarly journals TIBIAL TUBERCLE FRACTURES IN CHILDREN AND ADOLESCENTS

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0018
Author(s):  
Daniel B. Haber ◽  
Frances Tepolt ◽  
Michael McClincy ◽  
Leslie Kalish ◽  
Mininder S. Kocher
Keyword(s):  
Children And Adolescents ◽  
Compartment Syndrome ◽  
Patient Characteristics ◽  
Tibial Tubercle ◽  
Type I ◽  
Return To Sports ◽  
Type Iv ◽  
Small Series ◽  
Fractures In Children

Background: Tibial tubercle fractures are uncommon sports related injuries. Only small series are reported in the literature. The purpose of this study is to report patient characteristics, fracture types, treatment methods, and clinical outcomes of children and adolescents treated for tibial tubercle fractures. Methods: Patients age 18 and under treated for tibial tubercle fractures at a single institution from 1995 to 2015 were identified and their medical records were retrospectively reviewed. Clinical and radiographic outcomes were reported for patients with minimum follow up of 6 months. Results: Two-hundred thirty-six tibial tubercle fractures were identified in 228 patients, 198 (86%) of whom were males. Mean age was 14.3 years (range 7.7-17.6). Mean body mass index (BMI) was 25.0 (range 16.1-38.9). Osgood-Schlatter disease was identified in 72 (31%) cases and was most commonly associated with type I fractures (p<0.001). Two-hundred and three fractures (86%) occurred while participating in athletics, most commonly basketball (87, 43%). Thirty percent of fractures occurred while landing, 26% resulted from a direct blow to the leg, and 22% occurred while jumping. Type III fractures were most common (96, 41%) followed by type I fractures (67, 29%). Initial treatment was surgical for 157 (67%) fractures. Type I fractures were most commonly treated non-operatively (91%) and types II-V fractures were most commonly treated surgically (89%, p<0.001). Operative fractures were associated with higher BMI z-scores (mean 1.16, p=0.05) than those treated non-operatively. Compartment syndrome was identified in 4 (2%) patients, 3 of which were had type IV fractures. Eighty-eight percent of patients returned to sports. Among those treated operatively, 55% had hardware removed and 7% developed post-operative infection. At last follow up, 45% of surgical patients reported pain on palpation at the tibial tubercle and 26% reported pain with squatting. Conclusions: Tibial tubercle fractures are sports related injuries and occur most commonly in adolescent males. They are associated with Osgood-Schlatter disease, a higher than average BMI, and a small but relevant risk of compartment syndrome, particularly in type IV fractures. Whether treated surgically or non-surgically, most patients return to sports despite a high incidence of post-treatment pain at the tibial tubercle.

Type IIIB Tibial Tubercle Avulsion Fracture: A Case Report

2020 ◽  
Vol 30 (2) ◽  
pp. 119-123
Author(s):  
Dimitrios A. Flevas ◽  
Spyridon Sioutis ◽  
Achilles Bekos ◽  
Jimis Georgoulis ◽  
Thekla Antoniadou ◽  
...  
Keyword(s):  
Case Report ◽  
Avulsion Fracture ◽  
Tibial Tubercle ◽  
Type Iiib ◽  
Tibial Tubercle Avulsion Fracture
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