AVULSION FRACTURE OF THE TIBIAL TUBERCLE IN AN ATHLETIC ADOLESCENT. A CASE REPORT AND REVIEW OF THE LITERATURE

Ibrahima Farikou, G Beyiha, CM Taku, P Pisoh – Tangnyin, Samuel Takongmo

Abstract


The avulsion fractures of the tibial tubercle are not common. This is a case report of a 15 years old athletic ad boy. The diagnosis was suspected in front of the circumstances of the trauma (during 100m race training) and clinical findings (swelling, hematoma and impotence of the involved knee). Plain radiographs were essential to precise the type of avulsion fracture and to determine the adequate treatment. The early open reduction and internal fixation we adopted in this case gave us a satisfactory result. 


Keywords


Avulsion, tibial tubercle, diagnosis, treatment

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References


Blount WP. Fractures in children.

Baltimore: Williams and Wilkins; 1955: 171.

Watson-Jones R. Fractures and Joint Injuries. Vol 2, 5th ed Baltimore: Williams and Wilkins, 1995: 1047-50.

Bolesta MJ, Fitch RD. Tibial tubercle avulsions. J Pediatr Orthop 1986 ; 6 : 186-92.

Burkhart SS, Peterson HA. Fractures of the proximal tibial epiphysis. J Bone Joint Surg Am 1979; 61: 996-1002.

. Hand WL, Hand CR, Dunn AW. Avulsion fractures of the tibial tubercle. J Bone Joint Surg Am 1971 ; 53 : 1579-83.

Petersen CA, Petersen HA. Analysis of the incidence injuries to the epiphyseal growth plate. J Trauma 1972; 12: 275-81.

Polakoff DR, Bucholz RW, Ogden JA. Tension and wiring of displaced tibial tuberosity fractures in adolescents. Clin Orthop 1986; 209: 161-5.

Shelton WR, Canale ST. Fractures of the tibia through the proximal epiphyseal cartilage. J Bone Joint Surg Am 1979; 61: 167-73.

Nimityonskul P, Montague WL, Anderson LD. Avulsion fracture of the tibial tuberosity in late adolescent. J Trauma 1988; 28: 505-9

Bronfen C, Mallet JF, Petit T. Avulsions de la tubérosité tibiale antérieure chez l’adolescent (6 cas).

Ann. Orthop. Ouest 2000 ; 32 : 183-188.

Davidson D, Letts M. Partial sleeve fractures of the tibia. An usual fracture pattern J Pediatr Orthop 2002; 22: 36-40.

Schiedts D, Mukisi M, Bastaraud H. Fracture de la tubérosité tibiale associée à une avulsion du tendon rotulien chez l’adolescent. Rev Chir Orthop 1995 ; 81 : 635-638.

Lepse PS, Mc Carthy RE, Mc Cullough FL. Simultaneous bilateral avulsion fracture of the tibial tuberosity: a case report. Clin Orthop 1988; 229: 232-5.

Chow SP, Lam JJ, Leong JCY. Fracrure of the tibial tubercle in the adolescent. J Bone Joint Surg Br 1990; 72 : 231-4.

0gden JA, Southwick WO. Osgood-Schlatter’s disease and tibial tuberosity development. Clin Orthop 1976; 116: 180-9.

Deliyannis SN. Avulsion of the tibial tuberosity: report of 2 cases. Injury, 1973; 4: 341-4.

Levi JH, Colemann CR. Fracture of the tibial tubercle. Am J Sports 1976; 4: 254-62.

Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg Am 1980 ; 62 : 205-215.

Lipscomb AB, Gilbert PP, Johnston RH, et al. Fractures of the tibial tuberosity with associated ligamentous and meniscal tears. J Bone Surg AM 1984; 66: 790-2.

Watson-Jones R. Fractures and Joint Injuries. Vol 2, 5th ed Baltimore: Williams and Wilkins, 1995: 1047-50.

Wiss DA, Schilz JL, Zionts L. Type III fractures of the tibial tubercle in adolescents. J Orthop Trauma 1991; 5: 475-9

Frankl U, Wasilewski SA, Healy WL. Avulsion fractures of the tibial tubercle with avulsion of the patellar ligament: report of two cases. J Bone Joint Surg Am 1990, 72: 1411-3.

Rosenberg ZS, Kawelblum M, Cheung YY, Beltran J, Lehman WB, Grant AD. Osgood-Schlatter lesion or tendonitis ? Scintigraphic, CT and MR Imaging features. Radiology 1992; 185 (3): 853-8.

Bates DG, Hresko MT, Jaramillo D. Patellar sleeve fracture: demonstration with MR imaging. Radiology 1994; 193: 825-8.

Christie MJ, Dvonch VM. Tibial tuberosity avulsion fracture in adolescents. J Pediatr Orthop 1981; 1: 391-4.


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