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Acute tibial tubercle avulsion fractures.

Brodie E McKoy1, Carl L Stanitski

  • 1Department of Orthopaedic Surgery, Medical University of South Carolina, 96 Jonathan Lucas Street, Clinical Science Building, Suite 708, Charleston, SC 29425, USA. mckoybe@musc.edu

The Orthopedic Clinics of North America
|September 17, 2003
PubMed
Summary

Acute tibial tubercle avulsion fractures are uncommon injuries in adolescent athletes. Treatment depends on fracture displacement, with excellent outcomes generally achieved.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Pediatric Orthopedics

Background:

  • Acute tibial tubercle avulsion fractures are rare injuries.
  • These fractures commonly affect mature-appearing adolescent boys participating in jumping sports like basketball.
  • The unique developmental anatomy of the tibial tuberosity predisposes it to these acute avulsions.

Purpose of the Study:

  • To review the epidemiology, anatomy, associated injuries, and treatment of acute tibial tubercle avulsion fractures.
  • To discuss the management strategies based on fracture displacement and associated injuries.
  • To evaluate the typical outcomes of these injuries.

Main Methods:

  • Literature review of acute tibial tubercle avulsion fractures.
  • Analysis of injury mechanisms, anatomical factors, and associated injuries.

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  • Discussion of treatment algorithms including nonoperative and operative management.

    • Main Results:

    • These fractures are uncommon and typically seen in adolescent males involved in sports.
    • Associated injuries may include patellar/quadriceps avulsions, ligament tears, and meniscal damage.
    • Nondisplaced fractures are managed nonoperatively; displaced fractures require surgical fixation.

    Conclusions:

    • Treatment is guided by fracture displacement and associated injuries.
    • Nonoperative management is suitable for nondisplaced fractures.
    • Operative intervention yields excellent outcomes, even for severe Type III injuries.