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Acute tibial tubercle avulsion fractures.
Susan M Mosier1, Carl L Stanitski
1*Family Orthopaedic Associates, Holly, Michigan, USA.
Journal of Pediatric Orthopedics
|April 13, 2004
Summary
This study on acute tibial tubercle avulsion fractures found good outcomes in 18 young athletes, regardless of fracture type or treatment method.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Sports Medicine
Background:
- Acute tibial tubercle avulsion fractures are uncommon injuries in adolescents.
- Athletic participation, especially basketball, is a common cause.
- Understanding fracture patterns and treatment outcomes is crucial for pediatric orthopedic care.
Purpose of the Study:
- To analyze the characteristics, treatment, and outcomes of acute tibial tubercle avulsion fractures in young patients.
- To evaluate the effectiveness of different management strategies for these injuries.
Main Methods:
- Retrospective analysis of 18 patients (19 fractures) with acute tibial tubercle avulsion fractures.
- Data collected included patient demographics, injury mechanisms, fracture classification, treatment modalities, and clinical outcomes.
- Fractures were classified using the Modified Ogden system.
Main Results:
- The mean age at injury was 13 years 8 months, with a subset of 4 preadolescent patients (9-12 years).
- Seventy-seven percent of fractures were associated with athletic participation, predominantly basketball.
- Fifteen fractures were treated with open reduction internal fixation (ORIF) and four with closed reduction and casting. Three cases (15.7%) involved extensor mechanism disruption (2 patellar tendon, 1 quadriceps avulsion).
Conclusions:
- All patients achieved good final outcomes irrespective of fracture type or treatment.
- No complications were reported in this cohort, suggesting favorable prognosis for acute tibial tubercle avulsion fractures in young athletes.