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Tibial tuberosity fractures in adolescents
Steven Frey1, Harish Hosalkar, Danielle B Cameron
1Department of Orthopaedic Surgery, Monmouth Medical Center, Long Branch, NJ, USA.
Journal of Children'S Orthopaedics
|March 25, 2009
Summary
Tibial tuberosity fractures in adolescents are uncommon but clinically significant. Early recognition and surgical fixation yield good results, though compartment syndrome requires vigilant monitoring.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
- Sports Medicine
Background:
- Tibial tuberosity fractures are rare in adolescents (10-19 years).
- This study reviews fracture morphology, injury mechanisms, management, and outcomes.
- A literature review and treatment algorithm are also presented.
Purpose of the Study:
- To analyze tibial tuberosity fractures in adolescents.
- To identify injury patterns, treatment strategies, and complications.
- To propose a management algorithm for these injuries.
Main Methods:
- Retrospective review of 19 adolescent patients (2000-2007).
- Analysis of clinical data, radiographs, injury mechanisms, and treatment outcomes.
- Inclusion criteria: tibial tuberosity fractures in patients aged 10-19.
Main Results:
- 19 patients sustained 20 fractures; mean age 13.7 years; 18 males.
- Common injury mechanisms: basketball, running, football.
- All fractures underwent ORIF; complications included compartment syndrome (4), stiffness (1), and hardware pain (1).
Conclusions:
- Tibial tuberosity fractures are uncommon yet important in adolescents.
- Surgical fixation (ORIF) led to good outcomes in this series.
- Compartment syndrome is a significant concern requiring close monitoring and prompt intervention.
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