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Related Experiment Video

Updated: Jan 6, 2026

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[Acute tibial tubercle avulsion fractures].

S Reuter1, H Mellerowicz2

  • 1Klinik für Orthopädie und Unfallchirurgie, Helios Klinikum Emil von Behring, Walterhöferstraße 11, 14165, Berlin, Deutschland. sebastian.reuter@helios-kliniken.de.

Der Orthopade
|March 10, 2016
PubMed
Summary

Proximal tibia apophysis avulsion fractures are rare injuries in adolescent athletes, often requiring surgical fixation. Most patients achieve excellent recovery, though some experience minor complications.

Keywords:
AdolescentsAvulsion fractureChildrenInjury of tibia epiphysisIntraarticular fracturesRuptureSports injuries

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Pediatric orthopedics

Background:

  • Proximal tibia apophysis avulsion fractures are rare, affecting predominantly male adolescents due to sports-related stress.
  • Osgood-Schlatter disease may predispose individuals to this injury.

Purpose of the Study:

  • To provide an updated overview of the pathogenesis, diagnostics, and treatment of proximal tibia apophysis avulsion fractures.

Main Methods:

  • Literature review of Level III and IV studies.
  • Inclusion of original research findings.

Main Results:

  • Predominantly affects males (97%), with Type III fractures being most common (48%).
  • Surgical treatment (open reduction and internal fixation) is standard for displaced fractures.
  • Excellent outcomes (95% return to prior activity level) are typical, with infrequent minor complications.

Conclusions:

  • Acute proximal tibia apophysis avulsion is uncommon, with surgical fixation recommended for displaced injuries.
  • Intra-articular fractures require careful assessment to avoid missed knee lesions.
  • Successful treatment yields good to excellent results with rare significant complications.