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Tibial Tubercle Avulsion.
The Physician and Sportsmedicine
|July 15, 2016
Summary
Tibial tubercle avulsion is a rare adolescent injury. Prompt diagnosis and treatment are crucial to prevent long-term complications like growth arrest.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Surgery
Background:
- Tibial tubercle avulsion is an uncommon injury in adolescents, often occurring near physeal closure.
- Delayed diagnosis or treatment can lead to significant complications, including growth arrest and limb deformity.
- Early identification and intervention are critical for optimal outcomes in pediatric patients.
Purpose of the Study:
- To highlight the importance of timely diagnosis and management of tibial tubercle avulsion injuries in adolescents.
- To present a case of type 2 tibial tubercle avulsion in a young athlete where closed reduction was unsuccessful.
Main Methods:
- Case report of a 14-year-old male basketball player.
- Clinical presentation of acute tibial tubercle avulsion (Type 2).
- Evaluation of closed reduction feasibility due to soft-tissue interposition.
Main Results:
- The patient sustained a type 2 tibial tubercle avulsion, rendering him unable to walk without assistance.
- Closed reduction was not achievable due to interposed soft tissues, indicating the need for surgical intervention.
Conclusions:
- Tibial tubercle avulsion requires prompt recognition and management in adolescent athletes.
- Soft-tissue interposition can preclude closed reduction, necessitating surgical treatment for type 2 avulsions.
- Early surgical intervention is essential to restore function and prevent sequelae in pediatric tibial tubercle avulsion.
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