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Updated: Jun 18, 2025

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Published on: July 4, 2017
Classification and management of tibial tubercle avulsion fractures in children
Varun Kothari1, Chang Park1, Anshul Sobti2
1Department of Trauma and Orthopaedics, Chelsea and Westminster NHS Foundation Trust, London, UK.
Abstract:
Fractures of the tibial tubercle are an uncommon injury, constituting 0.4-2.7% of all epiphyseal injuries. They occur in the adolescent age group, often during sports such as basketball and football. They are often classified using the modified Ogden classification. Understanding the anatomy and pathophysiology is essential in the management of these fractures, to predict complications and counsel patients and families on care. Tibial tubercle fractures generally have favourable overall outcomes when the correct treatment modality is chosen, with a high rate of union and a 98% return to preinjury activities. This article provides a guide for doctors on the classification and management of these injuries, to ensure that appropriate treatment is given according to current literature and best practice.
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Assessment:
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