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Tibial tubercle avulsions.

M J Bolesta, R D Fitch

    Journal of Pediatric Orthopedics
    |March 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Tibial tubercle avulsion fractures are rare in young male athletes, often requiring surgery. Most patients achieve full recovery, indicating good outcomes after operative treatment for this specific knee injury.

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    Area of Science:

    • Orthopedic surgery
    • Pediatric sports medicine
    • Skeletal biology

    Background:

    • Tibial tubercle avulsion fractures are uncommon injuries.
    • This injury predominantly affects adolescent males during periods of skeletal immaturity.

    Purpose of the Study:

    • To analyze the characteristics, treatment, and outcomes of tibial tubercle avulsion fractures.
    • To understand the biomechanical factors contributing to this injury in adolescents.

    Main Methods:

    • Retrospective review of sixteen cases of tibial tubercle avulsion.
    • Analysis of patient demographics, injury patterns, surgical treatment, immobilization duration, and follow-up outcomes.

    Main Results:

    • Sixteen male patients, mean age 15 years 2 months, with predominantly left-sided injuries.

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  • All cases underwent operative treatment, with an average immobilization of 4.9 weeks.
  • Fourteen patients regained full motion and activity; three minor complications occurred, unrelated to the avulsion.

    • Conclusions:

    • Tibial tubercle avulsion is a distinct injury in adolescents, linked to physeal vulnerability during growth.
    • Operative management leads to favorable functional recovery in most cases.
    • Understanding the growth plate's susceptibility to tensile forces is crucial for injury prevention and treatment.