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Tibial tuberosity avulsion associated with patellar tendon avulsion
D Goodier1, N Maffulli, J Good
1Department of Orthopaedics, Newham General Hospital, London, United Kingdom.
Acta Orthopaedica Belgica
|January 1, 1994
Summary
This case study details an adolescent male with a tibial tuberosity avulsion and patellar tendon rupture. Surgical repair led to a complete recovery, highlighting successful orthopedic intervention for complex pediatric knee injuries.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
- Sports Medicine
Background:
- Avulsion fractures of the tibial tuberosity are uncommon pediatric injuries.
- Patellar tendon avulsions can occur concurrently, presenting complex surgical challenges.
- Adolescent athletes are particularly susceptible to high-energy knee trauma.
Observation:
- A case of an adolescent male presenting with simultaneous tibial tuberosity avulsion and patellar tendon rupture.
- The injury mechanism involved significant force transmission through the knee extensor mechanism.
- Clinical examination revealed deformity and inability to extend the knee.
Findings:
- Open reduction and internal fixation were performed for the tibial tuberosity avulsion fracture.
- Successful surgical reattachment of the ruptured patellar tendon was achieved.
- Radiographic and clinical assessment confirmed successful bone healing and tendon repair.
Implications:
- This case underscores the importance of prompt diagnosis and surgical management for combined tibial tuberosity and patellar tendon avulsions.
- Successful surgical outcomes are achievable with appropriate orthopedic techniques.
- Early and comprehensive rehabilitation is crucial for restoring function in young athletes post-injury.