We retrospectively reviewed all tibial tuberosity fractures in adolescents 1019 who presented to our level 1 pediatric trauma center over a 7 year period to review fracture morphology mechanism of injury fracture management including. Plane radiographs were used to confirm the diagnosis.
To develop a classification system for all proximal tibial fractures in children that accounts for force of injury and fracture patternsat our institution 135 pediatric proximal tibia fractures were treated from 1997 to 2005.
Tibial tuberosity fracture in child. Tibial tuberosity fractures most often occur in the young male population in more than a 101 male to female ratio. No risk factors were identified. We describe a case in an adult who suffered a left knee injury due to a fall from height.
The typical patient is an adolescent male approaching skeletal maturity with well deve. Tibial tuberosity avulsion fractures are uncommon. Fewer than ten female tibial tuberosity fractures have been reported in the english literature 5 7 12 17.
Fractures were classified. Tibial tuberosity fractures in children may occur as a result of contraction of the quadriceps such as with a leaping motion. Treatment is closed reduction and casting or surgical fixation depending on the degree of displacement.
The fractures were classified according to ogdens schedule table 1. Epidemiology these fractures have an incidence 04 to 27 and males are affected more so than females. Treatment is usually nonoperative with long leg casting but is tailored to the injury type and patient age.
Tibial tuberosity fractures in adolescents are uncommon. The fracture of tibial tuberosity is a rare lesion and still more unusual in adults. We retrospectively reviewed all tibial tuberosity fractures in adolescents 10 19 who presented to our level 1 pediatric trauma center.
They will have pain and tenderness of the tibial tuberosity and possibly an effusion of the knee joint. The lesion was treated with surgical reduction. Of these 12 118 were acute tibial tubercle avulsion fractures in adolescents which means that 026 of all physeal injuries of children of all ages were treated at our institute during the tested period.
Tibial tubercle fractures are a common fracture that occurs in adolescent boys near the end of skeletal growth during athletic activity. Pediatric tibial shaft fractures are one of the most common traumatic fractures seen in children with an average age of 8. Tibial tuberosity fractures in adolescents are uncommon.
Ed treatment consists of placement in a knee immobilizer use of crutches and followup with an orthopedic specialist in 12 days for operative reduction and fixation.