Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review
European Journal of Clinical and Biomedical Sciences
Volume 4, Issue 6, December 2018, Pages: 73-75
Received: Dec. 18, 2018;
Accepted: Dec. 29, 2018;
Published: Jan. 25, 2019
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Teik Chiang Goh, Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia
AR Abdul Halim, Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia
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Bilateral tibial tuberosity avulsion fractures are rare and occur mainly in adolescent males during vigorous quadriceps contraction especially during aggressive contact sports activities. So far, only ten simultaneous bilateral tibial tuberosity fractures have been reported. We report the case of a 14-year-old male who avulsed both tibial tuberosities when he landed on his knee after a fall while playing football. Diagnostic imaging demonstrated Ogden Type IIA fractures. He underwent bilateral open reduction and screw ﬁxation the next day. Closed reduction and percutaneous ﬁxation has been proposed by some literatures, however the intraoperative ﬁndings in this patient have prevented anatomical reduction of the fracture sites because of a ﬂap of periosteum impinged in both fracture gaps. Therefore, purpose of this case report is to display it rarity and which had successfully treated differently from the previously reported cases.
Tibial Tuberosity Avulsion Fracture, Open Reduction, Cannulated Cancellous Screw
To cite this article
Teik Chiang Goh,
AR Abdul Halim,
Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review, European Journal of Clinical and Biomedical Sciences.
Vol. 4, No. 6,
2018, pp. 73-75.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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Nanninga AJ, Josaputra HA. Tibial tuberosity fracture in adolescents – report of a case and review of the literature. Neth J Surg 1987;39:144–6.
Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg (Am) 1980;62:205–15.
Nikifordis PA, Babis GC, Triantaﬁllopoulos IK, Themistocleous GS, NikolopoulosK. Avulsion fracture of the tibial tuberosity in adolescent athletes treated by internal ﬁxation and tension band wiring. Knee Surg Sports Traumatol Arthrosc 2004;12:217–76.
Stevens MA, El-Khoury GY, Kathol MH, Brandser EA, Chow S. Imaging features of avulsion injuries. Radiographics 1999;19:655–72.
Bolesta MJ, Fitch RD. Tibial tubercle avulsions. J Pediatr Orthop 1986;6:186–92.
Hand WL, Hand CR, Dunn AW. Avulsion fractures of the tibial tubercle. J Bone Joint Surg (Am) 1971;53:1579–83.
Ergun M, Taskiran E, Ozgurbuz C. Simultaneous bilateral tibial tubercle avulsion fracture in a basketball player. Knee Surg Sports Traumatol Arthrosc 2003;11:163–6.
Steven Frey, Harish Hosalkar, Danielle B. Cameron et al. Tibial tuberosity fractures in adolescents. J Child Orthop (2008) 2:469–474.
Watson- Jones R. Fractures and joint injuries. 4th ed. Baltimore: Williams & Wilkins; 1955.
Ogden JA, Southwick WO. Osgood-Schlatter's disease and tibial tuberosity development. Clin Orthop Relat Res. 1976;(116):180-9.
Ryu RK, Debenham JO. An unusual avulsion fracture of the proximal tibial epiphysis. Case report and proposed addition to the Watson- Jones classification. Clin Orthop Relat Res. 1985;194:181-4.
Frankl U, Wasilewski SA, Healy WL. Avulsion fracture of the tibial tubercle with avulsion of the patellar ligament. Report of two cases. J Bone Joint Surg Am. 1990;72(9):1411-3.
McKoy BE, Stanitski CL. Acute tibial tubercle avulsion fractures. Orthop Clin North Am. 2003;34(3):397-403.
Curtis JF. Type IV tibial tubercle fracture revisited: a case report. Clin Orthop Relat Res. 2001;389:191-5.