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Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review

Received: 18 December 2018     Accepted: 29 December 2018     Published: 25 January 2019
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Abstract

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.

Published in European Journal of Clinical and Biomedical Sciences (Volume 4, Issue 6)
DOI 10.11648/j.ejcbs.20180406.12
Page(s) 73-75
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Tibial Tuberosity Avulsion Fracture, Open Reduction, Cannulated Cancellous Screw

References
[1] 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.
[2] Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg (Am) 1980;62:205–15.
[3] 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.
[4] Stevens MA, El-Khoury GY, Kathol MH, Brandser EA, Chow S. Imaging features of avulsion injuries. Radiographics 1999;19:655–72.
[5] Bolesta MJ, Fitch RD. Tibial tubercle avulsions. J Pediatr Orthop 1986;6:186–92.
[6] Hand WL, Hand CR, Dunn AW. Avulsion fractures of the tibial tubercle. J Bone Joint Surg (Am) 1971;53:1579–83.
[7] 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.
[8] Steven Frey, Harish Hosalkar, Danielle B. Cameron et al. Tibial tuberosity fractures in adolescents. J Child Orthop (2008) 2:469–474.
[9] Watson- Jones R. Fractures and joint injuries. 4th ed. Baltimore: Williams & Wilkins; 1955.
[10] Ogden JA, Southwick WO. Osgood-Schlatter's disease and tibial tuberosity development. Clin Orthop Relat Res. 1976;(116):180-9.
[11] 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.
[12] 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.
[13] McKoy BE, Stanitski CL. Acute tibial tubercle avulsion fractures. Orthop Clin North Am. 2003;34(3):397-403.
[14] Curtis JF. Type IV tibial tubercle fracture revisited: a case report. Clin Orthop Relat Res. 2001;389:191-5.
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  • APA Style

    Teik Chiang Goh, AR Abdul Halim. (2019). Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. European Journal of Clinical and Biomedical Sciences, 4(6), 73-75. https://doi.org/10.11648/j.ejcbs.20180406.12

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    ACS Style

    Teik Chiang Goh; AR Abdul Halim. Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. Eur. J. Clin. Biomed. Sci. 2019, 4(6), 73-75. doi: 10.11648/j.ejcbs.20180406.12

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    AMA Style

    Teik Chiang Goh, AR Abdul Halim. Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. Eur J Clin Biomed Sci. 2019;4(6):73-75. doi: 10.11648/j.ejcbs.20180406.12

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  • @article{10.11648/j.ejcbs.20180406.12,
      author = {Teik Chiang Goh and AR Abdul Halim},
      title = {Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {4},
      number = {6},
      pages = {73-75},
      doi = {10.11648/j.ejcbs.20180406.12},
      url = {https://doi.org/10.11648/j.ejcbs.20180406.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20180406.12},
      abstract = {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.},
     year = {2019}
    }
    

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    AB  - 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.
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Author Information
  • Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia

  • Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia

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