Anterior Tibial Tubercle Avulsion Fracture in Pediatric Patients. Case Report español
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Abstract
Objective: To present a case, compare it existing literature, analyze differences, and propose resolutions based on our experience. A 13-year-old male consulted after suffering direct trauma to his right knee while running in sports practice one month earlier. Radiography revealed epiphysiolysis due to avulsion of the anterior tibial tubercle (Odgen IIIA and Jones III), prompting open reduction and internal fixation with twopartially-threaded cannulated screws and washers. After six weeks of cast immobilization, he began rehabilitation. Given his swift recovery, AP and lateral radiographs were obtained for diagnosis and a CT scan for surgery planning, leading to a second surgery involving open reduction and internal fixation with two cannulated screws surrounding the physis, although the patellar tendon was explored first to mitigate the risk of invagination within the fracture line.
Conclusion: Despite the scarcity of reported cases, a rising trend due to increased youth sports participation underscores the importance of considering this injury in young patients presenting with knee trauma and restricted extension.
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References
2. Levy E, Garabano G, Robador N, del Sel H. Fracturas de la tuberosidad anterior de la tibia en adolescentes con
esqueleto inmaduro. Rev Asoc Argent Ortop Traumatol 2012;77:39-44. Disponible en: https://www.aaot.org.ar/revista/2012/n1/5.pdf
3. Agrelo D, Apecechea Cairone DJ, Chima Garcia JP. Fractura avulsión bilateral de tuberosidad anterior de la tibia.
Rev Asoc Argent Traumatol Deporte 2021;8(1):1-8. Disponible en:
https://revista.aatd.org.ar/wp-content/uploads/2022/01/07-REVISTA-AATD-2021-Fractura-tibial.pdf
4. Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg Am 1980;62(2):205-15. PMID: 7358751
5. Pesl T, Havranek P. Acute tibial tubercle avulsion fractures in children: selective use of the closed reduction and
internal fixation method. J Child Orthop 2008;2(5):353-6. https://doi.org/10.1007/s11832-008-0126-9
6. Bauer T, Milet A, Odent T, Padovani J-P, Glorion C. Fracture-avulsion de la tubérosité tibiale antérieure chez
l’adolescent: À propos de 22 cas et revue de la literature. Rev Chir Orthop Reparatrice Appar Mot 2005;91(8):758-
67. https://doi.org/10.1016/S0035-1040(05)84487-3
7. Nikiforidis PA, Babis GC, Triantafillopoulos IK, Themistocleous GS, Nikolopoulos K. Avulsion fractures of the
tibial tuberosity in adolescent athletes treated by internal fixation and tension band wiring. Knee Surg Sports
Traumatol Arthrosc 2004;12(4):271-6. https://doi.org/10.1007/s00167-003-0417-0
8. Medus M, Maestu R. Avulsión de la tuberosidad tibial anterior combinada con desinserción del tendón rotuliano en paciente con fisis abierta. Resolución quirúrgica. Reporte de un caso. Artroscopia 2022;29(1):33-8. Disponible en: https://www.revistaartroscopia.com/index.php/revista/article/view/191
9. Casas-López M, Romero-Ibarra J, Orivio-Gallegos JS. Tratamiento de la tuberosidad anterior de la tibia por
avulsión en adolescentes. Acta Ortopédica Mexicana 2013;27(3):160-9. Disponible en:
https://www.medigraphic.com/pdfs/ortope/or-2013/or133e.pdf
10. Balmat P, Vichard P, Pem R. The treatment of avulsion fractures of the tibial tuberosity in adolescent athletes. Sports Med 1990,9(5):311-6. https://doi.org/10.2165/00007256-199009050-00005
11. Tuca M, Pineda T. Lesiones traumáticas de rodilla en niños y adolescentes. Revista Médica Clínica Las Condes
2021;32(3):319-28. https://doi.org/10.1016/j.rmclc.2021.01.009