Tibial Tuberosity Fractures in Adolescents

• DOI: 10.1097/bpo.0b013e318263a370
• Publication Date: 2013-01-10T20:46:46Z
• Authors: Jennifer M. Brey; Jack Conoley; S. Terry Canale; James H. Beaty; William C. Warner; Derek M. Kelly; Jeffrey R. Sawyer
• Keywords: Avulsion fracture

Tibial tuberosity fractures have been described as uncommon injuries, but their frequency appears to be increasing. Because of the relatively few cases reported in literature, little is known regarding risk factors for complications. In a large group adolescents with tibial fractures, we noted more frequent complications patients who had posterior metaphyseal addition avulsion fractures. The purpose this study was examine outcomes associated fracture pattern and compare them without component.All closed or open reduction internal fixation between January 2003 December 2010 were identified. All radiographs medical records reviewed.Fifty-three available review; 15 (28%) component identified by either radiograph computed tomography scan. Four these combined injuries an adverse event: 1 patient compartment syndrome affecting all 4 compartments 3 refractures after casting. None 38 complete healing returned full activity at last follow-up.In study, marker potential If suggest that line extends through metaphysis, imaging recommended confirm pattern. Open includes both anterior fragments components, including nondisplaced because increased refracture.Level IV (case study).