Bilateral Tibial Tubercle Sleeve Fractures in a Skeletally Immature Patient

Desai, Rasesh; Parikh, Shital N.

doi:10.1155/2013/969405

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…Rupture in these individuals however remains low. Unlike the other case of tibial tuberosity avulsion fractures ( 1 , 3 , 6 ) in this case the MRI scan confirmed severe patellar tendinosis affecting the whole of the patellar tendon. Repetitive microtrauma may well have been a predisposing factor in this case.…”

Section: Discussioncontrasting

confidence: 43%

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Bilateral Proximal Tibial Sleeve Fractures in a Child: A Case Report

et al. 2015

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Introduction:A sleeve fracture classically describes an avulsion of cartilage or periosteum with or without osseous fragments and usually occurs at the inferior margin of the patella. Tibial tubercle sleeve fractures in the skeletally immature are extremely rare.Case Presentation:In this report the authors describe a 12-year-old boy with no systemic disease and no steroid use who sustained bilateral proximal tibial sleeve fractures whilst playing football. Both ruptures were associated with rupture of the medial patellofemoral ligament and tear of the medial retinaculum. Treatment was performed with primary end-to-end repair, reinforcement with bone anchors and cerclage wires with an excellent outcome.Conclusions:We feel this rare, currently unclassified variant of a tibial tubercle avulsion fracture should be recognised and consideration taken to adding it to existing classification systems.

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Section: Discussioncontrasting

confidence: 43%

“…A high level of clinical suspicion is essential to detect this injury. Bilateral ruptures of the extensor mechanism in preadolescence is extremely rare ( 7 - 9 ) and there is only one report of this occurring as a sleeve fracture in the literature ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Bilateral Proximal Tibial Sleeve Fractures in a Child: A Case Report

et al. 2015

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“…The quadriceps undergoes an eccentric load avulsing the patellar tendon complex. Failure of the patellar tendon is relatively uncommon among extensor mechanism injuries of the knee [ 1 , 5 ]. Zernicke et al [ 6 ] reported that a load of 17.5 times the body weight is required to rupture the human patellar tendon.…”

Section: Discussionmentioning

confidence: 99%

“…Whereas the distinguishing between patella tendon rupture and avulsion fracture was difficult in the present case because the fleck of bone was tiny and the displacement was minimal. Desai and Parikh [ 5 ] reported that a high-riding patella, palpable gap at the site of the patellar tendon, and an inability to perform active extension are important findings suggestive of patellar tendon injuries. Although physical examination is important, such examination is difficult to perform because of the swelling and pain around the knee in pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Patellar Tendon Avulsion with Tibial Tuberosity Sleeve Fragment

Isaka

Ichihara

Homma

et al. 2019

Case Reports in Orthopedics

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Rupture of the patellar tendon is relatively rare. We report a case of patellar tendon avulsion with a tibial tuberosity sleeve fragment in pediatric patient. In pediatric patient, diagnosis is sometimes difficult due to uncompleted ossification. In the present case, which involved the presence of a small fleck of bone from tibia, we were able to attain a diagnosis using the Koshino-Sugimoto index and MRI and easily determine the optimal treatment with the use of the suture anchor and tension band wiring method.

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Physeal fractures about the knee

Little

Milewski

2016

Curr Rev Musculoskelet Med

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While some fractures may be managed similarly in adults and children, physeal fractures are uniquely limited to the pediatric population and require special consideration. Although physeal fractures about the knee are relatively rare, they are occurring more frequently due to increasing youth participation in sports and high-energy recreational activities. The evaluation and management of distal femoral and proximal tibial physeal fractures are similar to one another, but fractures of the tibial spine and tibial tubercle are approached somewhat differently. A thorough understanding of the pertinent developmental anatomy is critical for correlating the clinical findings with the imaging work-up, and for anticipating the most common and the most serious complications of each fracture. Diagnosis is usually made with appropriate plain radiographs with advanced imaging often used for preoperative planning. In general, fracture pattern and degree of displacement determine the need for surgical intervention and the overall outcome. While a variety of fixation techniques or constructs may be used, because of the importance of restoring physeal and articular anatomy for avoidance of growth disturbance and degenerative joint disease, respectively, achieving anatomic, rigid fixation is of greater importance than with many other fracture locations in the growing skeleton.

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Bilateral Tibial Tubercle Sleeve Fractures in a Skeletally Immature Patient

Cited by 4 publications

References 12 publications

Bilateral Proximal Tibial Sleeve Fractures in a Child: A Case Report

Bilateral Proximal Tibial Sleeve Fractures in a Child: A Case Report

Patellar Tendon Avulsion with Tibial Tuberosity Sleeve Fragment

Physeal fractures about the knee

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