“…9) or an elongation of the pars interarticularis of L5, all of which are fostered by bone fragility and/or hyperlordosis [13, 14]. Apophyseal avulsion fractures are less common; they are often displaced and sometimes bilateral [15, 16]. They classically involve the olecranon or the tibial tubercle, and usually require internal fixation [15, 16].…”
Section: Radiographic Findings In Oimentioning
confidence: 99%
“…Apophyseal avulsion fractures are less common; they are often displaced and sometimes bilateral [15, 16]. They classically involve the olecranon or the tibial tubercle, and usually require internal fixation [15, 16]. Fig.…”
BackgroundOsteogenesis imperfecta (OI), commonly called “brittle bone disease”, is a genetic disorder characterised by increased bone fragility and decreased bone density due to quantitative and/or qualitative abnormalities of type I collagen. Different types of OI exist, from mild to severe; they may lead to death, multiple bone fractures, skeletal deformity and short stature.MethodsSevere cases are usually diagnosed before birth and may incite the parents to choose therapeutic abortion, whereas milder cases are much more difficult to diagnose and may be sometimes confused with non-accidental injury (NAI) (“child abuse”) in young children. Whatever the degree of severity, conventional radiography still remains the mainstay in diagnosing OI.ResultsThe prognosis of this disorder has changed in the last few years thanks to biphosphonate therapy.ConclusionThe aim of this pictorial review is to illustrate the radiographic manifestations of OI, including in children receiving biphosphonates, and to outline specific patterns that help differentiate OI from NAI when necessary.Key Points• The main radiographic features of OI are osteopenia, bone fractures and bone deformities.• Some radiographic features depend on the type of OI or may be encountered with biphosphonates.
“…9) or an elongation of the pars interarticularis of L5, all of which are fostered by bone fragility and/or hyperlordosis [13, 14]. Apophyseal avulsion fractures are less common; they are often displaced and sometimes bilateral [15, 16]. They classically involve the olecranon or the tibial tubercle, and usually require internal fixation [15, 16].…”
Section: Radiographic Findings In Oimentioning
confidence: 99%
“…Apophyseal avulsion fractures are less common; they are often displaced and sometimes bilateral [15, 16]. They classically involve the olecranon or the tibial tubercle, and usually require internal fixation [15, 16]. Fig.…”
BackgroundOsteogenesis imperfecta (OI), commonly called “brittle bone disease”, is a genetic disorder characterised by increased bone fragility and decreased bone density due to quantitative and/or qualitative abnormalities of type I collagen. Different types of OI exist, from mild to severe; they may lead to death, multiple bone fractures, skeletal deformity and short stature.MethodsSevere cases are usually diagnosed before birth and may incite the parents to choose therapeutic abortion, whereas milder cases are much more difficult to diagnose and may be sometimes confused with non-accidental injury (NAI) (“child abuse”) in young children. Whatever the degree of severity, conventional radiography still remains the mainstay in diagnosing OI.ResultsThe prognosis of this disorder has changed in the last few years thanks to biphosphonate therapy.ConclusionThe aim of this pictorial review is to illustrate the radiographic manifestations of OI, including in children receiving biphosphonates, and to outline specific patterns that help differentiate OI from NAI when necessary.Key Points• The main radiographic features of OI are osteopenia, bone fractures and bone deformities.• Some radiographic features depend on the type of OI or may be encountered with biphosphonates.
“…The fracture of the tibial tuberosity in adults is usually due to a complication of anterior cruciate ligament reconstruction with autologous patellar tendon graft 13. There are reports of osteogenesis imperfecta as a predisposing factor for this lesion in children 14. Extensor knee mechanism injuries are associated to systemic disorders such as chronic steroid use, chronic renal failure, arthritis and lupus erythematosus 15.…”
SUMMARYThe fracture of tibial tuberosity is a rare lesion and still more unusual in adults. We describe a case in an adult who suffered a left knee injury due to a fall from height. No risk factors were identified. The lesion was treated with surgical reduction and internal fixation. The rehabilitation method was successful, resulting in excellent function and rage of motion of the knee. The aim of this study was to present an unusual case of direct trauma of the tibial tuberosity in an adult and the therapy performed.
BACKGROUND
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