The Anatomy of Tibial Eminence Fractures

Meniscal injuries in children and adolescents undergoing surgical treatment for tibial eminence fractures

“…The second most common tear pattern in the present study was a root detachment of the anterior horn of the lateral meniscus. This coincidence has been reported by other authors before [1, 23, 26]: Lowe et al [23] analyzed twelve patients who underwent arthroscopic surgery because of failed manipulative reduction of a type III TEF. In all cases, the anterior root of the lateral meniscus was avulsed from its tibial attachment and displaced together with the osseous fragment into the intercondylar notch [23].…”

“…This coincidence has been reported by other authors before [1, 23, 26]: Lowe et al [23] analyzed twelve patients who underwent arthroscopic surgery because of failed manipulative reduction of a type III TEF. In all cases, the anterior root of the lateral meniscus was avulsed from its tibial attachment and displaced together with the osseous fragment into the intercondylar notch [23]. Jang et al [18] observed accompanying detachment oft the anterolateral root in 6 out of 11 patients who underwent arthroscopic surgery for type III and IV fractures.…”

Cartilaginous tibial eminence fractures in children: which recommendations for management of this new entity?

“…If this treatment is initiated, a new MRI with the knee immobilized in the cast is recommended in order to assess the quality of closed fragment reduction and the absence of soft tissue interposition. As reported for osseous tibial eminence fracture [22], insertion of the anterior horn of the lateral meniscus on the avulsed fragment is a very consistent feature in CTEF (4 cases in this series). In 2 cases, it led to a confusing diagnosis of discoid lateral meniscus due to the posterior displacement of the anterior part of the meniscus.…”

A comparative study of two methods for treating type III tibial eminence avulsion fracture in adults

“…Additionally, the location of the cable through the ACL is critical. If the position is too posterior, it is difficult for bone reduction to occur while maintaining an anterior tilt; if the position of the cable is too close to the front, it is easy to cut ligament tissue, resulting in reduction failure [16]. Experience involves dividing the ACL into two parts in the sagittal plane.…”