The difficult diagnosis of cartilaginous tibial eminence fractures in young children

Chotel, Franck; Seil, Romain; Greiner, Philippe; Chaker, M; Bérard, J; Raux, Sébastien

doi:10.1007/s00167-013-2518-8

Cited by 33 publications

(16 citation statements)

References 24 publications

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“…23 This allows for evaluation of any concurrent pathology that may require surgical intervention prior to deciding on closed management. Younger patients with a purely cartilaginous avulsion injury that may not be adequately visualized on CT can also benefit from MRI evaluation, 25 although these fractures are difficult to identify and can be missed. 26…”

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confidence: 99%

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

et al. 2018

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Fractures of the tibial spine are estimated to occur in 3 per 100,000 children annually, but account for 2 to 5% of pediatric knee injuries with effusion. Although these fractures were historically associated with bicycle accidents, the surge of organized youth sports in recent decades has brought renewed attention to this injury. While minimally displaced fractures can be treated nonoperatively, several techniques have been described for fixation of displaced or comminuted fractures. Sequelae of this injury can include arthrofibrosis, knee instability, and nonunion. Future collaborative endeavors will aim to further identify risk factors for these complications to optimize the treatment of tibial spine fractures in children.

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confidence: 99%

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

et al. 2018

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“…It is traditionally taught to think about bony tibial avulsion of ACL (old “tibial spine”) or bony femoral avulsion of PCL in immature skeletal patient and midsubstance tear after closing growth plate. A new entity has been clearly identified under 9 years of age concerning purely cartilaginous ACL avulsion [ 1 , 7 ]. Specific MRI signs and management have been precise [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…A new entity has been clearly identified under 9 years of age concerning purely cartilaginous ACL avulsion [ 1 , 7 ]. Specific MRI signs and management have been precise [ 1 ]. The present study and literature analysis add major data about the “symmetric” entity on the PCL side in a similar context.…”

Section: Discussionmentioning

confidence: 99%

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Misdiagnosed cartilaginous PCL avulsion in young children

Pacull

Bourbotte-Salmon

Buffe-Lidove

et al. 2021

SICOT-J

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Posterior Cruciate Ligaments injuries are rare in children and usually due to bony avulsion fractures or midsubstance tears. This study focused on cartilaginous avulsions initially misdiagnosed despite of MRI assessment. Two 6-year-old boys had cartilaginous avulsion fracture injury at the femoral attachment of the PCL. One had associated medial meniscal lesion and was reinserted. The other conducted to non-union. MRI second lecture reveals an original description with nail-biting sign on cartilage surface of anterior notch, and a close PCL angle without anterior tibial translation. No bone bruise was associated. Similarly, to ACL cartilaginous tibial avulsions, PCL cartilaginous femoral avulsions are underdiagnosed. When knee hemarthrosis occurs under the age of nine, clinician and radiologist should be aware that cartilaginous avulsion of ACL and PCL also could be the main pattern of lesion.

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“…Paediatric ligamentous ACL injuries do rarely occur before the age of 8 or 9 years (Chotel et al 2013 ). Therefore, a critical point to perform ACL reconstructions in growing sheep is the fact that surgery should be performed at a moment corresponding to the age where ligamentous ACL injuries in children appear to be the most frequent and problematic.…”

Section: Reviewmentioning

confidence: 99%

Large animal models in experimental knee sports surgery: focus on clinical translation

et al. 2015

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Large animal models play a crucial role in sports surgery of the knee, as they are critical for the exploration of new experimental strategies and the clinical translation of novel techniques. The purpose of this contribution is to provide critical aspects of relevant animal models in this field, with a focus on paediatric anterior cruciate ligament (ACL) reconstruction, high tibial osteotomy, and articular cartilage repair. Although there is no single large animal model strictly replicating the human knee joint, the sheep stifle joint shares strong similarities. Studies in large animal models of paediatric ACL reconstruction identified specific risk factors associated with the different surgical techniques. The sheep model of high tibial osteotomy is a powerful new tool to advance the understanding of the effect of axial alignment on the lower extremity on specific issues of the knee joint. Large animal models of both focal chondral and osteochondral defects and of osteoarthritis have brought new findings about the mechanisms of cartilage repair and treatment options. The clinical application of a magnetic device for targeted cell delivery serves as a suitable example of how data from such animal models are directly translated into in clinical cartilage repair. As novel insights from studies in these translational models will advance the basic science, close cooperation in this important field of clinical translation will improve current reconstructive surgical options and open novel avenues for regenerative therapies of musculoskeletal disorders.

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The difficult diagnosis of cartilaginous tibial eminence fractures in young children

Cited by 33 publications

References 24 publications

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

Misdiagnosed cartilaginous PCL avulsion in young children

Large animal models in experimental knee sports surgery: focus on clinical translation

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