• Arch Orthop Trauma Surg · Dec 2008

    Acute tibial tubercle avulsion fractures in the sporting adolescent.

    • Makram Zrig, Hedi Annabi, Taoufik Ammari, Mohsen Trabelsi, Mondher Mbarek, and Habib Ben Hassine.
    • Department of Orthopaedic and Traumatic Surgery, Aziza Othmana Hospital, Tunis, Tunisia. zrigmak@yahoo.fr
    • Arch Orthop Trauma Surg. 2008 Dec 1; 128 (12): 1437-42.

    IntroductionThe authors report 7 cases of acute tibial tubercle avulsion fractures. The fracture occurred in 6 out of the 7, after an abrupt tension of the patellar tendon in male sporting adolescents (age 13-17 years). Two patients presented symptoms of homolateral Osgood-Schlatter's disease before the lesion.MethodAccording to Ogden's classification, the tibial tubercle avulsion fracture was not displaced in 3 cases (stage IA) and was treated conservatively by immobilization for 6 weeks. In 4 cases, the fracture was displaced and necessitated an internal fixation with plaster for about 6 weeks. A torn patellar tendon was noted in one adolescent having a stage IIIB avulsion fracture.ResultThe mean follow-up was of 4.5 years (1.5-7.5 years). The results were satisfactory: complete functional recovery, resumption of sport at the previous level and absence of recurvatum.

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