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2015, Number 6

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Rev Fac Med UNAM 2015; 58 (6)

Tibial tubercle avulsion: a case report and literature review

Orihuela FVA, Fernández PLJ, Peláez DP
Full text How to cite this article

Language: Spanish
References: 13
Page: 18-23
PDF size: 388.73 Kb.


Key words:

Tibial tubercle, avulsion, tibial fracture, tibial proximal epiphysis.

ABSTRACT

Tibial tubercle avulsion is an uncommon disease, usually found during childhood, with direct physis affection, that needs an accurate diagnosis and an optimum treatment in order to avoid growth complications which could have disastrous consequences for the child. Open reduction and internal fixation has been reported as an adequate treatment in most of these injuries; nevertheless, surgery increases the risk upon the injury itself. With an appropriate treatment and rehabilitation this injury tends to have a satisfactory evolution. Considering the low incidence of this pathology, a case report of a 13-year-old boy with a Watson-Jones type III avulsion, a diagnostic-therapeutic approach and the successful evolution for a two-years follow up is described, as well as a literature review.


REFERENCES

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  2. Mosier S, Stanitski C, Levine R. Simultaneous bilateral tibial tubercle avulsion fracture-case report. Orthopedics. 2000;23(10):1106-8.

  3. Abalo A, Akakpo-numado KG, Dossim A, et al. Avulsion fractures of the tibial tubercle. J Orthop Sur. 2008; 16(3):308-11.

  4. Pesl T, Havranek P. Acute tibial tubercle avulsion fractures in children: selective use of the closed reduction and internal fixation method. J Child Orthop. 2008;(2): 353-6.

  5. Makram Z, Heidi A, Taoufi k A, et al. Acute tibial tubercle avulsión fractures in the sporting adolescent. Ach Orthop Trauma Surg. 2008;128:1437-42.

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  8. Tachdjian O. Ortopedia Pediátrica. Fracturas que abarcan la fisis tibia proximal y la apófisis del tubérculo tibial y fracturas avulsión de la apófisis del tubérculo tibial. Vol. IV, 2ª ed. Editorial Interamericana-McGraw-Hill; 1994. pp. 3539-40.

  9. Jalgaonkar AA, Dachepalli S, Al-Wattar Z. Atypical tibial tuberosity fracture in an adolescent. Sports Medicine. 2011;34:e215-e8.

  10. Casas L, Romero I, Orivio G. Tratamiento de la tuberosidad anterior de la tibia por avulsión en adolescentes. Acta Ortopédica Mexicana. 2013;27(3):160-9.

  11. James HB, James RK. Rockwood and Wilkin´s. Fracturas en el niño. Avulsión de la tuberosidad anterior de la tibia. 5a ed. Editorial Marbán; 2003. pp. 1019-26.

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  13. Christie MJ, Dvonch VM. Tibial tuberosity avulsion fracture in adolescents. J Pediatr Orthop. 1:391-4.




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Rev Fac Med UNAM . 2015;58