Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review

Teik Chiang Goh; AR Abdul Halim

doi:doi:10.11648/j.ejcbs.20180406.12

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Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review

Teik Chiang Goh, AR Abdul Halim

Published in European Journal of Clinical and Biomedical Sciences (Volume 4, Issue 6)

Received: 18 December 2018 Accepted: 29 December 2018 Published: 25 January 2019

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Abstract

Bilateral tibial tuberosity avulsion fractures are rare and occur mainly in adolescent males during vigorous quadriceps contraction especially during aggressive contact sports activities. So far, only ten simultaneous bilateral tibial tuberosity fractures have been reported. We report the case of a 14-year-old male who avulsed both tibial tuberosities when he landed on his knee after a fall while playing football. Diagnostic imaging demonstrated Ogden Type IIA fractures. He underwent bilateral open reduction and screw ﬁxation the next day. Closed reduction and percutaneous ﬁxation has been proposed by some literatures, however the intraoperative ﬁndings in this patient have prevented anatomical reduction of the fracture sites because of a ﬂap of periosteum impinged in both fracture gaps. Therefore, purpose of this case report is to display it rarity and which had successfully treated differently from the previously reported cases.

Published in	European Journal of Clinical and Biomedical Sciences (Volume 4, Issue 6)
DOI	10.11648/j.ejcbs.20180406.12
Page(s)	73-75
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Tibial Tuberosity Avulsion Fracture, Open Reduction, Cannulated Cancellous Screw

References

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[2]	Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg (Am) 1980;62:205–15.
[3]	Nikifordis PA, Babis GC, Triantaﬁllopoulos IK, Themistocleous GS, NikolopoulosK. Avulsion fracture of the tibial tuberosity in adolescent athletes treated by internal ﬁxation and tension band wiring. Knee Surg Sports Traumatol Arthrosc 2004;12:217–76.
[4]	Stevens MA, El-Khoury GY, Kathol MH, Brandser EA, Chow S. Imaging features of avulsion injuries. Radiographics 1999;19:655–72.
[5]	Bolesta MJ, Fitch RD. Tibial tubercle avulsions. J Pediatr Orthop 1986;6:186–92.
[6]	Hand WL, Hand CR, Dunn AW. Avulsion fractures of the tibial tubercle. J Bone Joint Surg (Am) 1971;53:1579–83.
[7]	Ergun M, Taskiran E, Ozgurbuz C. Simultaneous bilateral tibial tubercle avulsion fracture in a basketball player. Knee Surg Sports Traumatol Arthrosc 2003;11:163–6.
[8]	Steven Frey, Harish Hosalkar, Danielle B. Cameron et al. Tibial tuberosity fractures in adolescents. J Child Orthop (2008) 2:469–474.
[9]	Watson- Jones R. Fractures and joint injuries. 4th ed. Baltimore: Williams & Wilkins; 1955.
[10]	Ogden JA, Southwick WO. Osgood-Schlatter's disease and tibial tuberosity development. Clin Orthop Relat Res. 1976;(116):180-9.
[11]	Ryu RK, Debenham JO. An unusual avulsion fracture of the proximal tibial epiphysis. Case report and proposed addition to the Watson- Jones classification. Clin Orthop Relat Res. 1985;194:181-4.
[12]	Frankl U, Wasilewski SA, Healy WL. Avulsion fracture of the tibial tubercle with avulsion of the patellar ligament. Report of two cases. J Bone Joint Surg Am. 1990;72(9):1411-3.
[13]	McKoy BE, Stanitski CL. Acute tibial tubercle avulsion fractures. Orthop Clin North Am. 2003;34(3):397-403.
[14]	Curtis JF. Type IV tibial tubercle fracture revisited: a case report. Clin Orthop Relat Res. 2001;389:191-5.

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APA Style

Teik Chiang Goh, AR Abdul Halim. (2019). Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. European Journal of Clinical and Biomedical Sciences, 4(6), 73-75. https://doi.org/10.11648/j.ejcbs.20180406.12

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ACS Style

Teik Chiang Goh; AR Abdul Halim. Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. Eur. J. Clin. Biomed. Sci. 2019, 4(6), 73-75. doi: 10.11648/j.ejcbs.20180406.12

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AMA Style

Teik Chiang Goh, AR Abdul Halim. Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. Eur J Clin Biomed Sci. 2019;4(6):73-75. doi: 10.11648/j.ejcbs.20180406.12

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@article{10.11648/j.ejcbs.20180406.12,
  author = {Teik Chiang Goh and AR Abdul Halim},
  title = {Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {4},
  number = {6},
  pages = {73-75},
  doi = {10.11648/j.ejcbs.20180406.12},
  url = {https://doi.org/10.11648/j.ejcbs.20180406.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20180406.12},
  abstract = {Bilateral tibial tuberosity avulsion fractures are rare and occur mainly in adolescent males during vigorous quadriceps contraction especially during aggressive contact sports activities. So far, only ten simultaneous bilateral tibial tuberosity fractures have been reported. We report the case of a 14-year-old male who avulsed both tibial tuberosities when he landed on his knee after a fall while playing football. Diagnostic imaging demonstrated Ogden Type IIA fractures. He underwent bilateral open reduction and screw ﬁxation the next day. Closed reduction and percutaneous ﬁxation has been proposed by some literatures, however the intraoperative ﬁndings in this patient have prevented anatomical reduction of the fracture sites because of a ﬂap of periosteum impinged in both fracture gaps. Therefore, purpose of this case report is to display it rarity and which had successfully treated differently from the previously reported cases.},
 year = {2019}
}

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TY  - JOUR
T1  - Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review
AU  - Teik Chiang Goh
AU  - AR Abdul Halim
Y1  - 2019/01/25
PY  - 2019
N1  - https://doi.org/10.11648/j.ejcbs.20180406.12
DO  - 10.11648/j.ejcbs.20180406.12
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 73
EP  - 75
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20180406.12
AB  - Bilateral tibial tuberosity avulsion fractures are rare and occur mainly in adolescent males during vigorous quadriceps contraction especially during aggressive contact sports activities. So far, only ten simultaneous bilateral tibial tuberosity fractures have been reported. We report the case of a 14-year-old male who avulsed both tibial tuberosities when he landed on his knee after a fall while playing football. Diagnostic imaging demonstrated Ogden Type IIA fractures. He underwent bilateral open reduction and screw ﬁxation the next day. Closed reduction and percutaneous ﬁxation has been proposed by some literatures, however the intraoperative ﬁndings in this patient have prevented anatomical reduction of the fracture sites because of a ﬂap of periosteum impinged in both fracture gaps. Therefore, purpose of this case report is to display it rarity and which had successfully treated differently from the previously reported cases.
VL  - 4
IS  - 6
ER  -

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Author Information

Teik Chiang Goh

Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia
AR Abdul Halim

Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Malaysia

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Plain Text BibTeX RIS

APA Style

Teik Chiang Goh, AR Abdul Halim. (2019). Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. European Journal of Clinical and Biomedical Sciences, 4(6), 73-75. https://doi.org/10.11648/j.ejcbs.20180406.12

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ACS Style

Teik Chiang Goh; AR Abdul Halim. Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. Eur. J. Clin. Biomed. Sci. 2019, 4(6), 73-75. doi: 10.11648/j.ejcbs.20180406.12

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AMA Style

Teik Chiang Goh, AR Abdul Halim. Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review. Eur J Clin Biomed Sci. 2019;4(6):73-75. doi: 10.11648/j.ejcbs.20180406.12

Copy | Download

@article{10.11648/j.ejcbs.20180406.12,
  author = {Teik Chiang Goh and AR Abdul Halim},
  title = {Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {4},
  number = {6},
  pages = {73-75},
  doi = {10.11648/j.ejcbs.20180406.12},
  url = {https://doi.org/10.11648/j.ejcbs.20180406.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20180406.12},
  abstract = {Bilateral tibial tuberosity avulsion fractures are rare and occur mainly in adolescent males during vigorous quadriceps contraction especially during aggressive contact sports activities. So far, only ten simultaneous bilateral tibial tuberosity fractures have been reported. We report the case of a 14-year-old male who avulsed both tibial tuberosities when he landed on his knee after a fall while playing football. Diagnostic imaging demonstrated Ogden Type IIA fractures. He underwent bilateral open reduction and screw ﬁxation the next day. Closed reduction and percutaneous ﬁxation has been proposed by some literatures, however the intraoperative ﬁndings in this patient have prevented anatomical reduction of the fracture sites because of a ﬂap of periosteum impinged in both fracture gaps. Therefore, purpose of this case report is to display it rarity and which had successfully treated differently from the previously reported cases.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Avulsion Fractures of the Bilateral Tibial Tuberosity in an Adolescent: A Case Report and Literatures Review
AU  - Teik Chiang Goh
AU  - AR Abdul Halim
Y1  - 2019/01/25
PY  - 2019
N1  - https://doi.org/10.11648/j.ejcbs.20180406.12
DO  - 10.11648/j.ejcbs.20180406.12
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 73
EP  - 75
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20180406.12
AB  - Bilateral tibial tuberosity avulsion fractures are rare and occur mainly in adolescent males during vigorous quadriceps contraction especially during aggressive contact sports activities. So far, only ten simultaneous bilateral tibial tuberosity fractures have been reported. We report the case of a 14-year-old male who avulsed both tibial tuberosities when he landed on his knee after a fall while playing football. Diagnostic imaging demonstrated Ogden Type IIA fractures. He underwent bilateral open reduction and screw ﬁxation the next day. Closed reduction and percutaneous ﬁxation has been proposed by some literatures, however the intraoperative ﬁndings in this patient have prevented anatomical reduction of the fracture sites because of a ﬂap of periosteum impinged in both fracture gaps. Therefore, purpose of this case report is to display it rarity and which had successfully treated differently from the previously reported cases.
VL  - 4
IS  - 6
ER  -

Copy | Download