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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
- Tibial tuberosity fracture
Definitions
- Tibial tubercle ossification center is site of distal patellar tendon attachment
- During adolescence, substantial traction force may acutely avulse this ossification center from its underlying physis with varying degrees of physeal & bony extension into proximal tibia
IMAGING
General Features
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
- Haber DB et al: Tibial tubercle fractures in children and adolescents: a large retrospective case series. J Pediatr Orthop B. 30(1):13-8, 2021
- Cole WW 3rd et al: Epidemiology, diagnosis, and management of tibial tubercle avulsion fractures in adolescents. JBJS Rev. 8(4):e0186, 2020
- Formiconi F et al: Outcomes of surgical treatment of the tibial tuberosity fractures in skeletally immature patients: an update. Eur J Orthop Surg Traumatol. 30(5):789-98, 2020
- Franz P et al: Tibial tubercle avulsion fractures in children. Curr Opin Pediatr. 32(1):86-92, 2020
- Riccio AI et al: Functional outcomes following operative treatment of tibial tubercle fractures. J Pediatr Orthop. 39(2):e108-13, 2019
- Yue I et al: Bilateral tibial tubercle avulsion fractures: a pediatric orthopedic injury at high risk for compartment syndrome. Am J Emerg Med. 37(8):1603.e3-1603.e5, 2019
- Yousef MAA: Combined avulsion fracture of the tibial tubercle and patellar tendon rupture in pediatric population: case series and review of literature. Eur J Orthop Surg Traumatol. 28(2):317-23, 2018
- Pretell-Mazzini J et al: Outcomes and complications of tibial tubercle fractures in pediatric patients: a systematic review of the literature. J Pediatr Orthop. 36(5):440-6, 2016
- Merrow AC et al: Avulsion fractures of the pediatric knee. Pediatr Radiol. 44(11):1436-45; quiz 1433-6, 2014
- Jakoi A et al: Tibial tubercle avulsion fractures in adolescent basketball players. Orthopedics. 35(8):692-6, 2012
- Dupuis CS et al: Injuries and conditions of the extensor mechanism of the pediatric knee. Radiographics. 29(3):877-86, 2009
- Zrig M et al: Acute tibial tubercle avulsion fractures in the sporting adolescent. Arch Orthop Trauma Surg. 128(12):1437-42, 2008
- Georgiou G et al: Simultaneous bilateral tibial tubercle avulsion fracture in an adolescent: a case report and review of the literature. Knee Surg Sports Traumatol Arthrosc. 15(2):147-9, 2007
- Slobogean GP et al: Osteogenesis imperfecta presenting as simultaneous bilateral tibial tubercle avulsion fractures in a child. J Pediatr Orthop. 25(3):411; author reply 411, 2005
- McKoy BE et al: Acute tibial tubercle avulsion fractures. Orthop Clin North Am. 34(3):397-403, 2003
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
- Tibial tuberosity fracture
Definitions
- Tibial tubercle ossification center is site of distal patellar tendon attachment
- During adolescence, substantial traction force may acutely avulse this ossification center from its underlying physis with varying degrees of physeal & bony extension into proximal tibia
IMAGING
General Features
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
- Haber DB et al: Tibial tubercle fractures in children and adolescents: a large retrospective case series. J Pediatr Orthop B. 30(1):13-8, 2021
- Cole WW 3rd et al: Epidemiology, diagnosis, and management of tibial tubercle avulsion fractures in adolescents. JBJS Rev. 8(4):e0186, 2020
- Formiconi F et al: Outcomes of surgical treatment of the tibial tuberosity fractures in skeletally immature patients: an update. Eur J Orthop Surg Traumatol. 30(5):789-98, 2020
- Franz P et al: Tibial tubercle avulsion fractures in children. Curr Opin Pediatr. 32(1):86-92, 2020
- Riccio AI et al: Functional outcomes following operative treatment of tibial tubercle fractures. J Pediatr Orthop. 39(2):e108-13, 2019
- Yue I et al: Bilateral tibial tubercle avulsion fractures: a pediatric orthopedic injury at high risk for compartment syndrome. Am J Emerg Med. 37(8):1603.e3-1603.e5, 2019
- Yousef MAA: Combined avulsion fracture of the tibial tubercle and patellar tendon rupture in pediatric population: case series and review of literature. Eur J Orthop Surg Traumatol. 28(2):317-23, 2018
- Pretell-Mazzini J et al: Outcomes and complications of tibial tubercle fractures in pediatric patients: a systematic review of the literature. J Pediatr Orthop. 36(5):440-6, 2016
- Merrow AC et al: Avulsion fractures of the pediatric knee. Pediatr Radiol. 44(11):1436-45; quiz 1433-6, 2014
- Jakoi A et al: Tibial tubercle avulsion fractures in adolescent basketball players. Orthopedics. 35(8):692-6, 2012
- Dupuis CS et al: Injuries and conditions of the extensor mechanism of the pediatric knee. Radiographics. 29(3):877-86, 2009
- Zrig M et al: Acute tibial tubercle avulsion fractures in the sporting adolescent. Arch Orthop Trauma Surg. 128(12):1437-42, 2008
- Georgiou G et al: Simultaneous bilateral tibial tubercle avulsion fracture in an adolescent: a case report and review of the literature. Knee Surg Sports Traumatol Arthrosc. 15(2):147-9, 2007
- Slobogean GP et al: Osteogenesis imperfecta presenting as simultaneous bilateral tibial tubercle avulsion fractures in a child. J Pediatr Orthop. 25(3):411; author reply 411, 2005
- McKoy BE et al: Acute tibial tubercle avulsion fractures. Orthop Clin North Am. 34(3):397-403, 2003
