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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KEY FACTS
Terminology
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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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