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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
- Pretell-Mazzini J et al: Outcomes and complications of tibial tubercle fractures in pediatric patients: a systematic review of the literature. J Pediatr Orthop. ePub, 2015
- 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
- Tulic G et al: Simultaneous bilateral avulsion fracture of the tibial tubercle in adolescent: a case report. J Pediatr Orthop B. 19(1):118-21, 2010
- 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
- Mosier SM et al: Acute tibial tubercle avulsion fractures. J Pediatr Orthop. 24(2):181-4, 2004
- 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
- Pretell-Mazzini J et al: Outcomes and complications of tibial tubercle fractures in pediatric patients: a systematic review of the literature. J Pediatr Orthop. ePub, 2015
- 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
- Tulic G et al: Simultaneous bilateral avulsion fracture of the tibial tubercle in adolescent: a case report. J Pediatr Orthop B. 19(1):118-21, 2010
- 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
- Mosier SM et al: Acute tibial tubercle avulsion fractures. J Pediatr Orthop. 24(2):181-4, 2004
- McKoy BE et al: Acute tibial tubercle avulsion fractures. Orthop Clin North Am. 34(3):397-403, 2003
