Abstract
Avulsion fractures of the tibial tubercle are uncommon. Bilateral tibial tubercle avulsion fractures are extremely rare. In this article, we describe Watson-Jones type III simultaneous bilateral tibial tubercle avulsion fractures in a 17-year-old boy who fell on the ground while taking off in high jump in sport. An open anatomic reduction and internal fixation was performed. We report here on the successful surgical treatment of a simultaneous bilateral fracture of the tibial tuberosity in an adolescent. These types of fractures involve a growth plate, extend through the articular surface and appear to do well with open reduction and secure internal fixation despite their bilateral nature, with recovery and functional outcome comparable to results from unilateral tibial tubercle avulsion fractures.
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Bolesta MJ, Fitch RD (1986) Tibial tubercle avulsions. J Pediatr Orthop 6:186–192
Christie MJ, Dvonch V M (1981) Tibial tuberosity avulsion fracture in adolescents. J Pediatr Orthop 1:391–394
Chow SP, Lam JJ, Leong JCY (1990) Fracture of the tibial tubercle in the adolescent. J Bone Joint Surg Br 72:231–234
Henard DC, Bobo RT (1983) Avulsion fractures of the tibial tubercle in adolescents: a report of bilateral fractures and a review of the literature. Clin Orthop 177:182–187
Maar DC, Kernek CB, Pierce RO (1988) Simultaneous bilateral tibial tubercle avulsion fracture. Orthopedics 11:1599–1601
Mirly HL, Olix ML (1996) Bilateral simultaneous avulsion fractures of the tibial tubercle. Orthopedics 19(1):66–68
Mosier S, Stanitski C, Levine R (2000) Simultaneous bilateral tibial tubercle avulsion fracture—case report. Orthopedics 23(10):1106–1108
Ogden JA, Tross RB, Murphy MJ (1980) Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg Am 62:205–215
Ryu RK, Debenham JO (1985) An unusual avulsion fracture of the proximal tibial epiphysis. Case report and proposed addition to the Watson-Jones classification. Clin Orthop 194:181–184
Watson-Jones R (1976) Fractures and joint injuries, vol 2, 25th edn. Williams & Wilkins, Baltimore, pp 1048–1050
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Georgiou, G., Dimitrakopoulou, A., Siapkara, A. 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, 147–149 (2007). https://doi.org/10.1007/s00167-006-0164-0
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DOI: https://doi.org/10.1007/s00167-006-0164-0