1,055 results match your criteria tibial avulsion


Satisfactory clinical outcomes using a novel arthroscopic technique for fixation of tibial spine avulsion fractures: technical note.

J ISAKOS 2021 Mar 12;6(2):120-123. Epub 2021 Feb 12.

Facultad de Medicina, Universidad CES, MedellÍn, Antioquia, Colombia.

This research aims to present a novel arthroscopic fixation technique that uses a double-row suture anchor for tibial spine avulsion and to evaluate its short-term clinical outcomes. The surgical technique is described and a retrospective case series is presented. Patients who presented with tibial spine avulsion type III and IV fractures according to the Meyers and McKeever classification and received the same surgical treatment from 2013 to 2018 in two specialised hospitals in Medellín City were included. Read More

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Management of Heel Pad Degloving Injury After Severe Foot Crush Injury: A Case Report Study.

Cureus 2021 Mar 30;13(3):e14191. Epub 2021 Mar 30.

Orthopaedic Department, General Hospital of Ioannina "G. Chatzikosta", Ioannina, GRC.

Crush injuries of the foot and ankle are uncommon and they have a poor prognosis leading to some form of disability. Degloving injuries of the heel and foot after crush injuries are rare and very challenging to manage due to the need for reconstruction of both osseous and soft tissue architecture. We present a salvage strategy for an open injury to the foot with extensive soft tissue detachment from the plantar and dorsal surface. Read More

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Clinical and Radiological Outcomes Following Arthroscopic Dual Tibial Tunnel Double Sutures Knot-bump Fixation Technique for Acute Displaced Posterior Cruciate Ligament Avulsion Fractures.

Arch Bone Jt Surg 2021 Jan;9(1):50-57

Department of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, India.

Background: Many fixation options (Open and arthroscopic) are described for Posterior Cruciate Ligament avulsion (PCL) fractures. In this retrospective series, we evaluated functional and radiographic outcomes following arthroscopic dual tunnel double sutures knot bump technique for acute PCL tibial end avulsion fractures.

Methods: 23 patients with acute PCL avulsion fractures who were operated between 2009 and 2016 by Arthroscopic dual tunnel double sutures technique at a minimum of two years of follow-up were included in the study. Read More

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January 2021

Fixation of anterolateral distal tibial fractures: the anterior malleolus.

Oper Orthop Traumatol 2021 Apr 22;33(2):125-138. Epub 2021 Mar 22.

University Center of Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus at TU Dresden, Fetscherstraße 74, 01307, Dresden, Germany.

Objective: The anterior tibial rim with the anterolateral tibial tubercle provides attachment to the anterior tibiofibular syndesmosis. It may be considered an anterior or "fourth" malleolus. Fixation of a displaced anterior tibial fragment in the treatment of malleolar fractures aims at providing a bone-to-bone fixation of the anterior tibiofibular ligament and restoring the integrity of the tibial incisura. Read More

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Osgood-Schlatter Disease as a Possible Cause of Tibial Tuberosity Avulsion.

Cureus 2021 Feb 10;13(2):e13256. Epub 2021 Feb 10.

Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.

Osgood-Schlatter disease (OSD) proposes that bony microtrauma of the patellar tendon insertion on the tibial tuberosity may be due to inappropriate stress with adolescent activity, and is a common pathology among pediatric patients. Lack of activity restrictions may further contribute to significant bony damage due to continued quadriceps contraction, which in some cases results in a tibial tuberosity avulsion fracture. Evaluation in the ED should include distal neurovascular status, as compartment syndrome has also been documented. Read More

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February 2021

Early Operative Versus Delayed Operative Versus Nonoperative Treatment of Pediatric and Adolescent Anterior Cruciate Ligament Injuries: A Systematic Review and Meta-analysis.

Am J Sports Med 2021 Mar 15:363546521990817. Epub 2021 Mar 15.

Investigation performed at Hospital for Special Surgery, New York, New York, USA.

Background: Treatment options for pediatric and adolescent anterior cruciate ligament (ACL) injuries include early operative, delayed operative, and nonoperative management. Currently, there is a lack of consensus regarding the optimal treatment for these injuries.

Purpose/hypothesis: The purpose was to determine the optimal treatment strategy for ACL injuries in pediatric and adolescent patients. Read More

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Simultaneous ipsilateral tibial tuberosity and patellar fractures in an adult patient.

J Clin Orthop Trauma 2021 Mar 9;14:139-141. Epub 2020 Jun 9.

Aberdeen Royal Infirmary, United Kingdom.

We present the case of a 56-year-old man who sustained a tibial tuberosity fracture with an associated patellar fracture. In the adult population there are only a few documented cases of tibial tuberosity fractures. This is only the second recorded case of bifocal patella tendon avulsion. Read More

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Simultaneous bilateral versus unilateral tibial tubercle fractures.

J Clin Orthop Trauma 2021 Feb 17;13:85-91. Epub 2020 Aug 17.

Department of Orthopedic Surgery, Texas Children's Hospital, Houston, 17580 Interstate 45 South, the Woodlands, Texas, 77384, USA.

Purpose: Tibial tubercle/tuberosity fractures are rare injuries in young patients accounting for less than one percent of physeal fractures. Bilateral simultaneous fractures are even rarer, with only a few case reports in literature. The purpose of our study was to describe the largest case series of bilateral simultaneous tibial tuberosity avulsion fractures and compare it with unilateral fractures. Read More

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February 2021

Fracture of tibial tuberosity in an adult with Paget's disease of the bone - An interesting case and review of literature.

Trauma Case Rep 2021 Apr 20;32:100440. Epub 2021 Feb 20.

Department of Trauma and Orthopaedic Surgery, Darent Valley Hospital, Darenth Wood Road, Dartford, Kent DA2 8DA, United Kingdom of Great Britain and Northern Ireland.

Introduction: Paget's disease of the bone is a non-malignant skeletal disorder characterized by focal abnormalities in bone remodelling at one or more skeletal sites. Pathological fractures occurring from trivial injuries are a well-known clinical presentation in patients with Paget's disease. An avulsion fracture of the tibial tuberosity is an infrequent injury and has an extremely low occurrence in adults, with only a few cases reported in literature. Read More

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All-Inside Anterior Cruciate Ligament Tibial Avulsion Repair.

Arthrosc Tech 2021 Feb 15;10(2):e333-e339. Epub 2021 Jan 15.

Government Medical College and Hospital, Nagpur, India.

Anterior cruciate ligament (ACL) tibial avulsion occurs predominantly in children and young adults. It is seen in association with injuries due to hyperextension usually involving movements that are similar to riding a bicycle. Bony ACL avulsion is associated with severe restriction of knee range of motion, swelling, inability to bear weight, and continuous pain. Read More

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February 2021

Suspension button constructs restore posterior knee laxity in solid tibial avulsion of the posterior cruciate ligament.

Knee Surg Sports Traumatol Arthrosc 2021 Mar 6. Epub 2021 Mar 6.

Department of Sports Orthopaedic Medicine, Klinikum Rechts Der Isar, TU Munich, Ismaninger Str. 22, 81675, München, Germany.

Purpose: Dislocated tibial avulsions of the posterior cruciate ligament (PCL) require surgical intervention. Several arthroscopic strategies are options to fix the fragment and restore posterior laxity, including two types of suspension button devices: adjustable (self-locking) and rigid knotted systems. Our hypothesis was that a rigid knotted button construct has superior biomechanical properties regarding laxity restoration compared with an adjustable system. Read More

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Knee central pivot bicruciate avulsion and proximal anterior cruciate ligament tear primary repair: A rare case report.

Trauma Case Rep 2021 Apr 9;32:100406. Epub 2021 Feb 9.

Orthopaedic and Traumatology, Ospedale di Pescia, Asl Toscana Centro, Via Cesare Battisti, 2, 51017 Pescia, Italy.

The knee is susceptible to complex injuries after trauma including fractures, multiple ligamentous lesions and avulsions due to its numerous tendinous, ligamentous and meniscal attachments. The authors describe a rare case of a 33-year-old male patient with a trauma of the right knee following a motorcycle accident, who sustained avulsion of both femoral and tibial insertion sites of anterior cruciate ligament and avulsion of tibial insertion of posterior cruciate ligament without other associated ligament lesions. The patient underwent a clinical-anamnestic and imaging evaluation to identify the lesions. Read More

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Bifocal Patellar Tendon Avulsion Fractures in Children and Adolescents: Diagnosis and Treatment Considerations for a Unique Injury Pattern.

Arthrosc Sports Med Rehabil 2021 Feb 27;3(1):e97-e103. Epub 2020 Dec 27.

Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, U.S.A.

Purpose: To highlight important diagnostic and treatment considerations in patients who present with bifocal patellar tendon avulsion fractures from the tibial tubercle and inferior patellar pole.

Methods: Radiographic presentation, surgical technique, and complications of 5 children who sustained bifocal patellar tendon avulsion fractures with ≥6 months postoperative follow-up were retrospectively reviewed. Hospital for Special Surgery (HSS) Brief Functional Activity Scale (HSS Pedi-FABS), Patient-Reported Outcomes Measurement Information System (PROMIS) pain interference, PROMIS mobility, and Pediatric International Knee Documentation Committee Scale (Pedi-IKDC) were assessed at most recent follow-up. Read More

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February 2021

Primary Anterior Cruciate Ligament Repair Using Suture Tape Augmentation: A Case Series of 29 Patients With Minimum 2-Year Follow-Up.

Arthroscopy 2021 04 10;37(4):1235-1241. Epub 2021 Feb 10.

Department of Orthopaedic Surgery, MedStarWashington Hospital Center, Washington, DC, U.S.A.

Purpose: To evaluate clinical outcomes and patient-reported outcomes of patients who underwent primary anterior cruciate ligament (ACL) repair using suture tape augmentation.

Methods: Patients with a proximal tear of the ACL who underwent primary ACL repair with a minimum 2-year follow-up were included. The exclusion criteria included multiligamentous knee injuries, midsubstance tears, tibial avulsion fractures, and distal tears. Read More

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[Fractures of the anterolateral tibial rim : The fourth malleolus].

Unfallchirurg 2021 Mar 12;124(3):212-221. Epub 2021 Feb 12.

UniversitätsCentrum für Orthopädie, Plastische und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

The anterolateral tibial rim with the anterior tibial tubercle (Tubercule de Tillaux-Chaput) serves as an insertion site of the anterior inferior tibiofibular ligament (AITFL). It can also be termed the anterior malleolus or fourth malleolus. Fractures of the anterolateral tibial rim typically result from an external rotation or abduction mechanism of the talus within the ankle mortise. Read More

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Deep learning detection of subtle fractures using staged algorithms to mimic radiologist search pattern.

Authors:
Mark Ren Paul H Yi

Skeletal Radiol 2021 Feb 12. Epub 2021 Feb 12.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, MD, Baltimore, USA.

Objective: To develop and evaluate a two-stage deep convolutional neural network system that mimics a radiologist's search pattern for detecting two small fractures: triquetral avulsion fractures and Segond fractures.

Materials And Methods: We obtained 231 lateral wrist radiographs and 173 anteroposterior knee radiographs from the Stanford MURA and LERA datasets and the public domain to train and validate a two-stage deep convolutional neural network system: (1) object detectors that crop the dorsal triquetrum or lateral tibial condyle, trained on control images, followed by (2) classifiers for triquetral and Segond fractures, trained on a 1:1 case:control split. A second set of classifiers was trained on uncropped images for comparison. Read More

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February 2021

Arcuate sign-fibular head avulsion fracture and associated injuries in the pediatric and adolescent population.

Emerg Radiol 2021 Feb 10. Epub 2021 Feb 10.

E.B. Singleton Department of Radiology, Texas Children's Hospital, 6701 Fannin Street, Suite 470, Houston, TX, 77030-2399, USA.

Purpose: To describe the first "arcuate sign" case series in the pediatric population, radiologic features of the associated injuries, management, and how they compare with the adult population.

Methods: Retrospective study included patients under 18 years of age with a classic "arcuate sign" on radiographs. Data collected included patient demographics, mechanism of injury, and management. Read More

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February 2021

Results of Arthroscopic Treatment of Acute Posterior Cruciate Ligament Avulsion Fractures With Suspensory Fixation.

Arthroscopy 2021 Feb 2. Epub 2021 Feb 2.

Department of Orthopedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou, China. Electronic address:

Purpose: This study aimed to evaluate the clinical outcomes for arthroscopic treatment for acute posterior cruciate ligament (PCL) avulsion fractures with a suspensory technique.

Methods: A total of 30 acute (<3 weeks) isolated PCL tibial avulsion fractures were fixed under arthroscopy using the Endobutton device. After arthroscopic exploration and reduction of the bony fragment, a single tibia tunnel was established; then, the titanium button was guided through the tunnel and flipped onto the bony fragment to stabilize the fracture. Read More

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February 2021

[Primary repair with bioabsorbible anchor of anterior cruciate ligament in post-traumatic tibial avulsion].

Acta Ortop Mex 2020 Jul-Aug;34(4):238-241

Servicio de Traumatología y Ortopedia, Centro Médico Naval, Secretaría de Marina-Armada de México. Ciudad de México. México.

Introduction: Anterior cruciate ligament injuries are common, however, tibial avulsions in adults are rare. The gold standard continues to be reconstruction either by allograft or autologous graft. Primary repairs in femoral side lesions have been reported in recent years by bioabsorbable anchors. Read More

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February 2021

Management and Outcome of a Complex Medial Tibial Plateau Fracture: A Case Report of a Rare Knee Varus Injury Variant.

JBJS Case Connect 2020 10 19;10(4):e19.00626. Epub 2020 Oct 19.

Department of Orthopaedics, Dr. Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India.

Case: A 26-year-old patient who had a road traffic accident sustained a complex knee injury, which resulted in a comminuted fracture of the medial tibial plateau, along with undisplaced lateral collateral ligament (LCL) avulsion that was managed surgically with rim plating, resulting in a good outcome after 1-year follow-up.

Conclusion: The authors present a rare case of a combination of axial loading and varus injury to the knee, which caused splaying of the medial tibial plateau with an undisplaced LCL avulsion, managed with single rim plating, which is a relatively new method of fixation that obviated the need for 2 separate implants, with good functional outcome. Read More

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October 2020

Bifocal Avulsion of the Patellar Tendon From the Distal Patella and Tibial Tuberosity in a Skeletally Immature Patient: A Case Report.

JBJS Case Connect 2020 11 24;10(4):e20.00065. Epub 2020 Nov 24.

Department of Traumatology, Bambino Gesu' Children Hospital of Rome, Italy.

Case: A 13-year-old boy suffered a sports injury of the right knee. The clinical examination showed swelling, inability to bear weight, and pain involving the inferior apex of the patella and the anterior tibial tuberosity. Imaging studies showed an avulsion fracture, sleeve-like, from the patella apex and avulsion of the tibial tuberosity. Read More

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November 2020

Biomechanical Comparisons of Anterior Cruciate Ligament Avulsion Fracture Fixation Using High-Strength Suture and Ultra-High Molecular Weight Polyethylene Suture Tape in a Porcine Model.

J Knee Surg 2021 Jan 22. Epub 2021 Jan 22.

Department of Orthopaedic Surgery, Jichi Medical University, Shimotsuke, Japan.

A wide variety of fixation methods have been reported to fix anterior cruciate ligament (ACL) tibial avulsion fractures, but there have been no studies into the fixation of these fractures with ultra-high molecular weight polyethylene (UHMWPE) suture tape as an alternative to conventional thread. Type III ACL tibial avulsion fractures were created in 20 skeletally immature porcine knees. All specimens were randomized into two treatment groups: (1) pullout repair using no. Read More

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January 2021

What is the impact of knee morphology on posterior cruciate ligament avulsion fracture in men and women: a case control study.

BMC Musculoskelet Disord 2021 Jan 21;22(1):100. Epub 2021 Jan 21.

Department of Orthopedics, Beijing Shunyi District Hospital, Beijing, China.

Background: Several studies on the relationship between morphological parameters and traumatic diseases of the knee have already been conducted. However, few studies focused on the association between knee morphology and posterior cruciate ligament (PCL) avulsion fracture in adults. The objective of this study was to evaluate the impact of knee morphology on PCL avulsion fracture. Read More

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January 2021

Arthroscopic Primary Repair of the Posterior Cruciate Ligament.

J Knee Surg 2021 Jan 20. Epub 2021 Jan 20.

Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, United States.

The posterior cruciate ligament (PCL) is one of the four major stabilizers of the knee joint and functions as the primary restraint to posterior tibial translation. PCL tears rarely occur in isolation and most commonly presents in the setting of multiligamentous knee injuries. Several treatment strategies for these injuries have been proposed over the last decades, including ligament reconstruction and primary repair. Read More

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January 2021

A narrow intercondylar gap favours anterior cruciate ligament (ACL) rupture in patients with an immature skeleton.

Rev Esp Cir Ortop Traumatol 2021 Jan 14. Epub 2021 Jan 14.

Clínica Alemana Santiago, Universidad del Desarrollo, Santiago, Chile.

Objective: Anatomical risk factors predisposing to anterior cruciate ligament (ACL) and/or avulsion fractures of tibial spines (AFET) have been reported in paediatric patients with controversial results. Our aim is to compare morphometric parameters in magnetic resonance imaging (MRI) of patients with immature skeleton presenting AFET or ACL rupture versus healthy controls.

Methods: Observational study of a transverse cohort where all those patients with immature skeleton presenting ACL rupture or AFET were collected consecutively. Read More

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January 2021

[Prevention and treatment of iatrogenic medial collateral ligament injuries in total knee arthroplasty].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Jan;35(1):14-19

Department of Orthopedics, the First Medical Centre of Chinese PLA General Hospital, Beijing, 100853, P.R.China.

Objective: To summarize the prevention and treatment of iatrogenic medial collateral ligament (MCL) injuries in total knee arthroplasty (TKA).

Methods: The relevant literature about iatrogenic MCL injuries in TKA was summarized, and the symptoms, causes, preventions, and treatments were analyzed.

Results: Preventions on the iatrogenic MCL injuries in TKA is significantly promoted. Read More

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January 2021

An Unusual Proximal Tibia Physis Injury in an Adolescent.

Cureus 2020 Dec 13;12(12):e12052. Epub 2020 Dec 13.

Trauma and Orthopaedics, Royal United Hospital, Bath, GBR.

Tibial tuberosity fractures are uncommon but are usually seen in adolescents approaching skeletal maturity. Typically this fracture results from an avulsion of the tibial tuberosity as the powerful quadriceps overcome skeletal strength in passive flexion. We present the case of a 17-year-old female who presented with severe pain in her left knee sustained after stepping off a curb. Read More

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December 2020

Preliminary clinical outcomes of the double-row anchor suture-bridge technique for the fixation of tibial intercondylar eminence fractures in adults: a 12-months minimal follow-up.

BMC Musculoskelet Disord 2021 Jan 13;22(1):74. Epub 2021 Jan 13.

Department of Orthopaedic Surgery, The Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China.

Background: Tibial intercondylar eminence avulsion fractures occur primarily in adolescents and young adults. However, the incidence of such fractures is increasing in adults, concurrent with an increase in sports injuries and traffic accidents. This study describes the fixation-based double-row anchor suture-bridge technique, a novel technique for treating tibial intercondylar eminence fractures in adults; and evaluates its preliminary clinical outcomes. Read More

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January 2021

Type IIIB Tibial Tubercle Avulsion Fracture: A Case Report.

J Long Term Eff Med Implants 2020 ;30(2):119-123

First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece.

Tibial tubercle avulsion fractures are uncommon injuries that are seen mostly in adolescent male patients during athletic activities. The mechanism of injury usually involves a strong eccentric contraction of the quadriceps femoris muscle when the proximal tibial physis is closing, leading to failure of the physis at the patellar tendon insertion. The treatment of patients with tibial tubercle avulsion fractures depends on the fracture pattern; it can be conservative with immobilization in a long leg cast in extension for 6 weeks with minimal displacement (< 2 mm) and/or acceptable displacement after closed reduction/cast application. Read More

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January 2020

Surgical treatment of posterior cruciate ligament tibial avulsion fractures using a locking compression hook plate: A case series.

Acta Orthop Traumatol Turc 2020 Nov;54(6):623-626

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, China.

Objective: This study aimed to evaluate the results of surgical treatment of tibial avulsion injuries of the posterior cruciate ligament (PCL) with a 3.5-mm locking compression hook plate (LCHP).

Methods: From June 2012 to June 2015, 16 consecutive patients (10 males and 6 females, mean age: 38 (range: 19-57) years) presented with isolated tibial avulsion injuries of the PCL. Read More

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November 2020