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Tibial spine avulsion

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https://www.readbyqxmd.com/read/27703945/arthroscopic-fixation-of-tibial-spine-avulsion-fracture-in-open-physis
#1
Varun Chouhan
INTRODUCTION: Arthroscopic fixation of tibial spine fracture in patients with open physis without damaging the growth plate is very important. We have described a very simple and effective technique for the first time in this article. CASE REPORT: A 16-year-old boy sustained avulsion fractures of tibial spine while playing. He was treated arthroscopically with excellent results. CONCLUSION: Arthroscopic fixation of tibial spine fracture in patients with open physis with two cannulated screws perpendicular to each other is a very simple technique providing strong construct, and allowing early mobilization without risk of damage to the growth plate...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27703933/coexistence-of-extraskeletal-mesenchymal-chondrosarcoma-and-isolated-hemihyperplasia-a-case-report
#2
Nihat Demirhan Demirkiran, Olcay Akdeniz, Onur Hapa, Hasan Havıtçıoğlu
INTRODUCTION: Arthroscopic fixation of tibial spine fracture without damage to the growth plate is very important in patients with open physis. The present article describes a simple and effective technique being used for the first time to treat this condition. CASE REPORT: A 16-year-old boy sustained avulsion fractures of tibial spine while playing. He was treated arthroscopically with excellent result. CONCLUSION: Arthroscopic fixation of tibial spine fracture in patients with open physis with two cannulated screws perpendicular to each other is a very simple technique which provides strong construct, and allows early mobilization without risk of damage to the growth plate...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27426237/prevalence-of-knee-stiffness-after-arthroscopic-bone-suture-fixation-of-tibial-spine-avulsion-fractures-in-adults
#3
M Thaunat, N C Barbosa, R Gardon, S Tuteja, R Chatellard, J-M Fayard, B Sonnery-Cottet
BACKGROUND: Tibial spine avulsion fractures (TSAFs) occur chiefly in adolescents. Few published data are available on outcomes after arthroscopic surgical treatment of TSAFs in adults. OBJECTIVES: To evaluate outcomes of consecutive patients with TSAFs managed by arthroscopic bone suture followed by a standardised non-aggressive rehabilitation programme. HYPOTHESIS: Arthroscopic bone suture followed by non-aggressive rehabilitation therapy reliably produces satisfactory outcomes in adults with TSAF...
September 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27159316/delayed-anterior-cruciate-ligament-reconstruction-in-young-patients-with-previous-anterior-tibial-spine-fractures
#4
Justin J Mitchell, Meredith H Mayo, Derek P Axibal, Anthony R Kasch, Ryan R Fader, Vivek Chadayammuri, E Bailey Terhune, Gaia Georgopoulos, Jason T Rhodes, Armando F Vidal
BACKGROUND: Avulsion fractures of the anterior tibial spine in young athletes are injuries similar to anterior cruciate ligament (ACL) injuries in adults. Sparse data exist on the association between anterior tibial spine fractures (ATSFs) and later ligamentous laxity or injuries leading to ACL reconstruction. PURPOSE: To better delineate the incidence of delayed instability or ACL ruptures requiring delayed ACL reconstruction in young patients with prior fractures of the tibial eminence...
August 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27151952/arthroscopic-treatment-of-tibial-eminence-fracture-a-systematic-review-of-different-fixation-methods
#5
REVIEW
Leonardo Osti, Matteo Buda, Francesco Soldati, Angelo Del Buono, Raffaella Osti, Nicola Maffulli
INTRODUCTION: Arthroscopy procedures are the gold standard for the management of tibial spine avulsion. This review evaluates and compares different arthroscopic treatment options for tibial spine fractures. SOURCE OF DATA: PubMed, Medline, Ovid, Google Scholar and Embase databases were systematically searched with no limit regarding the year of publication. AREAS OF AGREEMENT: An arthroscopic approach compared with arthrotomy reduces complications such as soft-tissue lesions, post-operative pain and length of hospitalization...
June 2016: British Medical Bulletin
https://www.readbyqxmd.com/read/27141865/paediatric-acl-repair-reinforced-with-temporary-internal-bracing
#6
James O Smith, Sam K Yasen, Harry C Palmer, Breck R Lord, Edward M Britton, Adrian J Wilson
PURPOSE: Instability following non-operative treatment of anterior cruciate ligament (ACL) rupture in young children frequently results in secondary chondral and/or meniscal injuries. Therefore, many contemporary surgeons advocate ACL reconstruction in these patients, despite the challenges posed by peri-articular physes and the high early failure rate. We report a novel management approach, comprising direct ACL repair reinforced by a temporary internal brace in three children. METHODS: Two patients (aged 5 and 6 years) with complete proximal ACL ruptures and a third (aged seven) with an associated tibial spine avulsion underwent direct surgical repair, supplemented with an internal brace that was removed after 3 months...
June 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26963070/arthroscopic-suture-pull-out-fixation-of-displaced-tibial-spine-avulsion-fracture
#7
Vivek Pandey, Suman Cps, Kiran Acharya, Sharath K Rao
Purpose The aim of this study is to assess the clinical and radiological outcomes of arthroscopic reduction and fixation of tibial spine avulsion in patients with either open physis or closed physis, using high strength nonabsorbable sutures utilizing intravenous cannula needle as suture passer and retriever. Methods Twenty-six patients of mean age 24.5 years were included in the study with a mean follow-up period of 31 months. Twelve patients had McKeever type III avulsion fracture and 14 had type IV. A follow-up analysis was performed using fracture union time, range of motion assessment, and Lysholm and IKDC (International Knee Documentation Committee) scores with instrumental (KT-1000 arthrometer) laxity assessment...
March 10, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/26500971/a-rare-combination-of-avulsion-fractures-around-the-knee-a-case-report
#8
Deepak Sampath, Hanumantha Reddy, Chirag Thonse, Jayanth Kumar Bangalore Chikkanna
Patella fractures, tibial spine avulsion and Segond fractures are mainly due to trauma to the knee which may be direct or indirect injuries. While each entity is well documented when occurring in isolation, but bilateral inferior pole patella fracture, tibial spine avulsion in the right knee and bilateral segond fracture in a same patient is a rare occurrence. We report a case of 24-year-old male with such an injury. The diagnosis was confirmed by X-ray, CT scan and MRI imaging of right knee. Then the patient was treated with arthroscopic anterior cruciate ligament (ACL) avulsion fixation with pull through technique and suture disc; bilateral inferior pole patella was treated conservatively with knee brace, segond fracture was treated conservatively similarly...
September 2015: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26280867/arthroscopic-treatment-of-avulsed-tibial-spine-fractures-using-a-transosseous-sutures-technique
#9
Ahmad M Wagih
Severely displaced tibial spine fractures should be treated surgically to restore joint congruity and cruciate integrity with reduction and fixation through an arthrotomy or arthroscopic techniques. Arthroscopy is preferred as it allows for accurate diagnosis and treatment of associated injuries and reduction and fixation of all types of tibial spine fractures while reducing the morbidity associated with open techniques. We report the clinical and radiographical results of 11 cases treated with a technique of arthroscopic internal fixation with non-absorbable sutures, after an average follow-up of 16...
March 2015: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/26244219/tibial-spine-avulsion-fractures-a-focus-on-arthroscopic-treatment-and-rehabilitation
#10
Matthew D Milewski, Jason L Booker
No abstract text is available yet for this article.
March 2015: Connecticut Medicine
https://www.readbyqxmd.com/read/25950547/arthroscopic-treatment-of-tibial-spine-malunion-with-resorbable-screws
#11
REVIEW
A Reed Estes, Lasun O Oladeji
Anterior tibial spine fractures are rare and were thought to occur mainly in children; however, recent literature indicates that the incidence in adults is much greater than previously thought. Because the tibial spine is an attachment point for the anterior cruciate ligament (ACL), an avulsion may produce ACL laxity, predisposing to further issues. We report the case of an 11-year-old boy with a tibial spine fracture that failed conservative management. He developed a malunion with impingement anteriorly of the tibial spine on the notch and residual instability of the ACL...
May 2015: American Journal of Orthopedics
https://www.readbyqxmd.com/read/24992346/incidence-of-meniscal-injury-and-chondral-pathology-in-anterior-tibial-spine-fractures-of-children
#12
Justin J Mitchell, Rebecca Sjostrom, Alfred A Mansour, Bjorn Irion, Mark Hotchkiss, E Bailey Terhune, Patrick Carry, Jaime R Stewart, Armando F Vidal, Jason T Rhodes
BACKGROUND: Pediatric avulsion fractures of the anterior tibial spine are injuries similar to anterior cruciate ligament injuries in adults. Sparse data exists on the association between anterior tibial spine fractures (ATSFs) and injury to the meniscus or cartilage of the knee joint in children. This research presents a retrospective review of clinical records, imaging, and operative reports to characterize the incidence of concomitant injury in cases of ATSFs in children. The purpose of this study was to better delineate the incidence of associated injuries in fractures of the anterior tibial spine in the pediatric population...
March 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/24876463/fixation-failure-in-an-isolated-tibial-eminence-acl-traction-avulsion-fracture-in-a-paratrooper-is-there-an-association-with-vitamin-d-deficiency
#13
James Inklebarger, Matthew J D Taylor, Murray Griffin, Tim Clarke
Tibial eminence avulsion fracture at the ACL footprint may be caused by high-energy forces such as a fall, in which the ACL ligament proves stronger than the forces that hold the bone together. For reasons of bone maturity however, tibial spine avulsion fractures where the ACL remains intact, typically occur in children but are rare in adults. This case demonstrates a rare type of adult tibial avulsion fracture with intact ACL and subsequent fragment fixation failure in which vitamin D deficiency may have been contributory...
April 2014: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/24749022/arthroscopic-absorbable-suture-fixation-for-tibial-spine-fractures
#14
Michele Arcangelo Verdano, Andrea Pellegrini, Enricomaria Lunini, Pietro Tonino, Francesco Ceccarelli
The purpose of this technical note and accompanying video is to describe a modified arthroscopic suture fixation technique to treat tibial spine avulsion fractures. Twenty-one patients underwent arthroscopic treatment for tibial spine avulsion with our technique; they were clinically and biomechanically evaluated at 2 years' follow-up and showed optimal clinical and radiographic outcomes. Repair with this arthroscopic technique provides a significant advantage in the treatment of type III and IV fractures of the tibial eminence by obtaining arthroscopic fixation within the substance of the anterior cruciate ligament: suture methods based on the avulsed bone fragment are technically impossible, but sutures through the base of the ligament itself provide secure fixation, reducing the risks of comminution of the fracture fragment and eliminating the time for hardware removal...
February 2014: Arthroscopy Techniques
https://www.readbyqxmd.com/read/24671348/-pediatric-knee-injuries
#15
F Schneider, M Sperl, G Steinwender, T Kraus
Patella dislocations are the most common knee injuries causing hemarthrosis in children. Flake fractures represent the main complication of these injuries and require fixation. First time dislocations are treated conservatively. Recurrent dislocations are managed operatively. Precise analysis of the underlying dispositional and pathological factors is important to determine the appropriate operative procedure. To protect the growth plate, special techniques are required. Tibial spine fractures are bony avulsions of the anterior cruciate ligament (ACL)...
April 2014: Der Orthopäde
https://www.readbyqxmd.com/read/24480629/arthroscopic-treatment-of-tibial-spine-fracture-in-children-with-a-cannulated-herbert-screw
#16
N Wiegand, I Naumov, L Vámhidy, L G Nöt
BACKGROUND: Avulsion fractures of the anterior tibial intercondylar eminence in childhood are rare and are severe injuries of the knee. Since the injury is equivalent in aetiology with ruptures of the anterior cruciate ligament, the treatment requires anatomic reduction and preservation of the stability of the joint. The aim of the study was to demonstrate our experiences with the arthroscopy-guided Herbert-screw fixation in the treatment of displaced tibial eminence fractures in children...
March 2014: Knee
https://www.readbyqxmd.com/read/23657940/spectrum-of-injuries-associated-with-paediatric-acl-tears-an-mri-pictorial-review
#17
Jacob L Jaremko, Zachary D Guenther, Lennart B O Jans, Peter J Macmahon
OBJECTIVE: Magnetic resonance imaging (MRI) findings in anterior cruciate ligament (ACL) injury are well known, but most published reviews show obvious examples of associated injuries and give little focus to paediatric patients. Here, we demonstrate the spectrum of MRI appearances at common sites of associated injury in adolescents with ACL tears, emphasising age-specific issues. METHODS: Pictorial review using images from children with surgically confirmed ACL tears after athletic injury...
June 2013: Insights Into Imaging
https://www.readbyqxmd.com/read/22270677/a-new-procedure-for-tibial-spine-avulsion-fracture-fixation
#18
Matthew A Mann, Nicholas M Desy, Paul A Martineau
Several techniques have been described to repair tibial spine avulsion fractures. Most of these methods use either internal fixation with a screw or suture fixation over a tibial tunnel bone bridge. This article presents a new technique for the surgical management of tibial spine avulsion fractures. The technique involves the creation of a suture mattress to compress and reduce the tibial spine into its fracture bed. The advantages of this technique are that it creates four points of fixation, aids with reduction, and allows for compression of the tibial spine fragment anatomically in its fracture bed...
December 2012: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/21804418/management-of-a-rare-complication-after-screw-fixation-of-a-pediatric-tibial-spine-avulsion-fracture-a-case-report-with-follow-up-to-skeletal-maturity
#19
Peter D Fabricant, Daryl C Osbahr, Daniel W Green
Avulsion of the tibial spine is functionally equivalent to rupture of the anterior cruciate ligament in an adolescent athlete. It therefore presents to general orthopaedists as well as a wide variety of orthopaedic subspecialty surgeons, including traumatology sports medicine, and pediatrics. Restoration of normal knee kinematics is dependent on anatomic reduction and fixation of the avulsed fragment. Because this injury is typically sustained by the skeletally immature patient, epiphyseal fixation is ideal to avoid physeal injury, which can lead to angular limb deformity...
December 2011: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/21801673/a-rare-case-of-bicondylar-hoffa-fracture-associated-with-ipsilateral-tibial-spine-avulsion-and-extensor-mechanism-disruption
#20
Kamal Bali, Aditya-Krishna Mootha, Vibhu Krishnan, Vishal Kumar, Saurabh Rawall, Vijay Goni
Intra-articular coronal fractures (Hoffas fractures) of distal femur are rare. Although bicondylar involvement in these fractures has been reported in the literature in association with high velocity traumata, the occurrence of these fractures involving extensor mechanism rupture and avulsion of ipsilateral tibial spine is extremely rare. To our acquaintance, such a fracture pattern has not yet been reported in the literature so far. In this article, we report one such case and discuss the importance of early diagnosis and prompt internal fixation in the management of such cases...
2011: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
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