Close
New

Medscape is available in 5 Language Editions – Choose your Edition here.

 

Tibial Tubercle Fracture Workup

  • Author: Kelvin Lau, BM, BCh, MA, MRCS, DPhil, FRCS(CTh); Chief Editor: Thomas M DeBerardino, MD  more...
 
Updated: Nov 17, 2014
 

Imaging Studies

Radiography of the knee is the main imaging study. Findings are diagnostic of the condition. The tibial tubercle is imaged on a lateral radiograph with the leg in slight internal rotation. Oblique views of the proximal tibia may help reveal the extent of the fracture. Radiographs of the contralateral knee may show evidence of Osgood-Schlatter disease.

Other forms of imaging are not performed routinely; they are requested as required if alternative diagnoses are being considered.

Next

Laboratory Studies

Laboratory studies are not indicated unless other diagnoses are being evaluated. Preoperative investigations are requested as required.

Previous
 
 
Contributor Information and Disclosures
Author

Kelvin Lau, BM, BCh, MA, MRCS, DPhil, FRCS(CTh) Consultant in Cardiothoracic Surgery, St Bartholomew's Hospital, UK

Kelvin Lau, BM, BCh, MA, MRCS, DPhil, FRCS(CTh) is a member of the following medical societies: Royal College of Surgeons of England

Disclosure: Nothing to disclose.

Coauthor(s)

Manoj Ramachandran, MBBS, MRCS, FRCS Consultant Trauma and Orthopaedic Surgeon, Barts and the London NHS Trust; Honorary Senior Lecturer, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary's, University of London, UK

Manoj Ramachandran, MBBS, MRCS, FRCS is a member of the following medical societies: British Orthopaedic Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Thomas M DeBerardino, MD Associate Professor, Department of Orthopedic Surgery, Consulting Surgeon, Sports Medicine, Arthroscopy and Reconstruction of the Knee, Hip and Shoulder, Team Physician, Orthopedic Consultant to UConn Department of Athletics, University of Connecticut Health Center

Thomas M DeBerardino, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Orthopaedic Society for Sports Medicine

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Arthrex, Inc.; Ivy Sports Medicine; MTF; Aesculap; The Foundry, Cotera; ABMT<br/>Received research grant from: Histogenics; Cotera; Arthrex.

Additional Contributors

Robert D Bronstein, MD Associate Professor, Department of Orthopedics, Division of Athletic Medicine, University of Rochester School of Medicine

Robert D Bronstein, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, Medical Society of the State of New York

Disclosure: Nothing to disclose.

Acknowledgements

The authors and editors of Medscape Drugs & Diseases gratefully acknowledge the contributions of previous coauthor Dr Fergal Monsell to the development and writing of this article.

References
  1. Buhari SA, Singh S, Wong HP, Low YP. Tibial tuberosity fractures in adolescents. Singapore Med J. 1993 Oct. 34(5):421-4. [Medline].

  2. Mirbey J, Besancenot J, Chambers RT, et al. Avulsion fractures of the tibial tuberosity in the adolescent athlete. Risk factors, mechanism of injury, and treatment. Am J Sports Med. 1988 Jul-Aug. 16(4):336-40. [Medline].

  3. Nimityongskul P, Montague WL, Anderson LD. Avulsion fracture of the tibial tuberosity in late adolescence. J Trauma. 1988 Apr. 28(4):505-9. [Medline].

  4. Wiss DA, Schilz JL, Zionts L. Type III fractures of the tibial tubercle in adolescents. J Orthop Trauma. 1991. 5(4):475-9. [Medline].

  5. Zionts LE. Fractures around the knee in children. J Am Acad Orthop Surg. 2002 Sep-Oct. 10(5):345-55. [Medline].

  6. Abalo A, Akakpo-numado KG, Dossim A, Walla A, Gnassingbe K, Tekou AH. Avulsion fractures of the tibial tubercle. J Orthop Surg (Hong Kong). 2008 Dec. 16(3):308-11. [Medline].

  7. Zrig M, Annabi H, Ammari T, Trabelsi M, Mbarek M, Ben Hassine H. Acute tibial tubercle avulsion fractures in the sporting adolescent. Arch Orthop Trauma Surg. 2008 Dec. 128(12):1437-42. [Medline].

  8. Hanley C, Roche SJ, Chhabra J. Acute simultaneous bilateral avulsion fractures of the tibial tubercles in a 15-year-old male hurler: case report and literature review. Ir J Med Sci. 2008 Dec 4. [Medline].

  9. Cohen DA, Hinton RY. Bilateral tibial tubercle avulsion fractures associated with Osgood-Schlatter's disease. Am J Orthop. 2008 Feb. 37(2):92-3. [Medline].

  10. Watson-Jones R. Fractures and Joint Injuries. 6th ed. New York:. Churchill Livingstone. 1982.

  11. Ogden JA, Tross RB, Murphy MJ. Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg Am. 1980 Mar. 62(2):205-15. [Medline].

  12. Chakraverty JK, Weaver MJ, Smith RM, Vrahas MS. Surgical management of tibial tubercle fractures in association with tibial plateau fractures fixed by direct wiring to a locking plate. J Orthop Trauma. 2009 Mar. 23(3):221-5. [Medline].

  13. Maroto MD, Scolaro JA, Henley MB, Dunbar RP. Management and incidence of tibial tubercle fractures in bicondylar fractures of the tibial plateau. Bone Joint J. 2013 Dec. 95-B(12):1697-702. [Medline].

  14. Pesl T, Havranek P. Acute tibial tubercle avulsion fractures in children: selective use of the closed reduction and internal fixation method. J Child Orthop. 2008 Oct. 2(5):353-6. [Medline].

  15. Tang Y, Zhang YT, Fu QG, Zhang CC, Zhang X, Wang PF. [Application of cannulated compression screws for the treatment of tibial tubercle avulsion fractures of Ogden type III in adolescents]. Zhongguo Gu Shang. 2013 Sep. 26(9):717-9. [Medline].

  16. Frey S, Hosalkar H, Cameron DB, Heath A, David Horn B, Ganley TJ. Tibial tuberosity fractures in adolescents. J Child Orthop. 2008 Dec. 2(6):469-74. [Medline]. [Full Text].

Previous
Next
 
Ossification centers and epiphyseal cartilages of the proximal tibia and tibial tuberosity.
Classification of tibial tuberosity fractures.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC. This website also contains material copyrighted by 3rd parties.