#TIBIAL AVULSION FRACTURE SERIAL#

Involve the orthopedic team early and admit for observation and serial compartment checks if there is concern for developing compartment syndrome.Ĭole, rd et al.Will need about 6 weeks in a long leg cast without weight bearing until cleared by the orthopedic team.Non-operative management is appropriate if extensor mechanism is intact and the avulsed fragment is displaced less than 2 mm or able to be reduced (hyperextension at the knee) to an acceptable degree of displacement.Type III, IV and V will involve a trip to the OR with Orthopedics for an open reduction.In general, non-operative treatment is reserved for Type I fractures and type II.The most common type of fracture is a Type-III.type V: avulsion of the periosteal sleeve.type IV: fracture through the entire physis.type III: fracture that traverses the primary and secondary ossification centers.type II: fracture between the primary and secondary ossification centers.type I: fracture of the secondary ossification center near the patella tendon insertion.Has undergone many modifications as well to include up to 5 types. Most commonly used is the Ogdon Classification system(a modification of the Watson-Jones criteria).Driven by classification systems that guide whether treatment will be surgical or not.Tibial Tubercle Avulsion Fracture: Management Anterior tibial recurrent artery can be compromised by fractures in this area.Why? The secondary ossification centers are fusing and connecting the proximal aspect of the tibia with the tibial tubercle and the fibrocartilage that is more resistant to tensile forces is slowly replaced with physeal hypertrophic columnar cartilage going from the proximal to distal direction.Most susceptible to injury during apophyseal phase.4 stages of ossification of the tibial tubercle: Cartilaginous (8-9 years), Apophyseal (8-14 years), Epiphyseal (10-17 years), and Osseous (15-17 years).Seen mostly in athletes who participate in sports with jumping (concentric contraction of quadriceps) and forced knee flexion, but also seen in sports that require explosive use of lower extremities such as track, volleyball, gymnastics etc.Average age between 9-14 years when children are nearing skeletal maturity.Typically adolescent males (10:1 male to female predominance).Tibial Tubercle Avulsion Fracture: Basics Who gets these and how?

$tibial avulsion fracture$

Tibial avulsion fracture