Avulsion Fracture of the Tibial Tuberosity Requiring Meniscal Repair : A Case Report

[Abstract] Avulsion fractures of the tibial tuberosity are uncommon injuries. A 16-year-old male sustained injuries to his right knee joint after jumping from stairs and landed on his feet with his right knee forced into flexion. X-ray photographs showed a type III avulsion fracture of the tibial tu...

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Veröffentlicht in:FUKUOKA ACTA MEDICA 2015-06, Vol.106 (6), p.206-211
Hauptverfasser: Takeuchi, Naohide, Sasaki, Kousuke, Mae, Takao, Iwamoto, Yukihide
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creator Takeuchi, Naohide
Sasaki, Kousuke
Mae, Takao
Iwamoto, Yukihide
description [Abstract] Avulsion fractures of the tibial tuberosity are uncommon injuries. A 16-year-old male sustained injuries to his right knee joint after jumping from stairs and landed on his feet with his right knee forced into flexion. X-ray photographs showed a type III avulsion fracture of the tibial tuberosity. On the next day of the injury, open reduction and internal fixation, followed by arthroscopy was performed. The fracture fragment was fixed with three 5.0mm cannulated cancellous screws. The torn anterior portion of medial meniscus was repaired with 3-0 Polydioxanone (PDS) using outside-in sutures and the torn midportion of medial meniscus was repaired using the FasT-Fix meniscal repair system. Eight months after the injury, removal of the screws and arthroscopy were undertaken. The medial meniscus was completely healed. The range of motion was full at the knee joint. Meniscal suture should be strongly considered for type III avulsion fractures of the tibial tuberosity in adolescents.
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A 16-year-old male sustained injuries to his right knee joint after jumping from stairs and landed on his feet with his right knee forced into flexion. X-ray photographs showed a type III avulsion fracture of the tibial tuberosity. On the next day of the injury, open reduction and internal fixation, followed by arthroscopy was performed. The fracture fragment was fixed with three 5.0mm cannulated cancellous screws. The torn anterior portion of medial meniscus was repaired with 3-0 Polydioxanone (PDS) using outside-in sutures and the torn midportion of medial meniscus was repaired using the FasT-Fix meniscal repair system. Eight months after the injury, removal of the screws and arthroscopy were undertaken. The medial meniscus was completely healed. The range of motion was full at the knee joint. Meniscal suture should be strongly considered for type III avulsion fractures of the tibial tuberosity in adolescents.</description><identifier>ISSN: 0016-254X</identifier><identifier>PMID: 26306386</identifier><language>eng</language><publisher>Japan: Fukuoka Medical Association</publisher><subject>Adolescent ; Bone Screws ; Fracture Fixation, Internal ; Humans ; Magnetic Resonance Imaging ; Male ; Menisci, Tibial - surgery ; Tibial Fractures - surgery ; Treatment Outcome</subject><ispartof>FUKUOKA ACTA MEDICA, 2015-06, Vol.106 (6), p.206-211</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26306386$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takeuchi, Naohide</creatorcontrib><creatorcontrib>Sasaki, Kousuke</creatorcontrib><creatorcontrib>Mae, Takao</creatorcontrib><creatorcontrib>Iwamoto, Yukihide</creatorcontrib><creatorcontrib>Department of Orthopaedic Surgery</creatorcontrib><creatorcontrib>Kyushu University</creatorcontrib><creatorcontrib>Saga-ken Medical Centre Koseikan</creatorcontrib><creatorcontrib>Department of Trauma and Orthopaedic Surgery</creatorcontrib><creatorcontrib>Graduate School of Medical Sciences</creatorcontrib><title>Avulsion Fracture of the Tibial Tuberosity Requiring Meniscal Repair : A Case Report</title><title>FUKUOKA ACTA MEDICA</title><addtitle>Fukuoka Igaku Zasshi</addtitle><description>[Abstract] Avulsion fractures of the tibial tuberosity are uncommon injuries. A 16-year-old male sustained injuries to his right knee joint after jumping from stairs and landed on his feet with his right knee forced into flexion. X-ray photographs showed a type III avulsion fracture of the tibial tuberosity. On the next day of the injury, open reduction and internal fixation, followed by arthroscopy was performed. The fracture fragment was fixed with three 5.0mm cannulated cancellous screws. The torn anterior portion of medial meniscus was repaired with 3-0 Polydioxanone (PDS) using outside-in sutures and the torn midportion of medial meniscus was repaired using the FasT-Fix meniscal repair system. Eight months after the injury, removal of the screws and arthroscopy were undertaken. The medial meniscus was completely healed. The range of motion was full at the knee joint. Meniscal suture should be strongly considered for type III avulsion fractures of the tibial tuberosity in adolescents.</description><subject>Adolescent</subject><subject>Bone Screws</subject><subject>Fracture Fixation, Internal</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Menisci, Tibial - surgery</subject><subject>Tibial Fractures - surgery</subject><subject>Treatment Outcome</subject><issn>0016-254X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEFLAzEQhfeg2FL7FyRHL4VJsslmvZViq1ARygreQtKd1bTbTZtshP57V1pPM8P7eLw3N9kYgMoZE_nnKJvG6CwAY7RkVN1lIyY5SK7kOKvmP6mNzndkGcy2TwGJb0j_jaRy1pmWVMli8NH1Z7LBU3LBdV_kDTsXt4O6waNxgTyROVmYiH-3D_19dtuYNuL0OifZx_K5WrzM1u-r18V8PdsxJfoZrWsEqpqSbkvgslTUWAuUmtKAZRYYqiYvaiGEzZFzA7JgRgmaSwulyoFPsseL7zH4U8LY68MQC9vWdOhT1LSAQoiyYMWAPlzRZA9Y62NwBxPO-v8TA7C6AIPqhmq-a12HeudT6IYOut6LJu2T1wyo0EBBgtQAXAP7WxilLFciV5z_AjZQbp4</recordid><startdate>20150625</startdate><enddate>20150625</enddate><creator>Takeuchi, Naohide</creator><creator>Sasaki, Kousuke</creator><creator>Mae, Takao</creator><creator>Iwamoto, Yukihide</creator><general>Fukuoka Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20150625</creationdate><title>Avulsion Fracture of the Tibial Tuberosity Requiring Meniscal Repair : A Case Report</title><author>Takeuchi, Naohide ; Sasaki, Kousuke ; Mae, Takao ; Iwamoto, Yukihide</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j285t-1dde018f91c9036981abb011a9a0b2b02e8f47d555b4e33a0672a85146b098403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Bone Screws</topic><topic>Fracture Fixation, Internal</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Menisci, Tibial - surgery</topic><topic>Tibial Fractures - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takeuchi, Naohide</creatorcontrib><creatorcontrib>Sasaki, Kousuke</creatorcontrib><creatorcontrib>Mae, Takao</creatorcontrib><creatorcontrib>Iwamoto, Yukihide</creatorcontrib><creatorcontrib>Department of Orthopaedic Surgery</creatorcontrib><creatorcontrib>Kyushu University</creatorcontrib><creatorcontrib>Saga-ken Medical Centre Koseikan</creatorcontrib><creatorcontrib>Department of Trauma and Orthopaedic Surgery</creatorcontrib><creatorcontrib>Graduate School of Medical Sciences</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>FUKUOKA ACTA MEDICA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takeuchi, Naohide</au><au>Sasaki, Kousuke</au><au>Mae, Takao</au><au>Iwamoto, Yukihide</au><aucorp>Department of Orthopaedic Surgery</aucorp><aucorp>Kyushu University</aucorp><aucorp>Saga-ken Medical Centre Koseikan</aucorp><aucorp>Department of Trauma and Orthopaedic Surgery</aucorp><aucorp>Graduate School of Medical Sciences</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Avulsion Fracture of the Tibial Tuberosity Requiring Meniscal Repair : A Case Report</atitle><jtitle>FUKUOKA ACTA MEDICA</jtitle><addtitle>Fukuoka Igaku Zasshi</addtitle><date>2015-06-25</date><risdate>2015</risdate><volume>106</volume><issue>6</issue><spage>206</spage><epage>211</epage><pages>206-211</pages><issn>0016-254X</issn><abstract>[Abstract] Avulsion fractures of the tibial tuberosity are uncommon injuries. A 16-year-old male sustained injuries to his right knee joint after jumping from stairs and landed on his feet with his right knee forced into flexion. X-ray photographs showed a type III avulsion fracture of the tibial tuberosity. On the next day of the injury, open reduction and internal fixation, followed by arthroscopy was performed. The fracture fragment was fixed with three 5.0mm cannulated cancellous screws. The torn anterior portion of medial meniscus was repaired with 3-0 Polydioxanone (PDS) using outside-in sutures and the torn midportion of medial meniscus was repaired using the FasT-Fix meniscal repair system. Eight months after the injury, removal of the screws and arthroscopy were undertaken. The medial meniscus was completely healed. The range of motion was full at the knee joint. Meniscal suture should be strongly considered for type III avulsion fractures of the tibial tuberosity in adolescents.</abstract><cop>Japan</cop><pub>Fukuoka Medical Association</pub><pmid>26306386</pmid><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Bone Screws
Fracture Fixation, Internal
Humans
Magnetic Resonance Imaging
Male
Menisci, Tibial - surgery
Tibial Fractures - surgery
Treatment Outcome
title Avulsion Fracture of the Tibial Tuberosity Requiring Meniscal Repair : A Case Report
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