McKoy Brodie E, Stanitski Carl L
Department of Orthopaedic Surgery, Medical University of South Carolina, 96 Jonathan Lucas Street, Clinical Science Building, Suite 708, Charleston, SC 29425, USA.
Orthop Clin North Am. 2003 Jul;34(3):397-403. doi: 10.1016/s0030-5898(02)00061-5.
Acute tibial tubercle avulsion fractures are uncommon, and these injuries typically occur in mature-appearing adolescent boys involved in jumping sports, particularly basketball. The developmental anatomy of the tibial tuberosity and the changes surrounding normal physiologic epiphysiodesis render this structure susceptible to acute avulsion fractures. Possible associated injuries include patellar and quadriceps avulsions, collateral and cruciate ligament tears, and meniscal damage. The treatment of this injury is based on the amount of displacement and associated injuries. Nondisplaced fractures are treated nonoperatively with cast immobilization. Displaced fractures require open reduction and internal fixation. Even in Type III injuries, the outcome is usually excellent.
急性胫骨结节撕脱骨折并不常见，这些损伤通常发生在参与跳跃运动的、骨骼发育成熟的青少年男性中，尤其是篮球运动。胫骨结节的发育解剖结构以及正常生理性骨骺闭合周围的变化使该结构易发生急性撕脱骨折。可能的相关损伤包括髌骨和股四头肌撕脱、侧副韧带和交叉韧带撕裂以及半月板损伤。该损伤的治疗基于移位程度和相关损伤情况。无移位骨折采用石膏固定非手术治疗。移位骨折需要切开复位内固定。即使是III型损伤，预后通常也很好。
