From the Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University (Dr. Dove, Dr. Boulos, and Dr. Eberson), and the Warren Alpert Medical School of Brown University, Providence, RI (Medina Perez).
J Am Acad Orthop Surg Glob Res Rev. 2023 Sep 15;7(9). doi: 10.5435/JAAOSGlobal-D-22-00105. eCollection 2023 Sep 1.
Tibial tubercle fractures in pediatric patients are increasing in frequency as more children participate in sports. These injuries are often seen in boys engaging in jumping activities before closure of their proximal tibial physis. Bilateral tibial tubercle fractures have been reported in the literature, but less frequent are associated patellar tendon ruptures with fracture of the tubercle. In this case report, we present an 11-year-old girl who sustained bilateral tibial tubercle fractures, including an associated patellar tendon rupture from the tubercle on the right lower extremity. We describe our technique for the management of both injuries, which included a primary patellar tendon repair for the right leg and Kirschner wire fixation of the displaced tubercle for the left leg. The patient ultimately had a successful outcome at the final follow-up with healed fractures and full range of motion of both knees. In this case report, we also present similar cases from the literature and the differing treatment strategies.
随着越来越多的儿童参与运动，儿童患者的胫骨结节骨折的发病率正在上升。这些损伤通常发生在男孩的胫骨近端骺板闭合前进行跳跃活动时。文献中已经报道了双侧胫骨结节骨折，但较少见的是与骨折相关的髌腱断裂。在本病例报告中，我们介绍了一位 11 岁女孩，她的右下肢同时发生双侧胫骨结节骨折，包括与结节相关的髌腱断裂。我们描述了我们对这两种损伤的治疗方法，包括右腿的髌腱初次修复和左腿的克氏针固定移位的结节。在最终随访时，患者骨折愈合，双膝活动度完全恢复，取得了良好的结果。在本病例报告中，我们还介绍了文献中的类似病例和不同的治疗策略。
