Kennedy Muluem Olivier, Loic Fonkoue, Gustave Tsiagadjigui Jean, Raphaella Nyekel Justine, Umaru Chifen, Jean Bahebeck
Department of surgery Yaounde General Hospital.
University of Yaounde.
J Orthop Case Rep. 2024 Feb;14(2):18-22. doi: 10.13107/jocr.2024.v14.i02.4202.
Tibial tubercle avulsion fractures are a rare lesion in adolescence that occurs during sports such as basketball, soccer, and volleyball. They result from a forceful extension of the knee against a fixed leg.
Case 1: A 14-year-old adolescent who reportedly experienced severe knee pain when he jumped to head a ball during a soccer game. Case 2: A 17-year-old teenager who reportedly experienced severe knee pain on takeoff during a high jump event. Case 3: A 16-year-old who reportedly felt pain during takeoff to catch a basketball. Case 4: A 14-year-old adolescent who reportedly felt pain in his left knee on takeoff from a high jump during a basketball game. All of these patients presented with a defective leg extension on clinical examination. Radiographs showed an avulsion fracture of the anterior tibial tuberosity and treatment was surgical.
Avulsion fractures of the tibial tuberosity are rare lesions. They occur in adolescents during sports and are usually accompanied by fracture fragment displacement, indicating reduction, and internal fixation surgery by screwing. In the short term, the result is satisfactory.
Tibial tuberosity avulsion fractures when managed in their entirety, give better results with a precocious return to sport.
胫骨结节撕脱骨折在青少年中是一种罕见的损伤，发生于篮球、足球和排球等运动过程中。它们是由于膝关节在固定的腿部上强力伸展所致。
病例1：一名14岁青少年，据报道在一场足球比赛中头球起跳时经历了严重的膝痛。病例2：一名17岁青少年，据报道在一次跳高比赛起跳时经历了严重的膝痛。病例3：一名16岁青少年，据报道在起跳去接球时感到疼痛。病例4：一名14岁青少年，据报道在一场篮球比赛中从跳高起跳时左膝感到疼痛。所有这些患者在临床检查中均表现出腿部伸展功能缺陷。X线片显示胫骨结节前部撕脱骨折，治疗采用手术方法。
胫骨结节撕脱骨折是罕见的损伤。它们发生于青少年运动期间，通常伴有骨折碎片移位，提示需要复位，并通过螺钉进行内固定手术。短期内，结果令人满意。
胫骨结节撕脱骨折若得到全面处理，恢复运动较早，效果更佳。
