Zhao Zhi-Yao, Zhang Hai-Rui, Zhou Fang-Zheng, Wang Ao, Liu Xiao-Ning
Department of Orthopaedics, The Second Hospital of Jilin University, Changchun, Jilin Province, China.
J Int Med Res. 2024 Apr;52(4):3000605241247683. doi: 10.1177/03000605241247683.
Tibial tubercle avulsion fractures (TTAFs) are rare but typical in children and adolescents and Osgood-Schlatter disease (OSD) may be involved in their pathogenesis. However, few publications have reported the relationship between OSD and TTAF. A 16-year-old healthy male adolescent presented with pain, swelling and limited range of motion of the right knee following sudden acceleration while running. Based on the radiographic evidence, the patient was diagnosed with an avulsion fracture of the right tibial tubercle and OSD. Open reduction and internal fixation were performed using two cannulated screws and two Kirschner wires. The patient returned to preinjury activity levels at the 12-month follow-up postoperatively. This case report aimed to highlight this unique injury pattern. For patients with TTAFs, not only should the fracture be treated, but the cause of the fracture, such as OSD, should also be given appropriate treatment.
胫骨结节撕脱骨折（TTAFs）在儿童和青少年中虽罕见但具有典型性，骨软骨炎（OSD）可能参与其发病机制。然而，很少有出版物报道OSD与TTAF之间的关系。一名16岁健康男性青少年在跑步时突然加速后出现右膝疼痛、肿胀和活动受限。根据影像学证据，该患者被诊断为右胫骨结节撕脱骨折和OSD。使用两枚空心螺钉和两根克氏针进行切开复位内固定。术后12个月随访时，患者恢复到伤前的活动水平。本病例报告旨在突出这种独特的损伤模式。对于TTAF患者，不仅应治疗骨折，还应对骨折原因（如OSD）给予适当治疗。
