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Avulsion fractures of the tibial tuberosity in the adolescent athlete

Risk factors, mechanism of injury, and treatment

Department of Orthopaedics-Traumatology, Centre Hospitalier Jean Minjoz, Besancon Cedex, France

Jacques Besancenot, MD

Department of Orthopaedics-Traumatology, Centre Hospitalier Jean Minjoz, Besancon Cedex, France

Richard T. Chambers, MD

Department of Orthopaedics-Traumatology, Centre Hospitalier Jean Minjoz, Besancon Cedex, France

Alain Durey, MD

Philippe Vichard, MD

Department of Sports Traumatology, Hôpital Foch, Suresnes, France

Based on a review of the literature and our study of six cases, we investigated avulsion fractures of the tibial tuberosity in the athletic adolescent. A study of the mechanism of this acute injury helps to explain the different types of avulsion fractures of the tibial tuber osity. An understanding of predisposing factors and the biomechanical conditions leading to this injury may help identify those young athletes at the highest risk and may help the surgeon determine the most effective treatment for such a fracture. No complications were experienced by the patients in our study. Displaced fractures underwent open reduction and fixation with screws. This method shortens the period during which athletic activities are restricted.

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