Tibial Spine Fractures (Subscribe)  

Arthrofibrosis of the Knee After Tibial Spine Tibial spine fracture is an uncommon injury in children and adolescents. According to Meyer’s classification, nondisplaced or minimally displaced type I and type II fractures can be treated by external splint or long leg cast in extension. Displaced type III or type IV...

There is debate within current literature as to the best treatment of displaced tibial spine fractures.1,2 We suggest a simple and effective arthroscopic approach to this injury. The Twinfix Ti Quick-T soft tissue anchor (Smith and Nephew) has a 3.5-mm screw on a pre-tied suture attaching a high strength ‘T’-bar....

Arthroscopic reduction and suture fixation can be used safely and effectively in both skeletally immature and mature patients to treat tibial eminence fractures.
Tibial eminence fractures are relatively rare events, occurring much less commonly than their counterpart, midsubstance anterior cruciate ligament (ACL) tears. These injuries occur more commonly...

Over 2 years, five patients (average age 15 years) were diagnosed with a type III tibial spine fracture. All five fractures were treated with arthroscopic reduction and internal stabilization using absorbable fixation. At average 8.5-year follow-up, patients were interviewed and examined. Results were documented regarding function, KT-1000 testing, range of...

At our institution, 135 pediatric proximal tibia fractures were treated from 1997 to 2005. Fractures were classified into four groups according to the direction of force of injury: valgus, varus, extension, and flexion–avulsion. Each group was subdivided into metaphyseal and physeal type by fracture location and Salter–Harris classification. Also included...

We reviewed 19 adults and 12 children who had been treated for avulsion fractures of the tibial spine. Adult injuries have not previously been reported at length; most were caused by road-traffic accidents, and 68% were associated with other injuries, of which 58% were around the knee. The higher incidence of associated injuries...

Forty-five patients with fractures of the tibial spine were reviewed 3 to 10 years after injury in order to determine the degree of residual laxity of the cruciate or collateral ligaments. After fractures which had been partially or completely displaced, some anterior cruciate laxity was evident, even if patients were asymptomatic....

An anterior tibial spine (ATS) fracture, with or without displacement, was created in the right knee of 8-week and 22-23-week-old rabbits. After 4 weeks of cast immobilization and 8 weeks of free cage activities, the animals were killed. A method to measure anterior knee laxity in rabbits was developed using...

- one of most common knee injuries in children;
- most common in children between ages of 8-14 yrs;
- usually result from avulsions of anterior intercondylar eminence from pull of ACL;
- fragment of...

Fractures of the tibial intercondylar eminence are observed mostly in children and adolescents, often after minimal trauma; good results are expected with treatment by anatomic reduction. Although adults also can sustain this type of injury, they will often have additional concurrent knee trauma and, despite anatomic reduction, frequently do poorly.
Synonyms...

Common in 8-14 years
Anterior tibial spine is the distal attachment of ACL
Tibial spine is cartilaginous in children
Offers less resistance than the ligament
Tensile stress leads to failure through the cancellous bone under the tibial spine
Posterior tibial spine injuries are rare and occurs in skeletally mature

* Avulsion fracture of the tibial spine is a relatively rare injury in children accounting for approximately 3 per 1 00,000 children's fx
-Fracture of the tibial spine is seen primarily in children from the ages of 8 to 14 -The injury is virtually always to the anterior intercondylar eminence....

Mechanism - hyper extension or hyperflexion® avulsion
Classification - Meyers and McKeever "Fractures of the intercondylar eminence of the tibia" JBJS 52A: 1677-1684, 1970
Type 1: undisplaced
Type 2: displaced hinging posteriorly
Type 3: displaced with complete separation