Fracture of the tibial spine in adults and children

Description: 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 in adults as compared with children, indicates that the injury is the result of greater energy and perhaps a different mechanism. The worse outcome in some adults was due to other associated infra-articular fractures and tears of the medial collateral ligament. Arthroscopy is useful in both diagnosis and treatment. Early accurate diagnosis and the correct treatment produce a good outcome.
FRACTURE OF THE TIBIAL SPINE IN ADULTS AND CHILDREN A REVIEW OF 31 CASES NAMITA S. KENDALL, STEPHEN Y. C. HSU, KAI-MING CHAN THE JOURNAL OF BONE AND JOINT SURGERY VOL. 74-B, No. 6, page 848 NOVEMBER 1992