scholarly journals Neglected Rupture of the Patellar Tendon After Fixation of Tibial Tubercle Avulsion in an Adolescent Male Managed With Ipsilateral Semitendinosus Autograft Reconstruction

Cureus ◽  
2021 ◽  
Author(s):  
Andreas Panagopoulos ◽  
Panagiotis Antzoulas ◽  
Savvas Giakoumakis ◽  
Anna Konstantopoulou ◽  
George Tagaris
Keyword(s):  
Patellar Tendon ◽  
Adolescent Male ◽  
Tibial Tubercle ◽  
Neglected Rupture

scholarly journals Tibial Tubercle Avulsion Fracture with Multiple Concomitant Injuries in an Adolescent Male Athlete

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Avinesh Agarwalla ◽  
Richard Puzzitiello ◽  
Austin V. Stone ◽  
Brian Forsythe
Keyword(s):  
Compartment Syndrome ◽  
Patellar Tendon ◽  
Avulsion Fracture ◽  
Full Range ◽  
Adolescent Male ◽  
Tibial Tubercle ◽  
Concomitant Injuries ◽  
Avulsion Fractures ◽  
Leg Extension ◽  
Tibial Tubercle Avulsion Fracture

Tibial tubercle avulsion fractures are an uncommon injury occurring due to strong contraction of the quadriceps femoris muscle during leg extension, ultimately causing failure of the physis at the patellar tendon insertion. This injury has been previously reported with various concomitant injuries, such as compartment syndrome from bleeding into the anterior compartment, vascular injury, patellar tendon avulsion, and meniscal injury—exhibited only with fracture types that extend intra-articularly. We report the case of a 14-year-old healthy adolescent male basketball player who sustained this injury as a result of a collision with another player. He initially reported to the emergency department and then presented to our practice, where he was diagnosed with a tibial tubercle avulsion fracture with patellar tendon rupture. During the operative management of these injuries, it was noted that fascial tissue avulsed through the injury site causing subacute extensive bleeding within the anterolateral compartments. Due to concerns of compartment syndrome, a fascial release was performed along the anterolateral compartments. By five months postoperatively, the patient demonstrated near-normal function, no evidence of extensor lag, and nearly full range of motion. Unlike previously reported cases, this is the first report of a patient who suffered such an injury with multiple concomitant injuries to the neighboring structures. Due to the severity of compartment syndrome and the variability in its temporal presentation from the initial injury, it is paramount that careful evaluation of vascular integrity and a low threshold for fasciotomy be in place to prevent vascular compromise.

Distalising tibial tubercle osteotomy decreases patellar tendon force — A treatment rationale for recalcitrant patellar tendinopathy

The Knee ◽  
2020 ◽  
Vol 27 (3) ◽  
pp. 871-877 ◽  
Author(s):  
Michael J. Dan ◽  
Joseph Cadman ◽  
James McMahon ◽  
William C.H. Parr ◽  
David Broe ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Patellar Tendinopathy ◽  
Tibial Tubercle ◽  
Tibial Tubercle Osteotomy ◽  
Tendon Force

scholarly journals A Knee Size-Independent Parameter for Malalignment of the Distal Patellofemoral Joint in Children

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Ferdinand Wagner ◽  
Günther Maderbacher ◽  
Jan Matussek ◽  
Boris M. Holzapfel ◽  
Birgit Kammer ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Patellofemoral Joint ◽  
Cruciate Ligament ◽  
Independent Parameter ◽  
Common Finding ◽  
Tibial Tubercle ◽  
Control Group ◽  
Study Cohort ◽  
Tendon Insertion ◽  
Knee Size

Introduction. Patellar instability (PI) is a common finding in children. Current parameters describing patellofemoral joint alignment do not account for knee size. Additionally, most parameters utilize joint-crossing tibiofemoral landmarks and are prone to errors. The aim of the present study was to develop a knee size-independent parameter that is suitable for pediatric or small knees and determines the malpositioning of the distal patellar tendon insertion solely utilizing tibial landmarks. Methods. Sixty-one pediatric knees were included in the study. The tibial tubercle posterior cruciate ligament distance (TTPCL) was measured via magnetic resonance imaging (MRI). The tibial head diameter (THD) was utilized as a parameter for knee size. An index was calculated for the TTPCL and THD (TTPCL/THD). One-hundred adult knees were analyzed to correlate the data with a normalized cohort. Results. The THD was significantly lower in healthy females than in males (69.3 mm ± 0.8 mm vs. 79.1 mm ± 0.7 mm; p<0.001) and therefore was chosen to serve as a knee size parameter. However, no gender differences were found for the TTPCL/THD index in the healthy adult study cohort. The TTPCL/THD was significantly higher in adult PI patients than in the control group (0.301 ± 0.007 vs. 0.270 ± 0.007; p=0.005). This finding was repeated in the PI group when the pediatric cohort was analyzed (0.316 ± 0.008 vs. 0.288 ± 0.010; p=0.033). Conclusion. The TTPCL/THD index represents a novel knee size-independent measure describing malpositioning of the distal patellar tendon insertion determined solely by tibial landmarks.

Neglected rupture of the patellar tendon

1999 ◽  
Vol 119 (3-4) ◽  
pp. 241-242 ◽  
Author(s):  
G. J. Shepard ◽  
L. Christodoulou ◽  
A. I. A. Hegab
Keyword(s):  
Patellar Tendon ◽  
Neglected Rupture

scholarly journals Sports Injury Around the Knee Joint. Avulsion Fracture of the Tibial Tubercle and the Patellar Tendon

1976 ◽  
Vol 25 (3) ◽  
pp. 264-267
Author(s):  
S. Higashi ◽  
K. Yunoki ◽  
M. Hattanmaru ◽  
Y. Taniguchi
Keyword(s):  
Knee Joint ◽  
Patellar Tendon ◽  
Avulsion Fracture ◽  
Sports Injury ◽  
Tibial Tubercle

scholarly journals Importance of clinical examination in diagnostics of Osgood-Schlatter Disease in boys playing soccer or basketball

2012 ◽  
Vol 2 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Amela Halilbasic ◽  
Dijana Avdic ◽  
Amir Kreso ◽  
Begler Begovic ◽  
Amila Jaganjac ◽  
...  
Keyword(s):  
Risk Factors ◽  
Statistical Analysis ◽  
Incidence Rate ◽  
Patellar Tendon ◽  
Clinical Examination ◽  
Knee Extension ◽  
Tibial Tubercle ◽  
Young Athletes ◽  
Critical Method

Introduction: Osgood–Schlatter disease is an irritation of the patellar tendon at the tibial tubercle. Sports with jumps, running, and repeated contractions of knee extension apparatus are considered to be importantexternal risk-factors which could cause Osgood–Schlatter disease.Objectives of the study are to draw attention to the importance of clinical examination in diagnostics of Osgood–Schlatter disease in boys playing soccer or basketball.Methods: The research included data obtained from 120 boys, average age of 14 years. Examinees were split into two groups, one with young athletes which regularly have soccer or basketball trainings and thesecond one with boys who do not participating in sports. We performed anthropological measurements and clinical examinations of both knees and hips for both groups. For the statistical analysis we used pointbiserialcorrelation coefficient.Results: Based on clinical examination, Osgood–Schlatter disease was diagnosed in 51 examinees (42.5%). In “athletic group” Osgood–Schlatter disease had 31 boys or 52%, comparing with “non-athletic group” wherewe found 20 adolescents with disease (33%). Number of boys with Osgood–Schlatter disease was higher for 19% in “athletic group” comparing with “non-athletic group”. Comparing incidence rate for boys in both groups with diagnosed II and III level of Osgood–Schlatter disease we found that rate is higher in “athletic group” 2.25 times comparing with “non-athletic group”.Conclusions: Clinical examination is critical method in the process of diagnosing Osgood–Schlatter disease especially for identifying II and III level of this disease.

Avulsion Fracture of the Tibial Tubercle Associated With Patellar Tendon Avulsion

Orthopedics ◽  
2016 ◽  
Vol 39 (3) ◽  
pp. e561-e564 ◽  
Author(s):  
Daine O. Clarke ◽  
Safiya A. Franklin ◽  
Dean E. Wright
Keyword(s):  
Patellar Tendon ◽  
Avulsion Fracture ◽  
Tibial Tubercle ◽  
Tendon Avulsion
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