| Autor: |
Haber DB; Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Boston, Massachusetts., Tepolt FA; Department of Family Medicine and Community Health, University of Minnesota Medical School, Saint Paul, Minnesota., McClincy MP; Department of Orthopaedic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania., Hussain ZB; Division of Sports Medicine, Department of Orthopaedic Surgery, Boston Children's Hospital., Kalish LA; Division of Sports Medicine, Department of Orthopaedic Surgery, Boston Children's Hospital., Kocher MS; Division of Sports Medicine, Department of Orthopaedic Surgery, Boston Children's Hospital.; Harvard Medical School, Boston, Massachusetts, USA. |
| Abstrakt: |
To report patient characteristics, fracture types, treatment methods, early clinical outcomes and complications of children and adolescents treated for tibial tubercle fractures. Retrospective case series of patients 18 years old and younger treated for tibial tubercle fractures at a single institution from 1995 to 2015. Clinical and radiographic outcomes were reported at minimum six-month follow-up. In 228 patients, 236 tibial tubercle fractures were identified, of whom, 198 (87%) were males. Mean age and BMI was 14.3 years and 25.0, respectively. Pre-existing Osgood-Schlatter disease was identified in 31% cases and was most commonly associated with type I fractures (P < 0.001). Most fractures occurred while participating in athletics (86%). Initial treatment was surgical for 67% fractures. Type III fractures were most common (41%), followed by type I (29%). Type I fractures were most commonly treated nonoperatively (91%) and types II-V fractures were most commonly treated surgically (89%, P < 0.001). Compartment syndrome was identified in 4 (2%) patients, 3 of which had type IV fractures. Most patients returned to sports (88%). Tibial tubercle fractures are sports-related injuries and occur most commonly in adolescent males. They can be associated with pre-existing Osgood-Schlatter disease, a higher than average BMI, and a small but relevant risk of compartment syndrome. Following treatment, most patients return to sports participation. |
