Tibial Spine Fractures in Young Athletes - 07/10/22

Doi : 10.1016/j.csm.2022.05.006

Aristides I. Cruz, MD, MBA ^a,^⁎ , Rushyuan Jay Lee, MD ^b, Indranil Kushare, MD ^c, Soroush Baghdadi, MD ^d, Daniel W. Green, MD, MS ^e, Theodore J. Ganley, MD ^f, Henry B. Ellis, MD ^g,
PRiSMⁱ
Tibial Spine Research Interest Group^j
Ronald Justin Mistovich, MD, MBA ^h
^a Department of Orthopedics, Warren Alpert Medical School of Brown University, Hasbro Children’s Hospital, Providence, RI, USA
^b Department of Orthopedic Surgery, The Johns Hopkins Hospital/Johns Hopkins Bloomberg Children’s Center, Baltimore, MD, USA
^c Department of Orthopedic Surgery, Texas Children’s Hospital, Houston, TX, USA
^d Children’s Hospital of Philadelphia, Philadelphia, PA, USA
^e Weill Cornell Medical College, Hospital for Special Surgery, New York, NY, USA
^f Perelman School of Medicine at the University of Pennsylvania, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
^g Department of Orthopaedic Surgery, UT Southwestern Medical Center, Texas Scottish Rite Hospital for Children, Dallas, TX, USA
^h Case Western Reserve University School of Medicine, Rainbow Babies & Children’s Hospital, Cleveland, OH, USA
ⁱ Pediatric Research in Sports Medicine
^j Julien Aoyama, BA, Peter D. Fabricant, MD, MPH, Daniel W. Green, MD, Benjamin Johnson, PA-C, Scott D. McKay, MD, Todd A. Millbrandt, MD, Neeraj M. Patel, MD, MPH, MBS, Jason T. Rhodes, MD, Brant C. Sachleben, MD, Gregory A. Schmale, MD, Jessica L. Traver, MD, Yi-Meng Yen, MD, PhD

^∗Corresponding author. 1 Kettle Point Avenue, East Providence, RI 02914.1 Kettle Point AvenueEast ProvidenceRI02914

Résumé

Tibial spine fractures are a relatively rare injury in the young athlete. Previously thought to be the equivalent of a “pediatric anterior cruciate ligament (ACL) tear,” contemporary understanding of these injuries classifies them as distinct from ACL injuries in this patient population. Successful treatment hinges on accurate diagnosis paying special attention to fracture displacement and the presence of concomitant intraarticular injury. Surgery can be performed using open or arthroscopic techniques and a variety of fixation options. The most common complication after surgical treatment is arthrofibrosis and, therefore, stable fixation is necessary to allow for early, unimpeded knee motion postoperatively.

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Keywords : Eminence, Sports, Injury, Knee, ACL

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Vol 41 - N° 4

P. 653-670 - octobre 2022 Retour au numéro

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