Type IV tibial tubercle fracture revisited: a case report.

Tibial tubercle avulsions and proximal tibial physeal fractures are uncommon. An even more rare case was seen when an adolescent athlete presented with a combined Type III tibial tubercle avulsion and a Salter-Harris Type IV proximal tibial physeal fracture. There was no previous report in the literature of the combination of these two uncommon fracture patterns, both of which are associated with serious potential complications and long-term sequelae. The two fracture patterns must be recognized individually, with treatment directed appropriately.