INTRODUCTION: The avultion-fracture of the tibial tuberosity is a rare injury, one which appears in adolescents, predominantly male and happens in a zone in which the conditions of bone immaturity are favorable, so that an abrupt traction of the patellar tendon generates the injury. The reports of simultaneous fractures in both knees are rare. CLINICAL CASE: A 14-year-old masculine patient, who had suffered indirect trauma in both knees while playing soccer. The injuries correspond to a 3-A and one 3-B of Ogden's classification for the right and left knee respectively. Both injuries were treated in the same surgical act using screws and wire. The recovery of the patient was satisfactory. CONCLUSION: The avultion-fracture of the tibial tuberosity is a rare injury. The bilateral presentation in simultaneous form is even rarer. Generally they are injuries of type 3 that require surgical handling. Preexisting conditions such as Osgood-Schlatter disease and the type of athletic training must be considered.
INTRODUCTION: The avultion-fracture of the tibial tuberosity is a rare injury, one which appears in adolescents, predominantly male and happens in a zone in which the conditions of bone immaturity are favorable, so that an abrupt traction of the patellar tendon generates the injury. The reports of simultaneous fractures in both knees are rare. CLINICAL CASE: A 14-year-old masculine patient, who had suffered indirect trauma in both knees while playing soccer. The injuries correspond to a 3-A and one 3-B of Ogden's classification for the right and left knee respectively. Both injuries were treated in the same surgical act using screws and wire. The recovery of the patient was satisfactory. CONCLUSION: The avultion-fracture of the tibial tuberosity is a rare injury. The bilateral presentation in simultaneous form is even rarer. Generally they are injuries of type 3 that require surgical handling. Preexisting conditions such as Osgood-Schlatter disease and the type of athletic training must be considered.
Authors: Rodrigo Pires e Albuquerque; André Siqueira Campos; Gabriel Costa Serrão de Araújo; Vinícius Schott Gameiro Journal: BMJ Case Rep Date: 2013-11-29
Authors: Rodrigo Pires E Albuquerque; Vincenzo Giordano; Antônio Carlos Pires Carvalho; Thiago Puell; Maria Isabel Pires E Albuquerque; Ney Pecegueiro do Amaral Journal: Rev Bras Ortop Date: 2015-12-06