Tibial tubercle fracture associated with distal rupture of the patellar tendon: case report

Publication date: Available online 11 June 2018Source: Revista Brasileira de Ortopedia (English Edition)Author(s): André Lourenço Pereira, Ângelo Ribeiro Vaz de Faria, Túlio Vinícius de Oliveira Campos, Marco Antônio Percope de Andrade, Guilherme Moreira de Abreu e SilvaAbstractAvulsion of the tibial tubercle is an uncommon injury that occurs in the young athlete, resulting from an eccentric contraction of the extensor mechanism with the leg fixed to the ground. Concomitant injuries to the patellar tendon are very rare, with few cases reported in the literature. The authors present a case of a 15-year-old basketball player who suffered an avulsion of the tibial tubercle associated with complete distal rupture of the patellar tendon while training. It was treated with open reduction of the tibial fragment and reconstruction of the patellar tendon with mini-anchors and cannulated screws, as well as hamstring autograft tendon reinforcement. The patient showed excellent results and returned to sports after 12 months of follow-up.ResumoA fratura-avulsão da tuberosidade anterior da tíbia é uma lesão incomum que ocorre no jovem atleta, resultado de uma contração excêntrica do mecanismo extensor do joelho com o membro inferior fixo ao solo. Lesões concomitantes ao tendão patelar são muito raras, com poucos casos relatados na literatura. Os autores apresentam o caso de um atleta de basquete de 15 anos que sofreu uma fratura-avulsão da tuberosidade anterior da tíbia a...
Source: Revista Brasileira de Ortopedia - Category: Orthopaedics Source Type: research