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Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children

Avulsion fracture of the tibial spine (TSA) is uncommon in children, although its incidence is increasing with the earlier practice of competitive sport activities. This study aims to report mid to long term outcomes in children who sustained a TSA, with a special focus on a return to sport activiti...

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Autores principales: Stallone, Stefano, Selleri, Filippo, Trisolino, Giovanni, Grassi, Alberto, Macchiarola, Luca, Magnani, Marina, Olivotto, Eleonora, Zaffagnini, Stefano, Stilli, Stefano, Catani, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601704/
https://www.ncbi.nlm.nih.gov/pubmed/33050238
http://dx.doi.org/10.3390/children7100173
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author Stallone, Stefano
Selleri, Filippo
Trisolino, Giovanni
Grassi, Alberto
Macchiarola, Luca
Magnani, Marina
Olivotto, Eleonora
Zaffagnini, Stefano
Stilli, Stefano
Catani, Fabio
author_facet Stallone, Stefano
Selleri, Filippo
Trisolino, Giovanni
Grassi, Alberto
Macchiarola, Luca
Magnani, Marina
Olivotto, Eleonora
Zaffagnini, Stefano
Stilli, Stefano
Catani, Fabio
author_sort Stallone, Stefano
collection PubMed
description Avulsion fracture of the tibial spine (TSA) is uncommon in children, although its incidence is increasing with the earlier practice of competitive sport activities. This study aims to report mid to long term outcomes in children who sustained a TSA, with a special focus on a return to sport activities. Skeletally immature patients with a TSA, treated in two orthopedic hospitals, were evaluated for range of motion and knee laxity using KT1000, KiRA and Rolimeter. The pediatric International Knee Documentation Committee score (Pedi-IKDC) and the Hospital for Special Surgery pediatric Functional Activity Brief Scale (Pedi-FABS) questionnaires were recorded during the latest visit. Forty-two children were included. Twenty-six were treated nonoperatively and 16 underwent surgery. At a mean follow-up of 6.9 ± 3.6 years, 36 patients completed the questionnaires and 23 patients were tested with arthrometers. Among them, 96% had normal knee laxity. The Pedi-IKDC score averaged 96.4 ± 5.7 points, while the mean Pedi-FABS was 22.2 ± 5.9 points, without statistically significant differences between groups. Twenty-eight patients (78%) returned to their previous level of sport activity (eight amateur, 13 competitive, seven elite athletes). Eight patients (22%) quit sport, mostly because of re-injury fear. If properly treated, pediatric TSAs achieve a high rate of successful healing, with complete restoration of knee stability and an early return to sport activities.
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spelling pubmed-76017042020-11-01 Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children Stallone, Stefano Selleri, Filippo Trisolino, Giovanni Grassi, Alberto Macchiarola, Luca Magnani, Marina Olivotto, Eleonora Zaffagnini, Stefano Stilli, Stefano Catani, Fabio Children (Basel) Article Avulsion fracture of the tibial spine (TSA) is uncommon in children, although its incidence is increasing with the earlier practice of competitive sport activities. This study aims to report mid to long term outcomes in children who sustained a TSA, with a special focus on a return to sport activities. Skeletally immature patients with a TSA, treated in two orthopedic hospitals, were evaluated for range of motion and knee laxity using KT1000, KiRA and Rolimeter. The pediatric International Knee Documentation Committee score (Pedi-IKDC) and the Hospital for Special Surgery pediatric Functional Activity Brief Scale (Pedi-FABS) questionnaires were recorded during the latest visit. Forty-two children were included. Twenty-six were treated nonoperatively and 16 underwent surgery. At a mean follow-up of 6.9 ± 3.6 years, 36 patients completed the questionnaires and 23 patients were tested with arthrometers. Among them, 96% had normal knee laxity. The Pedi-IKDC score averaged 96.4 ± 5.7 points, while the mean Pedi-FABS was 22.2 ± 5.9 points, without statistically significant differences between groups. Twenty-eight patients (78%) returned to their previous level of sport activity (eight amateur, 13 competitive, seven elite athletes). Eight patients (22%) quit sport, mostly because of re-injury fear. If properly treated, pediatric TSAs achieve a high rate of successful healing, with complete restoration of knee stability and an early return to sport activities. MDPI 2020-10-09 /pmc/articles/PMC7601704/ /pubmed/33050238 http://dx.doi.org/10.3390/children7100173 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Stallone, Stefano
Selleri, Filippo
Trisolino, Giovanni
Grassi, Alberto
Macchiarola, Luca
Magnani, Marina
Olivotto, Eleonora
Zaffagnini, Stefano
Stilli, Stefano
Catani, Fabio
Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children
title Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children
title_full Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children
title_fullStr Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children
title_full_unstemmed Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children
title_short Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children
title_sort good subjective outcomes, stable knee and high return to sport after tibial eminence avulsion fracture in children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601704/
https://www.ncbi.nlm.nih.gov/pubmed/33050238
http://dx.doi.org/10.3390/children7100173
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