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An Unusual Proximal Tibia Physis Injury in an Adolescent
Tibial tuberosity fractures are uncommon but are usually seen in adolescents approaching skeletal maturity. Typically this fracture results from an avulsion of the tibial tuberosity as the powerful quadriceps overcome skeletal strength in passive flexion. We present the case of a 17-year-old female...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7802402/ https://www.ncbi.nlm.nih.gov/pubmed/33447481 http://dx.doi.org/10.7759/cureus.12052 |
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author | Duggleby, Luke S Smith, Adam |
author_facet | Duggleby, Luke S Smith, Adam |
author_sort | Duggleby, Luke S |
collection | PubMed |
description | Tibial tuberosity fractures are uncommon but are usually seen in adolescents approaching skeletal maturity. Typically this fracture results from an avulsion of the tibial tuberosity as the powerful quadriceps overcome skeletal strength in passive flexion. We present the case of a 17-year-old female who presented with severe pain in her left knee sustained after stepping off a curb. She had no significant past medical history apart from a raised body mass index (BMI) of 46. Radiographs demonstrated that she had sustained a rare type of physeal injury not previously reported in the literature. This unique fracture developed along the physeal scar but interestingly the anterior cortex remained intact. Closed reduction of this fracture was attempted and the fracture healed uneventfully leaving a slight asymptomatic positive slope on the tibia. |
format | Online Article Text |
id | pubmed-7802402 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-78024022021-01-13 An Unusual Proximal Tibia Physis Injury in an Adolescent Duggleby, Luke S Smith, Adam Cureus Orthopedics Tibial tuberosity fractures are uncommon but are usually seen in adolescents approaching skeletal maturity. Typically this fracture results from an avulsion of the tibial tuberosity as the powerful quadriceps overcome skeletal strength in passive flexion. We present the case of a 17-year-old female who presented with severe pain in her left knee sustained after stepping off a curb. She had no significant past medical history apart from a raised body mass index (BMI) of 46. Radiographs demonstrated that she had sustained a rare type of physeal injury not previously reported in the literature. This unique fracture developed along the physeal scar but interestingly the anterior cortex remained intact. Closed reduction of this fracture was attempted and the fracture healed uneventfully leaving a slight asymptomatic positive slope on the tibia. Cureus 2020-12-13 /pmc/articles/PMC7802402/ /pubmed/33447481 http://dx.doi.org/10.7759/cureus.12052 Text en Copyright © 2020, Duggleby et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Duggleby, Luke S Smith, Adam An Unusual Proximal Tibia Physis Injury in an Adolescent |
title | An Unusual Proximal Tibia Physis Injury in an Adolescent |
title_full | An Unusual Proximal Tibia Physis Injury in an Adolescent |
title_fullStr | An Unusual Proximal Tibia Physis Injury in an Adolescent |
title_full_unstemmed | An Unusual Proximal Tibia Physis Injury in an Adolescent |
title_short | An Unusual Proximal Tibia Physis Injury in an Adolescent |
title_sort | unusual proximal tibia physis injury in an adolescent |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7802402/ https://www.ncbi.nlm.nih.gov/pubmed/33447481 http://dx.doi.org/10.7759/cureus.12052 |
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