Type V Tibial Tubercle Avulsion Fracture with Suspected Complication of Anterior Cruciate Ligament Injury: A Case Report
<i>Background and Objectives</i>: Type V tibial tubercle avulsion fractures are extremely rare; therefore, information on them remains limited. Furthermore, although these fractures are intra-articular, to the best of our knowledge, there are no reports on their assessment via magnetic r...
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| Format: | Article |
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MDPI AG
2023-06-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/6/1061 |
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| author | Hiroki Okamura Hiroki Ishikawa Takuya Ohno Shogo Fujita Kei Nagasaki Katsunori Inagaki Yoshifumi Kudo |
| author_facet | Hiroki Okamura Hiroki Ishikawa Takuya Ohno Shogo Fujita Kei Nagasaki Katsunori Inagaki Yoshifumi Kudo |
| author_sort | Hiroki Okamura |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Type V tibial tubercle avulsion fractures are extremely rare; therefore, information on them remains limited. Furthermore, although these fractures are intra-articular, to the best of our knowledge, there are no reports on their assessment via magnetic resonance imaging (MRI) or arthroscopy. Accordingly, this is the first report to describe the case of a patient undergoing detailed evaluation via MRI and arthroscopy. <i>Case Presentation</i>: A 13-year-old male adolescent athlete jumped while playing basketball, experienced discomfort and pain at the front of his knee, and fell down. He was transported to the emergency room by ambulance after he was unable to walk. The radiographic examination revealed a Type Ⅴ tibial tubercle avulsion fracture that was displaced. In addition, an MRI scan revealed a fracture line extending to the attachment of the anterior cruciate ligament (ACL); moreover, high MRI intensity and swelling due to ACL were observed, suggesting an ACL injury. On day 4 of the injury, open reduction and internal fixation were performed. Furthermore, 4 months after surgery, bone fusion was confirmed, and metal removal was performed. Simultaneously, an MRI scan obtained at the time of injury revealed findings suggestive of ACL injury; therefore, an arthroscopy was performed. Notably, no parenchymal ACL injury was observed, and the meniscus was intact. The patient returned to sports 6 months postoperatively. <i>Conclusion</i>: Type V tibial tubercle avulsion fractures are known to be extremely rare. Based on our report, we suggest that MRI should be performed without hesitation if intra-articular injury is suspected. |
| first_indexed | 2024-03-11T02:11:42Z |
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| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T02:11:42Z |
| publishDate | 2023-06-01 |
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| series | Medicina |
| spelling | doaj.art-cb0ad429a8b447dda68b6457acd3a8452023-11-18T11:30:54ZengMDPI AGMedicina1010-660X1648-91442023-06-01596106110.3390/medicina59061061Type V Tibial Tubercle Avulsion Fracture with Suspected Complication of Anterior Cruciate Ligament Injury: A Case ReportHiroki Okamura0Hiroki Ishikawa1Takuya Ohno2Shogo Fujita3Kei Nagasaki4Katsunori Inagaki5Yoshifumi Kudo6Department of Orthopedic Surgery, Nihon Koukan Hospital, 1-2-1 Koukandori, Kawasaki 210-0852, JapanDepartment of Orthopedic Surgery, Nihon Koukan Hospital, 1-2-1 Koukandori, Kawasaki 210-0852, JapanDepartment of Orthopedic Surgery, Nihon Koukan Hospital, 1-2-1 Koukandori, Kawasaki 210-0852, JapanDepartment of Orthopedic Surgery, Nihon Koukan Hospital, 1-2-1 Koukandori, Kawasaki 210-0852, JapanDepartment of Orthopedic Surgery, Nihon Koukan Hospital, 1-2-1 Koukandori, Kawasaki 210-0852, JapanDepartment of Orthopedic Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, JapanDepartment of Orthopedic Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan<i>Background and Objectives</i>: Type V tibial tubercle avulsion fractures are extremely rare; therefore, information on them remains limited. Furthermore, although these fractures are intra-articular, to the best of our knowledge, there are no reports on their assessment via magnetic resonance imaging (MRI) or arthroscopy. Accordingly, this is the first report to describe the case of a patient undergoing detailed evaluation via MRI and arthroscopy. <i>Case Presentation</i>: A 13-year-old male adolescent athlete jumped while playing basketball, experienced discomfort and pain at the front of his knee, and fell down. He was transported to the emergency room by ambulance after he was unable to walk. The radiographic examination revealed a Type Ⅴ tibial tubercle avulsion fracture that was displaced. In addition, an MRI scan revealed a fracture line extending to the attachment of the anterior cruciate ligament (ACL); moreover, high MRI intensity and swelling due to ACL were observed, suggesting an ACL injury. On day 4 of the injury, open reduction and internal fixation were performed. Furthermore, 4 months after surgery, bone fusion was confirmed, and metal removal was performed. Simultaneously, an MRI scan obtained at the time of injury revealed findings suggestive of ACL injury; therefore, an arthroscopy was performed. Notably, no parenchymal ACL injury was observed, and the meniscus was intact. The patient returned to sports 6 months postoperatively. <i>Conclusion</i>: Type V tibial tubercle avulsion fractures are known to be extremely rare. Based on our report, we suggest that MRI should be performed without hesitation if intra-articular injury is suspected.https://www.mdpi.com/1648-9144/59/6/1061tibial tubercle avulsion fracturesanterior cruciate ligamentkneesports injury |
| spellingShingle | Hiroki Okamura Hiroki Ishikawa Takuya Ohno Shogo Fujita Kei Nagasaki Katsunori Inagaki Yoshifumi Kudo Type V Tibial Tubercle Avulsion Fracture with Suspected Complication of Anterior Cruciate Ligament Injury: A Case Report Medicina tibial tubercle avulsion fractures anterior cruciate ligament knee sports injury |
| title | Type V Tibial Tubercle Avulsion Fracture with Suspected Complication of Anterior Cruciate Ligament Injury: A Case Report |
| title_full | Type V Tibial Tubercle Avulsion Fracture with Suspected Complication of Anterior Cruciate Ligament Injury: A Case Report |
| title_fullStr | Type V Tibial Tubercle Avulsion Fracture with Suspected Complication of Anterior Cruciate Ligament Injury: A Case Report |
| title_full_unstemmed | Type V Tibial Tubercle Avulsion Fracture with Suspected Complication of Anterior Cruciate Ligament Injury: A Case Report |
| title_short | Type V Tibial Tubercle Avulsion Fracture with Suspected Complication of Anterior Cruciate Ligament Injury: A Case Report |
| title_sort | type v tibial tubercle avulsion fracture with suspected complication of anterior cruciate ligament injury a case report |
| topic | tibial tubercle avulsion fractures anterior cruciate ligament knee sports injury |
| url | https://www.mdpi.com/1648-9144/59/6/1061 |
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