Bilateral Tibial Tuberosity Periosteal Sleeve Fracture in an Adolescent: A Case Report

Tibial tuberosity avulsion fracture is a rare injury, and bilateral occurrence is more uncommon. Periosteal sleeve fracture is a unique fracture pattern which was first described in the lower pole of patella in children. We are reporting a rare case of bilateral tibial tuberosity sleeve fracture in...

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Main Authors: Luqman M, Rasid AF, Jamil K, Abd-Rashid AH
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2023-11-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:https://www.morthoj.org/2023/v17n3/bilateral-tibial-tuberosity.pdf
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author Luqman M
Rasid AF
Jamil K
Abd-Rashid AH
author_facet Luqman M
Rasid AF
Jamil K
Abd-Rashid AH
author_sort Luqman M
collection DOAJ
description Tibial tuberosity avulsion fracture is a rare injury, and bilateral occurrence is more uncommon. Periosteal sleeve fracture is a unique fracture pattern which was first described in the lower pole of patella in children. We are reporting a rare case of bilateral tibial tuberosity sleeve fracture in a teenage boy which occurred while sprinting. The patient underwent open reduction, pull through suture fixation of the bilateral tibial tuberosity and screw fixation of left tibial tuberosity. Post-operative rehabilitation included gradual increment of range of motion with hinged brace and quadriceps muscle strengthening. Close follow-up was done to monitor the progression of his recovery. At six months follow-up, the patient recovered well. Both knees had full range of motion with an intact extensor mechanism.
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spelling doaj.art-ee74402ad0d34bb29d497483ce57ead22023-12-27T09:37:40ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2023-11-01173848710.5704/MOJ.2311.013Bilateral Tibial Tuberosity Periosteal Sleeve Fracture in an Adolescent: A Case Report Luqman M0Rasid AF1 Jamil K2Abd-Rashid AH3Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Tibial tuberosity avulsion fracture is a rare injury, and bilateral occurrence is more uncommon. Periosteal sleeve fracture is a unique fracture pattern which was first described in the lower pole of patella in children. We are reporting a rare case of bilateral tibial tuberosity sleeve fracture in a teenage boy which occurred while sprinting. The patient underwent open reduction, pull through suture fixation of the bilateral tibial tuberosity and screw fixation of left tibial tuberosity. Post-operative rehabilitation included gradual increment of range of motion with hinged brace and quadriceps muscle strengthening. Close follow-up was done to monitor the progression of his recovery. At six months follow-up, the patient recovered well. Both knees had full range of motion with an intact extensor mechanism. https://www.morthoj.org/2023/v17n3/bilateral-tibial-tuberosity.pdftibial tuberosityavulsion fractureperiosteal sleeveadolescent
spellingShingle Luqman M
Rasid AF
Jamil K
Abd-Rashid AH
Bilateral Tibial Tuberosity Periosteal Sleeve Fracture in an Adolescent: A Case Report
Malaysian Orthopaedic Journal
tibial tuberosity
avulsion fracture
periosteal sleeve
adolescent
title Bilateral Tibial Tuberosity Periosteal Sleeve Fracture in an Adolescent: A Case Report
title_full Bilateral Tibial Tuberosity Periosteal Sleeve Fracture in an Adolescent: A Case Report
title_fullStr Bilateral Tibial Tuberosity Periosteal Sleeve Fracture in an Adolescent: A Case Report
title_full_unstemmed Bilateral Tibial Tuberosity Periosteal Sleeve Fracture in an Adolescent: A Case Report
title_short Bilateral Tibial Tuberosity Periosteal Sleeve Fracture in an Adolescent: A Case Report
title_sort bilateral tibial tuberosity periosteal sleeve fracture in an adolescent a case report
topic tibial tuberosity
avulsion fracture
periosteal sleeve
adolescent
url https://www.morthoj.org/2023/v17n3/bilateral-tibial-tuberosity.pdf
work_keys_str_mv AT luqmanm bilateraltibialtuberosityperiostealsleevefractureinanadolescentacasereport
AT rasidaf bilateraltibialtuberosityperiostealsleevefractureinanadolescentacasereport
AT jamilk bilateraltibialtuberosityperiostealsleevefractureinanadolescentacasereport
AT abdrashidah bilateraltibialtuberosityperiostealsleevefractureinanadolescentacasereport