Tibial tuberosity fracture: Difference between revisions
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===Types=== | ===Types=== | ||
*Type I | *Type I | ||
** | **Fracture through the small distal portion of the tibial tuberosity | ||
*Type II | *Type II | ||
**Occur after coalescence of secondary ossification centers of tuberosity to the metaphysis | **Occur after coalescence of secondary ossification centers of tuberosity to the metaphysis | ||
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{{Tibial fractures peds}} | {{Tibial fractures peds}} | ||
== | ==Evaluation== | ||
==Management== | ==Management== | ||
{{General Fracture Management}} | |||
===Specific Management=== | |||
*Types I and II | *Types I and II | ||
**Immobilization | **Immobilization | ||
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==External Links== | ==External Links== | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category: | |||
[[Category: | [[Category:Pediatrics]] | ||
[[Category:Orthopedics]] |
Latest revision as of 05:01, 18 September 2019
Background
- Due to contraction of quadriceps against fixed leg
Types
- Type I
- Fracture through the small distal portion of the tibial tuberosity
- Type II
- Occur after coalescence of secondary ossification centers of tuberosity to the metaphysis
- Type III
- Splits epiphysis of the tuberosity from the epiphysis of the proximal tibia
- At risk for compartment syndrome
Clinical Features
Differential Diagnosis
Pediatric Tibial Fractures
Evaluation
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Specific Management
- Types I and II
- Immobilization
- Displaced type II and type III
- Immediate ortho consult