Simultaneous bilateral tibal tubercle avulsion: A rare fracture

Year 2013, Volume: 40 Issue: 4, 685 - 687, 01.12.2013

Hasan Metineren Ali Güleç Serdar Toker Mustafa Yel Burkay Kutluhan Kaçıra

https://doi.org/10.5798/diclemedj.0921.2013.04.0360

Abstract

Tibial tuberosity avulsion is a rare fracture in adolescence. Due to the shear forces on the immature epiphysis. Thirteen years old girl was admitted to the emergency department with knee pain and tenderness in both knees after jumping from a height of about one meter. İn examination she had tenderness and swelling over both tibial tuberosities. The patient could not do active knee extension. Type IIA fracture on the left and type IIIA fracture on the right knee were detected. For the patient\'s fractures, closed reduction and fixation with 3 smooth Kirschner wires was performed. After immobilization in long-leg brace for three weeks the brace was removed and she include in the rehabilitation program. In this report, we discuss similar cases in the literature and the results of the treatment applied to our patient.

Keywords

Tuberositas tibia, avulsion fracture, percutaneous pinning

Eş zamanlı bilateral tuberositas tibia avulsiyonu: Nadir bir kırık

Abstract

Tuberositas tibia avulsiyon kırığı adölesan çağda görülen nadir bir kırıktır. İmmatür epifiz üzerinde oluşan makaslama kuvvetlerinden kaynaklanmaktadır. On üç yaşında bayan hasta 1 metre yükseklikten atlama sonrasında her iki dizde ağrı ve yürüyememe şikayetiyle acil servise başvurdu. Yapılan muayenesinde her iki tuberositas tibia üzerinde hassasiyet ve şişlik mevcuttu. Hasta aktif diz ekstansiyonu yapamıyordu. Çekilen direkt radyografide solda Tip IIA, sağda Tip IIIA tuberositas tibia kırığı tesbit edildi. Hastanın her iki kırığına kapalı redüksiyon ve 3\'er adet düz Kirschner teli ile tesbit uygulandı. Her iki bacak 3 hafta uzun bacak atelde takip edildikten sonra ateller çıkarılıp rehabilitasyon programına alındı. Bu yazımızda literatürdeki diğer vakaları ve hastamıza uyguladığımız tedavinin etkinliğini tartışacağız.

Keywords

Tuberositas tibia, avülsiyon kırığı, perkütan pinleme

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