Sports Medicine

, Volume 9, Issue 5, pp 311–316

The Treatment of Avulsion Fractures of the Tibial Tuberosity in Adolescent Athletes

  • P. Balmat
  • P. Vichard
  • R. Pem
Injury Clinic


Avulsion fractures of the tibial tuberosity occur mainly during sport activities and are closely related to the strains exerted on the anterior tibial tuberosity by the extension complex of the thigh. A knowledge of the mechanical aspects of these avulsions may improve understanding of the mechanisms of such injuries. In such avulsion fractures, tensile forces due to the contraction of the quadriceps complex overcome the cohesive forces within the apophyseal cartilage. A 1-month cast immobilisation on an extended knee gives good results in the management of nondisplaced fractures. In minor displacements, such immobilisations follow closed external reductions. Open reductions and stable screw fixations precede a 3-week immobilisation for displaced fractures. Long term results are regularly good in well-managed cases.


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  1. Bowers KD. Patellar tendon avulsion as a complication of Osgood-Schlatter’s disease. American Journal of Sports Medicine 9(6): 356–358, 1981PubMedCrossRefGoogle Scholar
  2. Buisson P. Décollement apophysaire du bassin et des membres inférieurs chez l’enfant et l’adolescent. Thèse Medicale, Faculte de Lyon, 459, 1976Google Scholar
  3. Christie MJ, et al. Tibial tuberosity avulsion fractures in adolescents. Journal of Pediatric Orthopedics 1(4): 391–394, 1981PubMedCrossRefGoogle Scholar
  4. Deliannis SN. Avulsion of the tibial tuberosity: report of 2 cases. Injury 4: 341–344, 1973CrossRefGoogle Scholar
  5. Dyatchkov VM. The high jump. Track Tech 34: 1059–1061, 1968Google Scholar
  6. Gombac R. The mechanics of the take-off in high jump. Medicine and Sports, Biomechanics II, pp. 232–235, Karger, Basel, 1971Google Scholar
  7. Hand WL, Hand CR, Dunn WA. Avulsion fractures of the tibial tubercule. Journal of Bone and Joint Surgery 53A: 1579–1583, 1971Google Scholar
  8. Hay JG. The kneumatic look at the high jump. Track Tech 53: 1697–1703, 1973Google Scholar
  9. Hulting B. Roentgenologic features of the fractures of the tibial tuberosity. Acta Radiologica 48(3): 161–174, 1957PubMedCrossRefGoogle Scholar
  10. Kaufer H. Patellar biomechanics. Clinical Orthopedics 144: 51–54, 1979Google Scholar
  11. Leclair P. La maladie d’Osgood-Schlatter. Thèse Medicale, Faculte Paris-Ouest, 35, 1979Google Scholar
  12. Levi JH, Coleman CR. Fracture of the tibial tubercule. American Journal of Sports Medicine 4(6): 254–263, 1976PubMedCrossRefGoogle Scholar
  13. Ogden JA, Spouthwick WD. Osgood-Schlatter disease tibial tubercule development. Clinical Orthopedics 116: 180–189, 1976Google Scholar
  14. Ogden JA, Tross RB, Murphy MS. Fracture of the tibial tuberosity in adolescent. Journal of Bone and Joint Surgery 62A(2): 205–215, 1980Google Scholar
  15. Ozolin N. The high jump take off mechanism. Track Tech 52: 1668–1671, 1973Google Scholar
  16. Salter RB, Harris WR. Injuries involving the epiphyseal plate. Journal of Bone and Joint Surgery 45A: 587–622, 1963Google Scholar
  17. Smidt CI. Biomechanical analysis of knee flexion and extension. Journal of Biomechanics 6: 79–92, 1973PubMedCrossRefGoogle Scholar
  18. Watson Jones R. Fractures and joint injuries, 4th ed., p.786, William and Wilkins, Baltimore, 1955Google Scholar
  19. Zariczmyge B. Avulsion fracture of the tibial eminence: treatment by open reduction. Journal of Bone and Joint Surgery 59A(8): 1111–1114, 1977Google Scholar

Copyright information

© ADIS Press Limited 1990

Authors and Affiliations

  • P. Balmat
    • 1
  • P. Vichard
    • 1
  • R. Pem
    • 1
  1. 1.Service d’Orthopédie-TraumatologieC.H.R., Hôpital Jean MinjozBesançon CedexFrance

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