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Tibial Spine Avulsion Fracture
Aka: Tibial Spine Avulsion Fracture, Tibial Eminence Fracture
- Epidemiology
- Ages 8-14 years old (skeletally immature)
- Typically occurs in bike and Downhill Skiing
- Mechanism
- Rare avulsion Fractures involving the ACL or PCL insertions
- Imaging
- Knee XRay
- Tibial Spine Avulsion Fracture typically seen on plain xray AP view
- MRI Knee
- Confirms avulsion Fracture
- Identifies associated injuries (e.g. ACL Tear, PCL Tear)
- Management
- Knee Immobilizer
- Non-weight bearing
- Semi-urgent orthopedic Consultation
- Most will require surgical repair
- References
- Dolbec (2019) Crit Dec Emerg Med 33(1): 17-25
- Anderson (2011) Clin Sports Med 30(4):727-42 +PMID:22018313 [PubMed]