Journal of Musculoskeletal Trauma

Original Article

Compartment Syndrome Complicating Avulsion Fractures of the Tibial Tubercle: Yerl Bo Sung, Jin Hyok Kim, Hyung Jin Chung, Dong Soo Kim, Byung Hyun Jung, Jong Guk Ahn, Chil Soo Kwon, Kook Jin Chung, Bong Gyun Kang; J Korean Soc Fract 1999;12(2):284-289. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.284

Abstract PDF: Avulsion of the tibial tubercle is an uncommon physeal injury. Complications from this fracture have rarely been reported and seldom affect the long-term outcome. Three adolescent boys who sustained avulsion fracture of the tibial tubercle, were complicated by compartment syndrome and treated at Inje University Sang-Gye Paik Hospital from September 1989 to February 1995. Injury to the soft tissue surrounding the tibial tubercle avulsion may be more extensive than is usually appreciated. The anatomy of the proximal tibia and the tibial tubercle with nearby branches of the anterior tibial recurrent artery suggest a predisposing factor for the development of compartment syndrome. So, compartment syndrome should be added to the list of possible complications of this type of fracture.

Case Report

Avulsion Fractures of the Tibial Tuberosity: Three Cases Reports: Ho Jung Kang, Koon Soon Kang, Jun Seop Jahng, Young June Park; J Korean Soc Fract 1992;5(2):372-377. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.372

Abstract PDF: The talus is a important bone because it supports and distributes the body forces above it. Avulslon Fractures of the tibial tubercle prior to epiphyseal closure are uncommon. Fractures that are seen most frequently in adolescents. Watson-Jones classified these injuries into three types. The authors treated three cases of the tuberosity fractures. Two adolescent boys were treated with open reduction and screw fixation and K-wire fixation. One adult man was treated with open reduction and circumferential wire fixation. The Osgood-schlatter disease was diagnosed in two patients. There were small flecks of calcification 3 to 4cm proximal to the tubercle in the two adolescent cases. Functional motion was started within six weaks after operation. No early complications occurred, and no later defermities. such as genu recurvatum as reported by Blount, were detected. All patients returned to normal activity in one year after an operation.

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