Abstract
Tibial spine fractures are relatively rare with an approximated incidence of 3 per 100,000 per year.1The age group which...
Highlights
Tibial spine avulsion fracture is rare injury
Tibial spine fractures are relatively rare with an approximated incidence of 3 per 100,000 per year.1The age group which is more commonly involved in these fractures is 8-14 years of children.2Because during these years of age strength of the ligaments is more than the ossifying tibial eminence bone
Hayes et al found that 40% of tibial eminence fractures reported in the literature occurred in adults4
Summary
Tibial spine avulsion fracture is rare injury. Various methods have been described to treat these injuries. The Meyers and Makeover classification, is the most commonly used classification of tibial spine fractures This injury produces disabilities in form of flexion deformity, loss of extension and instability of the knee joint as ACL is involved, so it is important to fix this injury (especially type 3 and 4).09,10,11It is important to fix this injury with prevention of native ACL because it has mechanoreceptors for proprioception and neuromuscular control.12Various methods have been described to fix this fracture which includes k-wire, cancellous screws, Herbert screws, staples, stainless steel wires , suture anchor , meniscal arrows , sutures or combination of these methods and mini-open or arthroscopic repair
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