Presentation
Twisting injury while playing football.
Patient Data
Displaced avulsion fracture of tibial apophysis and proximal metaphysis and epiphysis of anterior tibia involving the physis (Type 3 Modified Ogden).
Suprapatellar joint effusion/haemarthrosis.
Avulsion fracture of the tibial tuberosity apophysis through the physis and proximal metaepiphysis (Type 3 Modified Ogden) with marked intervening oedema. Patella alta due to unopposed quadriceps pull. Medial patellar retinaculum tear. Intact patellar tendon with distal insertion onto avulsed tibial tuberosity apophysis still intact. Intact quadriceps tendon. Marked surrounding soft tissue and subcutaneous oedema. Intact cruciate and collateral ligaments. Normal menisci. Traumatic joint effusion.
Post avulsion fracture reduction with four non cannulated lag screws.
Intra-articular drain.
Patella alta.
Subcutaneous and soft tissue oedema.
Congruent distal femur and proximal tibia.
Case Discussion
Features of a proximal anterior tibial and apophysis avulsion fracture (Type 3 Modified Ogden) after a twisting injury while playing football.
The patient subsequently had an open reduction and internal fixation with non cannulated lag screws and is recovering well post operatively.
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