DOI: 10.36347/sasjs.2022.v08i08.001

Pages: 493-495

Tibial tubercle avulsion fractures are an uncommon injury occurring due to strong contraction of the quadriceps femoris muscle. Of all proximal tibial fractures, approximately 3% are tibial tubercle avulsion fractures. We report 3 cases of anterior tibial tubercle fractures in 3 adolescents treated at the pediatric surgical emergency department in Rabat. Standard radiographs of the knee will reveal the avulsed tibia tubercle and also allow fracture classification. There are multiple classification systems with multiple modifiers. The most commonly used is the modified Ogden classification. Tibial tubercle avulsion fractures can be associated with concomitant soft tissue damage, periosteal damage, and compartment syndrome leading to extensor mechanism disruption, joint laxity, or vascular compromise. Treatment can be nonsurgical or surgical, and indications depend on fracture type. Most fractures are surgical candidates and can be repaired with open reduction and internal fixation (ORIF) or arthroscopy. Satisfactory results are usually achieved.