Evidence Search

Early combined arthroscopic and open management of combined ACL and PCL tibial spine avulsion in a knee dislocation: A case report

Current Orthopaedic Practice | 2025 | Ashton Davis, Robert W. Lindeman

A 35-year-old man presented with right knee pain following a tree stump landing on his leg two days prior. Evaluation revealed a knee dislocation injury (KD III M) with displaced avulsion fractures of the anterior cruciate ligament and posterior cruciate ligament, with the fragments flipped 180 degrees. Additional injuries identified through preoperative imaging (computer tomog...

Association Between Secondary ACL Injury and Tibial Spine Height After Primary ACL Reconstruction: A Case-Control Study

Orthopaedic Journal of Sports Medicine | 2025 | Naofumi Hashiguchi, Atsuo Nakamae, Akinori Nekomoto, Shunya Tsuji

Background: The anterior cruciate ligament (ACL) is essential for knee stability, and reconstruction aims to restore functionality. High secondary ACL injury rates after primary ACL reconstruction (ACLR) pose significant clinical, public health, and economic challenges. Although tibial spine height (TSH) has been identified as a risk factor for primary ACL injuries, its role in...

TIBIAL SPINE AVULSION FRACTURES IN ADULTS TREATED WITH ACL RECONSTRUCTION

INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH | 2023 | Ravindra W. Kulkarni, G. Tarun Reddy, Samarin Gajabar, Soumya D. Talikoti

Introduction: Tibial spine fractures are avulsion fractures of the anterior cruciate ligament (ACL). They are more frequent in children than in adults. Arthroscopic xation methods for such fractures are technically demanding, and their outcomes are compromised due arthrobrosis leading to knee stiffness, residual ACL laxity causing anterior instability, mal-union, non-union an...

Tibial eminence avulsion fracture - Meyers and McKeever type 3b

Radiopaedia.org | 2022 | Yaïr Glick

Segond and tibial spine avulsion fractures

Radiopaedia.org | 2022 | Luke Phillips

Meyers and McKeever classification of ACL avulsion fractures

Radiopaedia.org | 2021 | Daniel Bell, Henry Knipe, Yaïr Glick

TIBIAL SPINE AVULSION FRACTURE IN THE ELDERLY

Russian Electronic Journal of Radiology | 2020 | P. Kasetti, D. Beale, R. Botchu

Clinical outcome of tibial spine ACL avulsion fracture in adults treated with suture bridge fixation

Indian Journal of Orthopaedics Surgery | 2020

Avulsion tibial eminence - ACL origin

Radiopaedia.org | 2017 | Chris O'Donnell

Anterior cruciate ligament (ACL) (tibial eminence) avulsion fracture

Radiopaedia.org | 2016 | Amr Farouk

Segond fracture with tibial spine avulsion

Radiopaedia.org | 2016 | Adam Tunis

Tibial spine fracture with anterior cruciate ligament avulsion - type 4

Radiopaedia.org | 2014 | Jeremy Jones

ACL Tibial Spine Avulsion: Mid-Term Outcomes and Rehabilitation

Orthopedics | 2011 | Jedediah H. May, Bruce A. Levy, Darlene Guse, Jay Shah

Tibial spine fractures are characterized by fractures at the insertion site of the anterior cruciate ligament (ACL) on the tibia and were first classified into 3 types. For displaced (type II/III) fractures, surgical treatment has included fixation with screws, sutures, or wires performed through either open or arthroscopic approaches. Optimal treatment methods remain controver...

Tibial Spine Avulsion Fracture

Journal of Orthopaedic & Sports Physical Therapy | 2010 | Heather Matheson, Trevor A. Lentz

The patient was a 32-year-old male who sustained a noncontact left knee injury during a quick pivot on a planted left foot, while playing flag football.He felt a pop in his knee, noted immediate swelling, and was unable to bear weight. He subsequently presented to the emergency department for evaluation. Radiographs of the left knee revealed findings consistent with a tibial sp...