Evidence Search

Management of type II tibial spine fractures in children and adolescents: a systematic review.

Journal of orthopaedic surgery and research | 2026 | Sapienza M, Torrisi P, Mirto F, Amico M

[Indexed for MEDLINE] Conflict of interest statement: Declarations. Ethics approval and consent to participate: Not applicable. This study is a systematic review of previously published literature and did not involve direct participation of human subjects or animals. Consent for publication: Not applicable. The manuscript does not contain any individual person’s data, images, o...

Suture Fixation Versus Screw Fixation in Pediatric Tibial Eminence Fractures: A Systematic Review and Meta-Analysis of Clinical Outcomes and Reoperation Rates.

Cureus | 2025 | Elnewishy A, El Menawy Z, Zahed M, Elmesalmi M

Conflict of interest statement: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at presen...

Management and Outcomes of Tibial Eminence Fractures in the Pediatric Population: A Systematic Review.

Children (Basel, Switzerland) | 2023 | Limone B, Zambianchi F, Cacciola G, Seracchioli S

Conflict of interest statement: The authors Beatrice Limone, Francesco Zambianchi, Giorgio Cacciola, Stefano Seracchioli, Fabio Catani and Luigi Tarallo or any member of their immediate family, have no funding or commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connecti...

Tibial Anterior Cruciate Ligament Avulsion Fractures in Pediatric and Adult Populations: A Systematic Literature Review.

Journal of clinical medicine | 2025 | Landré V, Teuben M, Klingebiel FK, Shehu A

Conflict of interest statement: The authors declare no conflict of interest. 5. J ISAKOS. 2024 Jun;9(3):415-417. doi: 10.1016/j.jisako.2024.02.012. Epub 2024 Mar 20. Arthroscopic suture fixation of tibial spine fractures. Alakkas E(1), Drager J(2), Kerrigan A(2), Carsen S(2). Author information: (1)Orthopedic Division, Children's Hospital of Eastern Ontario, Ottawa, K1H 8L1, Ca...

Arthroscopic fixation techniques for tibial eminence fractures in pediatric patients: a review.

Frontiers in pediatrics | 2024 | Li C, Huang X, Yang Q, Luo Y

Conflict of interest statement: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. 8. Arthrosc Tech. 2019 Nov 9;8(12):e1473-e1477. doi: 10.1016/j.eats.2019.07.030. eCollection 2019 Dec. Double-Row Fixation for Avulsion of Anterior Cruciate Ligament. Elqirem...

Tibial spine fractures: State of the art.

Journal of ISAKOS : joint disorders & orthopaedic sports medicine | 2023 | Salvato D, Green DW, Accadbled F, Tuca M

[Indexed for MEDLINE] 2. J Orthop Surg Res. 2026 Mar 18;21(1):278. doi: 10.1186/s13018-026-06797-1. Management of type II tibial spine fractures in children and adolescents: a systematic review. Sapienza M(1), Torrisi P(2), Mirto F(2), Amico M(2), Russo A(3)(4), Costa GG(3)(4), Raciti F(2), Testa G(2), Pavone V(2). Author information: (1)Department of General Surgery and Medica...

Long-term Outcomes of Tibial Spine Avulsion Fractures After Open Reduction With Osteosuturing Versus Arthroscopic Screw Fixation: A Multicenter Comparative Study.

Orthopaedic journal of sports medicine | 2023 | Jääskelä M, Turati M, Lempainen L, Bremond N

Conflict of interest statement: The authors have declared that there are no conflicts of interest in the authorship and publication of this contribution. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. 10. J Pers Med. 2021 May...

Treatment of knee sprains in children.

Orthopaedics & traumatology, surgery & research : OTSR | 2022 | Choufani E, Pesenti S, Launay F, Jouve JL

[Indexed for MEDLINE] 19. Cureus. 2025 Dec 22;17(12):e99853. doi: 10.7759/cureus.99853. eCollection 2025 Dec. Suture Fixation Versus Screw Fixation in Pediatric Tibial Eminence Fractures: A Systematic Review and Meta-Analysis of Clinical Outcomes and Reoperation Rates. Elnewishy A(1), El Menawy Z(2)(3)(4)(5), Zahed M(6), Elmesalmi M(7), Elnaggar N(8), Ahmed F(9), Odeh M(10), El...

Suture Versus Screw Fixation of Tibial Spine Fractures in Children and Adolescents: A Comparative Study.

Orthopaedic journal of sports medicine | 2019 | Callanan M, Allen J, Flutie B, Tepolt F

Conflict of interest statement: One or more of the authors declared the following potential conflict of interest or source of funding: J.A. has received educational support from Pylant Medical, Smith & Nephew, and Arthrex. D.K. has received educational support from Kairos Surgical. M.S.K. has received consulting fees and royalties from OrthoPediatrics and Ossur, nonconsulting f...

Tibial spine avulsion fractures: treatment update.

Current opinion in pediatrics | 2019 | Tuca M, Bernal N, Luderowski E, Green DW

[Indexed for MEDLINE] 16. J Pediatr Orthop. 2015 Mar;35(2):130-5. doi: 10.1097/BPO.0000000000000249. Incidence of meniscal injury and chondral pathology in anterior tibial spine fractures of children. Mitchell JJ(1), Sjostrom R, Mansour AA, Irion B, Hotchkiss M, Terhune EB, Carry P, Stewart JR, Vidal AF, Rhodes JT. Author information: (1)*Department of Orthopaedic Surgery, Univ...

Lower Extremity Avulsion Fractures in the Pediatric and Adolescent Athlete.

The Journal of the American Academy of Orthopaedic Surgeons | 2017 | Schiller J, DeFroda S, Blood T

[Indexed for MEDLINE] 4. J Clin Med. 2025 Sep 7;14(17):6316. doi: 10.3390/jcm14176316. Tibial Anterior Cruciate Ligament Avulsion Fractures in Pediatric and Adult Populations: A Systematic Literature Review. Landré V(1), Teuben M(1), Klingebiel FK(1), Shehu A(1), Ensle F(2), Pape HC(1), Rauer T(1)(3). Author information: (1)Department of Traumatology, University Hospital Zurich...

Physeal fractures about the knee.

Current reviews in musculoskeletal medicine | 2016 | Little RM, Milewski MD

Conflict of interest statement: Rhianna M. Little declares that she has no conflict of interest. Matthew D. Milewski reports personal fees from Elsevier, Inc, and grants from Pediatric Orthopaedic Society of North America outside the submitted work. Human and animal rights and informed consent This article does not contain any studies with human or animal subjects performed by...

Defining the boundaries of surgery in pediatric ACL avulsion fractures: A Case Report in a 5-Year-Old Child.

Orthopedic reviews | 2025 | Zmerly H, De Zerbi M, Mahfouz V, Akkawi I

12. JBJS Essent Surg Tech. 2016 May 11;6(2):e18. doi: 10.2106/JBJS.ST.15.00062. eCollection 2016 Jun 22. Surgical Reduction and Fixation of Tibial Spine Fractures in Children: Multiple Fixation Strategies. Ganley TJ(1), Brusalis CM(1). Author information: (1)Department of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. A tibial spine fr...

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...

Arthroscopic suture fixation of tibial spine fractures.

Journal of ISAKOS : joint disorders & orthopaedic sports medicine | 2024 | Alakkas E, Drager J, Kerrigan A, Carsen S

[Indexed for MEDLINE] 6. Children (Basel). 2023 Aug 13;10(8):1379. doi: 10.3390/children10081379. Management and Outcomes of Tibial Eminence Fractures in the Pediatric Population: A Systematic Review. Limone B(1), Zambianchi F(2), Cacciola G(1), Seracchioli S(2), Catani F(2), Tarallo L(2). Author information: (1)Department of Traumatology, Orthopaedic and Occupational Medicine,...

Avulsion Fracture of the Tibial Tuberosity in Adolescents: A Rare Case and Surgical Fixation Technique

Journal of Orthopedic and Spine Trauma | 2024 | Farzad Amouzadeh Omrani, Kourosh Kharkan Ghamsari, Mojtaba Baroutkoub, Sina Afzal

Background: Only 3% of all proximal tibial fractures result in an avulsion fracture of the tibial tuberosity. It is often seen in youngsters between the ages of 3 and 6 and is less frequent after puberty. Case Report: A 15-year-old boy was presented with severe left knee pain following a high jump. X-ray and computed tomography (CT) scan showed a tibial tuberosity fracture with...

A Case Report of a Rare Presentation of Semimembranosus Tibial Plateau Avulsion: The Bony Ramp Lesion

Journal of Orthopedic and Spine Trauma | 2024 | Arash Sharafat Vaziri, Hamid Rabie, Iman Menbari Oskouie, Mohammad Tahami

Background: Tibial plateau posteromedial rim avulsions by semimembranosus tendon are a rare entity that have been reported in a few studies so far with controversial mechanisms. They are reported to accompany anterior cruciate ligament (ACL) or meniscal injuries. Their main fracture planes are usually placed in the coronal plane. Case Report: The patient was a 52-year-old man w...

Intercondylar eminence fracture treated by resorbable magnesium screws osteosynthesis: A case series.

Injury | 2018 | Gigante A, Setaro N, Rotini M, Finzi SS

[Indexed for MEDLINE] 15. Curr Opin Pediatr. 2019 Feb;31(1):103-111. doi: 10.1097/MOP.0000000000000719. Tibial spine avulsion fractures: treatment update. Tuca M(1), Bernal N(1), Luderowski E(2), Green DW(3). Author information: (1)Clinica Alemana, Universidad de Desarrollo, Santiago, Chile. (2)Johns Hopkins University School of Medicine, Baltimore, Maryland. (3)Hospital for Sp...

Four Cases of Avulsion Fracture of the Anterior Tibial Tuberosity

Progress in Orthopedic Science | 2023 | Bader Amine

This work is an observational study focusing on 4 cases of avulsion fracture of the anterior tibial tuberosity, collected between 2020 and 2022 at the orthopedic and trauma surgery department of Fattouma Bourguiba Hospital in Monastir in Tunisia. The aim of this work is to study the epidemiological, clinical, radiological, therapeutic and evolutionary aspects of this pathology....

Open Non-conjoint Bicondylar Hoffa Fracture with Ipsilateral Tibial Spine Avulsion and Disruption of Patellar Tendon – A Rare Case

Journal of Orthopaedic Case Reports | 2023 | Vishnu Senthil

Introduction: Hoffa’s fracture is rare high velocity injuries. Bicondylar Hoffa is a rare fracture entity with only few reported cases. Case Report: We report a case of open Type 3b non-conjoint bicondylar Hoffa fracture accompanied with ipsilateral anterior tibial spine avulsion and disruption of the patellar tendon. Staged procedure was done, first procedure included wound de...

Segond and tibial spine avulsion fractures

Radiopaedia.org | 2022 | Luke Phillips

Outcome of Isolated PCL Tibial Avulsion Fractures Treated with Cannulated Cancellous Screw Fixation

Journal of Orthopedic and Spine Trauma | 2022 | Sanjay Kumar Ghilley, Narendra Kumar Sansi, Mahaveer Meena, Deepak Kumar Tatwal

Background: The posterior cruciate ligament (PCL) presents commonly as avulsion fractures from the tibial attachment site. Isolated tears of the PCL can be caused by a fall on the flexed knee or dashboard injury in road traffic accident. Such a mechanism (the upper tibia driven posteriorly with the knee flexed) may produce PCL disruption as the only clinically detectable instab...

Arthroscopic Repair in Tibial Spine Avulsion Fractures Using Polyethylene Terephthalate Suture: Good to Excellent Results in Pediatric Patients.

Journal of personalized medicine | 2021 | Russu OM, Pop TS, Ciorcila E, Gergely I

Conflict of interest statement: The authors declare no conflict of interest. 11. Orthop Rev (Pavia). 2025 Sep 29;17:144725. doi: 10.52965/001c.144725. eCollection 2025. Defining the boundaries of surgery in pediatric ACL avulsion fractures: A Case Report in a 5-Year-Old Child. Zmerly H(1)(2), De Zerbi M(3), Mahfouz V(4), Akkawi I(5), Pegreffi F(6)(7). Author information: (1)Ort...

Mid-term outcomes of arthroscopic suture fixation technique in tibial spine fractures in the pediatric population.

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES | 2021 | Çağlar C, Yağar H, Emre F, Uğurlu M

[Indexed for MEDLINE]

TIBIAL SPINE AVULSION FRACTURE IN THE ELDERLY

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

Double-Row Fixation for Avulsion of Anterior Cruciate Ligament.

Arthroscopy techniques | 2019 | Elqirem Z, Alhanbali M, Sbieh Y

9. Orthop J Sports Med. 2023 Jun 20;11(6):23259671231176991. doi: 10.1177/23259671231176991. eCollection 2023 Jun. Long-term Outcomes of Tibial Spine Avulsion Fractures After Open Reduction With Osteosuturing Versus Arthroscopic Screw Fixation: A Multicenter Comparative Study. Jääskelä M(1), Turati M(2)(3)(4), Lempainen L(4)(5)(6), Bremond N(7)(8), Courvoisier A(7)(8), Henri A(...

Tibial Tubercle Avulsion

Imaging in Pediatrics | 2018

Tibial Tubercle Avulsion

Diagnostic Imaging: Pediatrics | 2017

Surgical Reduction and Fixation of Tibial Spine Fractures in Children: Multiple Fixation Strategies.

JBJS essential surgical techniques | 2016 | Ganley TJ, Brusalis CM

13. Orthop J Sports Med. 2019 Nov 22;7(11):2325967119881961. doi: 10.1177/2325967119881961. eCollection 2019 Nov. Suture Versus Screw Fixation of Tibial Spine Fractures in Children and Adolescents: A Comparative Study. Callanan M(1), Allen J(1), Flutie B(1), Tepolt F(1), Miller PE(1), Kramer D(1), Kocher MS(1). Author information: (1)Boston Children's Hospital, Boston, Massachu...

Segond fracture with tibial spine avulsion

Radiopaedia.org | 2016 | Adam Tunis

Incidence of meniscal injury and chondral pathology in anterior tibial spine fractures of children.

Journal of pediatric orthopedics | 2015 | Mitchell JJ, Sjostrom R, Mansour AA, Irion B

[Indexed for MEDLINE] 17. Curr Rev Musculoskelet Med. 2016 Dec;9(4):478-486. doi: 10.1007/s12178-016-9370-7. Physeal fractures about the knee. Little RM(1), Milewski MD(2). Author information: (1)Connecticut Children's Medical Center, 282 Washington Street, Hartford, CT, 06040, USA. (2)Elite Sports Medicine, Connecticut Children's Medical Center, 399 Farmington Avenue, Farmingt...

Tibial spine fracture with anterior cruciate ligament avulsion - type 4

Radiopaedia.org | 2014 | Jeremy Jones

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...

Acute tibial tubercle avulsion fractures

Orthopedic Clinics of North America | 2003 | Brodie E. McKoy, Carl L. Stanitski