Orthonotes
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v3.0 Fusion
v3.0 Fusion
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Meyers–McKeever (± Zaricznyj) — Tibial Spine (ACL Avulsion)

Type I: Minimally displaced avulsion. Type II: Hinge of posterior fibers intact (anterior lift) — may reduce closed; fixation if interposed tissue. Type III: Completely displaced fragment — requires reduction and fixation. Type IV (Zaricznyj): Comminuted fragment — fixation with sutures/screws after debridement.

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Type I: Minimally displaced avulsion. Type II: Hinge of posterior fibers intact (anterior lift) — may reduce closed; fixation if interposed tissue. Type III: Completely displaced fragment — requires reduction and fixation. Type IV (Zaricznyj): Comminuted fragment — fixation with sutures/screws after debridement.
MCQs

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Question 1

What is the primary reason tibial spine avulsion injuries occur more frequently in children than in adults?

Question 2

Which type of tibial spine fracture is considered comminuted and requires fixation with sutures or screws after debridement?

Question 3

What is the typical age range for the peak incidence of tibial spine fractures?

Question 4

What is the expected outcome for Type I tibial spine fractures treated non-operatively?

Question 5

Following a successful closed reduction of a Type II tibial spine fracture, what is the recommended next step?

Question 6

What is the primary mechanism of injury for tibial spine fractures in children?

Question 7

In the Meyers-McKeever classification, which type of tibial spine fracture is characterized by minimal displacement of the fragment and is treated non-operatively?

Question 8

Which type of tibial spine fracture involves a hinge of posterior fibers intact allowing for possible closed reduction?

Question 9

What is the treatment approach for a Type III tibial spine fracture?

Question 10

What characteristic appearance is noted on X-ray for a Type II tibial spine fracture?