Tibial spine avulsion fracture.
Summary of "Tibial spine avulsion fracture."
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. Radiographs of the left knee revealed findings consistent with a tibial spine avulsion fracture, while magnetic resonance imaging confirmed a medial tibial spine avulsion fracture. Bone marrow edema was noted in a pivot shift injury pattern involving the lateral femoral condyle and the lateral tibial plateau, and there was also a fracture of the posterior lateral tibial cortex at the site of the bone marrow edema. To determine the best course of treatment, a computed tomography scan was ordered to better visualize the extent of the avulsion fracture. The computed tomography scan demonstrated a comminuted fracture through the tibial spine.J Orthop Sports Phys Ther 2010;40(9):594. doi:10.2519/jospt.2010.0414.
Affiliation
Journal Details
This article was published in the following journal.
Name: The Journal of orthopaedic and sports physical therapy
ISSN: 0190-6011
Pages: 594
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20805629
- DOI: http://dx.doi.org/10.2519/jospt.2010.0414
Medical and Biotech [MESH] Definitions
Bone Plates
Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)
Tibial Neuropathy
Disease of the TIBIAL NERVE (also referred to as the posterior tibial nerve). The most commonly associated condition is the TARSAL TUNNEL SYNDROME. However, LEG INJURIES; ISCHEMIA; and inflammatory conditions (e.g., COLLAGEN DISEASES) may also affect the nerve. Clinical features include PARALYSIS of plantar flexion, ankle inversion and toe flexion as well as loss of sensation over the sole of the foot. (From Joynt, Clinical Neurology, 1995, Ch51, p32)
Monteggia's Fracture
Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.
Fracture Fixation
The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.
Tibial Nerve
The medial terminal branch of the sciatic nerve. The tibial nerve fibers originate in lumbar and sacral spinal segments (L4 to S2). They supply motor and sensory innervation to parts of the calf and foot.
PubMed Articles
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