title: Fracture of the tibial spine in adults and children. A review of 31 cases.
abstract: We reviewed 19 adults and 12 children who had been treated for avulsion fractures of the tibial spine. Adult injuries have not previously been reported at length; most were caused by road-traffic accidents, and 68% were associated with other injuries, of which 58% were around the knee. The higher incidence of associated injuries in adults as compared with children, indicates that the injury is the result of greater energy and perhaps a different mechanism. The worse outcome in some adults was due to other associated intra-articular fractures and tears of the medial collateral ligament. Arthroscopy is useful in both diagnosis and treatment. Early accurate diagnosis and the correct treatment produce a good outcome.
authors.affiliation: Chinese University of Hong Kong, Shatin, New Territories.
authors.forename: N S
authors.initials: NS
authors.lastname: Kendall
authors.forename: S Y
authors.initials: SY
authors.lastname: Hsu
authors.forename: K M
authors.initials: KM
authors.lastname: Chan
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D001915:Braces; D002370:Casts, Surgical; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D007719:Knee Joint / Q000502:physiology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D013978:Tibial Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*