title: Acute simultaneous bilateral avulsion fractures of the tibial tubercles in a 15-year-old male hurler: case report and literature review.
abstract: BACKGROUND
  Avulsion fractures of the tibial tubercle are an unusual injury pattern generally occurring in the adolescent male during sporting activities. Bilateral simultaneous fractures are extremely rare. They are often associated with other underlying orthopaedic pathology.
  
  
  OBJECTIVE
  We present a case of bilateral tibial tubercle avulsions occurring in a 15 year-old male hurler. We describe the management and necessary investigations required for this type of trauma and present a literature review on this rarely encountered injury.
  
  
  CONCLUSIONS
  Although this type of atypical fracture pattern is associated with high energy trauma and other underlying pathology, we have shown that once treated, the patient can expect to make a prompt return to sporting activities with no significant long-term functional deficit.
authors.affiliation: Department of Trauma and Orthopaedics, Waterford Regional Hospital, Waterford, Ireland.
authors.forename: C
authors.initials: C
authors.lastname: Hanley
authors.forename: S J
authors.initials: SJ
authors.lastname: Roche
authors.forename: J
authors.initials: J
authors.lastname: Chhabra
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery