J Knee Surg 2018; 31(05): 374-381
DOI: 10.1055/s-0038-1636544
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Tibial Spine Fractures in Children: Evaluation, Management, and Future Directions

Alexander J. Adams
1  Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
,
Nakul S. Talathi
1  Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
,
Jigar S. Gandhi
1  Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
,
Neeraj M. Patel
1  Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
,
Theodore J. Ganley
1  Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
› Author Affiliations
Funding None.
Further Information

Publication History

14 January 2018

28 January 2018

Publication Date:
07 March 2018 (eFirst)

Abstract

Fractures of the tibial spine are estimated to occur in 3 per 100,000 children annually, but account for 2 to 5% of pediatric knee injuries with effusion. Although these fractures were historically associated with bicycle accidents, the surge of organized youth sports in recent decades has brought renewed attention to this injury. While minimally displaced fractures can be treated nonoperatively, several techniques have been described for fixation of displaced or comminuted fractures. Sequelae of this injury can include arthrofibrosis, knee instability, and nonunion. Future collaborative endeavors will aim to further identify risk factors for these complications to optimize the treatment of tibial spine fractures in children.