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synonyms:
Pediatric Tibial Tuberosity Fracture ICD-10
A- initial encounter for closed fracture
D- subsequent encounter for closed fracture with routine healing
G- subsequent encounter for closed fracture with delayed healing
K- subsequent encounter for closed fracture with nonunion
P- subsequent encounter for closed fracture with malunion
Pediatric Tibial Tuberosity Fracture ICD-9
- 823.80 Closed Fracture of Unspecified part of tibia
Pediatric Tibial Tuberosity Fracture Etiology / Epidemiology / Natural History
- Avulsion injury from forceful concentric contraction during a jump or an eccentric contraction during landing.
Pediatric Tibial Tuberosity Fracture Anatomy
- Portions of the tibial tubercle, unfused anterior tibial epiphysis and extensor retinaculum are avulsed from the anterior tibia/
Pediatric Tibial Tuberosity Fracture Clinical Evaluation
Pediatric Tibial Tuberosity Fracture Xray / Diagnositc Tests
- A/P and lateral views of the knee. Generally best seen on lateral view.
- CT: consider for fractures with intraarticular extention.
Pediatric Tibial Tuberosity Fracture Classification / Treatment
- Type I: small fragment proximally displaced.
-Nondisplaced: Treatment = Long leg cast in extention.
-Displaced: attempted closed reduction with gentle pressure. If displaced remains consider ORIF.
- Type II: fracture at the junction site of the secdary center of ossification and the proximal tibial epiphysis. Articular surface intact
-Treatment: ORIF generally with 1-2 cannulated screws placed from anterior to posterior.
- Type III: fracture extends inot the articular surface.
-Treatment: ORIF generally with 1-2 cannulated screws placed from anterior to posterior. Ensure articular surface is anatomically reduced.
Pediatric Tibial Tuberosity Fracture Associated Injuries / Differential Diagnosis
Pediatric Tibial Tuberosity Fracture Complications
Pediatric Tibial Tuberosity Fracture Follow-up Care
Pediatric Tibial Tuberosity Fracture Review References
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