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Pediatric Tibial Tuberosity Fracture S82.209A 823.80

Tibial Tuberosity Fx

Tibial Tubercle Avlusion Fracture Type III xray

Tibial Tubercle Avlusion Fracture Type II

Tibial Tubercle Avlusion Fracture Type III

Tibial Tubercle Avlusion Fracture Type III

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

  • Compartment syndrome

Pediatric Tibial Tuberosity Fracture Follow-up Care

Pediatric Tibial Tuberosity Fracture Review References