Tibial Tubercule Avulsion Fracture in Child Soccer Player: A Conservative Approach

Rosado D, Gálvez Aranda D, Mondragón R, Medina Porqueres I
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Abstract

Tibial Tubercle Avulsion Fracture (TTAF) is an uncommon disease. They are usually found during childhood-adolescent age and described as non-traumatic fractures during running with direct physis affection. In order to avoid growth complications, which would lead to harmful consequences for the patient, an accurate diagnosis following a solid treatment has to be carried out. We describe a case report of a 12-year-old football player boy with a tibial tuberosity avulsion following a conservative treatment. Pharmacological treatment and a rehabilitation program was prescribed with a satisfactory evolution. Even though one of the physician consulted suggested open reduction and internal fixation, the medical staff for his team decided a more conservative approach which came out as an adequate management for this case. After a two years follow up the evolution was successful and the player was able to perform every football specific activity pain free and without any kind of limitation.
儿童足球运动员胫骨结核性撕脱骨折的保守治疗
胫骨结节撕脱性骨折是一种罕见的疾病。它们通常在儿童-青少年时期被发现,并被描述为在跑步时直接身体影响的非创伤性骨折。为了避免对患者造成有害后果的生长并发症,必须在坚实的治疗后进行准确的诊断。我们描述了一个病例报告,一个12岁的足球运动员男孩胫骨结节撕脱伤保守治疗后。药物治疗和康复计划的进展令人满意。尽管一位医生建议切开复位和内固定,但他的团队的医务人员决定采用更保守的方法,这是对该病例的适当处理。经过两年的随访,这种进化是成功的,球员能够在没有疼痛的情况下进行每一项足球特定活动,没有任何限制。
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