Bilateral tibial intercondylar eminence fractures in a pediatric patient: A rare case report

Abstract

Introduction and importance

Tibial eminence fractures (TEFs) are uncommon injuries in children, resulting from avulsion at the anterior cruciate ligament (ACL) insertion. Bilateral involvement is exceedingly rare. Early recognition and proper classification are vital for successful treatment.

Case presentation

A 12-year-old male sustained bilateral TEFs after a bicycle-automobile collision. Radiographs and CT scans confirmed a Type I fracture on the right and Type II on the left. Closed reduction under fluoroscopy and hematoma drainage was performed, followed by immobilization in bilateral long leg casts. Radiological and clinical follow-up showed full healing and functional recovery.

Clinical discussion

TEFs commonly occur in young males due to sports or trauma. Management depends on the displacement and type of fracture. While surgery is often required for Type II fractures, this case highlights successful closed management of bilateral injuries. Long-term monitoring for instability is crucial.

Conclusion

This case illustrates successful closed reduction and casting in a rare bilateral pediatric TEF scenario, reinforcing the importance of individualized treatment planning.

This case demonstrates successful closed reduction and casting of a rare bilateral tibial eminence fracture in a 12-year-old male, with excellent clinical and radiographic outcomes.