A 15 year-old male presents to the emergency department with left knee pain and swelling after jumping while attempting to dunk a basketball. You obtain a knee x-ray (image 1 courtesy of Mark Hopkins, MD). What is your diagnosis? What patient population is at risk for this injury? What other injuries occur in this anatomical location? What is your emergency department management?
Physical examination demonstrates a swollen left knee as seen in image 2.
Check Orthobullets for more information on Tibial Tubercle Fractures and the Ogden Classification System.
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References:
- Frey S, Hosalkar H, Cameron DB, Heath A, David Horn B, Ganley TJ. Tibial tuberosity fractures in adolescents. J Child Orthop. 2008;2(6):469–474. PMID: 19308544
- Black KJL, Duffy C, Hopkins-Mann C, Ogunnaiki-Joseph D, Moro-Sutherland D. Chapter 140: Musculoskeletal Disorders in Children. In: Tintanalli, J, ed. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 8th ed. New York, NY: Mcgraw-Hill Education. 2015:916-917