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Simultaneous bilateral tibial tubercle avulsion fracture in a male teenager: case report and literature review

Nicolini, Alexandre, P.; Carvalho, Rogerio, T.; Ferretti, Mario; Cohen, Moises

Journal of Pediatric Orthopaedics B: January 2018 - Volume 27 - Issue 1 - p 40–46
doi: 10.1097/BPB.0000000000000313

Tibial tuberosity avulsion fractures are injuries accounting for less than 3% of all epiphyseal and 1% of all physeal injuries in adolescents. Bilateral injuries are very rare, with only 19 cases described in the literature. These types of fractures occur commonly in male teenagers during sport activities and are often associated with other orthopaedic disorders. We report the case of a male teenager with simultaneous bilateral tibial tubercle fractures, describe the evolution and treatment of this injury and review the literature on this subject. Level of evidence: Case report.

Orthopedic Department, Sports Medicine Center, Universidade Federal de Sao Paulo, São Paulo, Brazil

Correspondence to Alexandre P. Nicolini, MD, Estado de Israel street, 636, São Paulo 04022001, Brazil Tel/fax: +55 115 082 3010; email:

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