Tibial tuberosity avulsion fracture in dogs: a review of 59 dogs.

Published on Jul 1, 2008in Journal of Small Animal Practice1.103
路 DOI :10.1111/J.1748-5827.2008.00566.X
J. A. Gower1
Estimated H-index: 1
(RVC: Royal Veterinary College),
N. J. Bound4
Estimated H-index: 4
(RVC: Royal Veterinary College),
A. P. Moores11
Estimated H-index: 11
(RVC: Royal Veterinary College)
Sources
Abstract
OBJECTIVES: To evaluate the high incidence of tibial tuberosity avulsion fracture diagnosed in skeletally immature Staffordshire bull terriers presenting to a UK animal welfare charity hospital. METHODS: A retrospective review of tibial tuberosity avulsion fractures treated by the hospital between 2002 and 2007. RESULTS: Sixty-five tibial tuberosity avulsion fractures were recorded in 59 dogs. Fifty-one tibial tuberosity avulsion fracture-affected dogs (86 per cent) were Staffordshire bull terriers. Dogs sustaining tibial tuberosity avulsion fractures had median and mean ages of five and 4.9 months, respectively (range three to 10 months). Where recorded, injury was associated with a short fall or jump (typically 3 to 4 feet) in 29 of 50 dogs. Three fracture patterns were recorded: 37 stifles sustained isolated tibial tuberosity avulsion fracture; 15 stifles sustained tibial tuberosity avulsion fracture accompanied by separation of the proximal tibial epiphysis; in 13 stifles epiphyseal separation extended to produce Salter-Harris type II fracture of the caudal tibial metaphysis. On analysis of the hospital database, tibial tuberosity avulsion fracture was a reason for presentation in 51 (3.3 per cent) of 1536 Staffordshire bull terriers, but only five (0.18 per cent) of 2815 other breed dogs, registered under the age of 12 months during the study period (P < 0.001). CLINICAL SIGNIFICANCE: Staffordshire bull terriers commonly present with tibial tuberosity avulsion fracture, with or without concurrent separation of the proximal tibial epiphysis, to this urban charity hospital.
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Avulsion fractures of the tibial tubercle are uncommon. Bilateral tibial tubercle avulsion fractures are extremely rare. In this article, we describe Watson-Jones type III simultaneous bilateral tibial tubercle avulsion fractures in a 17-year-old boy who fell on the ground while taking off in high jump in sport. An open anatomic reduction and internal fixation was performed. We report here on the successful surgical treatment of a simultaneous bilateral fracture of the tibial tuberosity in an ad...
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#1S.W. Hamilton (ARI: Aberdeen Royal Infirmary)H-Index: 1
#2P.H. Gibson (Boston Children's Hospital)H-Index: 1
Abstract Simultaneous bilateral avulsion fractures of the tibial tuberosity is a rare injury. Since it was first described in 1955, there have been eight similar cases. We have reviewed each of these reports and describe an additional case of a 13-year-old boy, who sustained simultaneous bilateral avulsion fractures of the tibial tuberosity from jumping while playing soccer. Like the previous reports, our patient had a satisfactory result from open reduction and internal fixation of both fractur...
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#1T. BauerH-Index: 1
#2A. Milet (Necker-Enfants Malades Hospital)H-Index: 4
Last. Christophe Glorion (Necker-Enfants Malades Hospital)H-Index: 27
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Resume Le but de ce travail etait de mieux connaitre les circonstances de survenue, les caracteristiques et le pronostic des fractures de la tuberosite tibiale chez l鈥檃dolescent. Vingt-deux enfants ayant presente une fracture-avulsion de la tuberosite tibiale anterieure ont ete revus retrospectivement. Les caracteristiques cliniques, radiologiques, les lesions associees et l鈥檈volution ont ete precisees pour chaque fracture. La fracture etait survenue 15 fois sur 22 apres un saut ou la reception ...
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Abstract: A retrospective analysis of 18 patients with 19 acute tibial tubercle avulsion fractures was performed. Mean age at injury was 13 years 8 months. Mean follow-up time was 2 years 8 months. A group of four preadolescent patients ages 9 to 12 years at injury was identified. Participation in athletics, particularly basketball, resulted in 77% of fractures. There were one type IA, three type IB, two type IIA, six type IIB, two type IIIA, four type IIIB, and one type IV fractures. Fifteen fr...
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#1Dylan N. Clements (Glas.: University of Glasgow)H-Index: 28
#2T. J. Gemmill (Glas.: University of Glasgow)H-Index: 15
Last. Stuart Carmichael (Glas.: University of Glasgow)H-Index: 21
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Ten dogs were presented with fractures of the proximal tibial epiphysis and tuberosity. All dogs had a cranioproximal-caudodistal angulation of the tibial plateau. Six dogs had marked caudal displacement of the proximal tibial epiphysis, five of which had also sustained fractures of the proximal fibula. The estimated mean angle of inclination of the tibial plateau of affected limbs was 45路8 卤 9路6掳, which was significantly greater (P 0路25). Five dogs were treated conservatively and five were trea...
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#1J. N. J. Pratt (Edin.: University of Edinburgh)H-Index: 1
Seven dogs developed avulsions of the tibial tuberosity apophysis in combination with a fracture of the proximal tibial physis. Six of them were small terrier breeds, treated by internal fixation using two Kirschner wires and a tension band in five cases, and crossed Kirschner wires alone in the other. The seventh case was managed conservatively. The tension band repair was simple, provided adequate fixation and avoided the placement of implants across the proximal tibial physis.
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#1Cliona Skelly (UCD: University College Dublin)H-Index: 7
#2Hester McAllister (UCD: University College Dublin)H-Index: 14
Last. W. J. C. Donnelly (UCD: University College Dublin)H-Index: 2
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Avulslon of the tibial tuberosity was dlagnosed In six of seven greyhound ilttermates aged flve and a half months. The puppies showed hindlimb lameness of varying severity. Radiological assessment of affected stifle joints revealed partial or complete avulsion of the tlblal tuberoslties. In four puppies the lesions were bliaterai. Euthanasia of the two most severely affected puppies performed; the changes observed on histopathological examination of their cranioproximal tibiae suggested that the...
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PURPOSE: To ascertain whether there were significant knee extension strength differences between two adolescent male gymnasts (patient 1: age, 14.5 years; height, 159.3 cm; weight, 52.2 kg; patient 2: age, 15 years; height, 160.6 cm; weight, 54.8 kg) with avulsion of the tibial tuberosity associated with avulsion of the patellar tendon. CASE SUMMARY: Two adolescent male gymnasts underwent open reduction and internal fixation for avulsion of the tibial tuberosity associated with avulsion of the p...
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#1H. G. Schm枚kel (UZH: University of Zurich)H-Index: 2
#2Weber UH-Index: 1
Last. Hartmeier GH-Index: 1
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: The combination of a fracture of the proximal tibia (Salter-Harris type II) with an avulsion of the tibial tuberosity is a rare injury in the growing dog. Internal fixation of the tibial plateau with K-wires, in some cases combined with a tension band wire for the avulsed tuberosity, resulted in complete healing. There is the possibility of developing growing deformities, therefore control radiographs should routinely be taken in 10 days intervals.
Proximal tibial plateau deformity, with consequent tilting of the joint surface, patellar luxation, and implant failure complicated tibial tuberosity avulsions that were repaired surgically.
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#1Valentine D. Verpaalen (UGA: University of Georgia)
#2Daniel Lewis (UF: University of Florida)H-Index: 31
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OBJECTIVE The aim of this study was to compare the biomechanical properties of a hybrid external skeletal fixator (HESF) construct to the placement of paired interfragmentary Kirschner wires alone, and pin and tension band wire (PTBW) fixation for the stabilization of simulated tibial tuberosity fractures in dogs. STUDY DESIGN Tibias were harvested from 12 skeletally mature dog cadavers weighing 20 to 30鈥塳g. An osteotomy was made through the base of the tibial tuberosity, which was subsequently ...
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Objective鈥僒he aim of this study was to report the clinical experience with fluoroscopically guided tibial apophyseal percutaneous pinning (TAPP) for tibial tuberosity avulsion fractures (TTAF). Study Design鈥僒his is a retrospective case series. Materials and Methods鈥僊edical records of skeletally immature dogs (n鈥=鈥25) were reviewed. The association of pin design [smooth (SP); negatively threaded (NTP)], pin insertion angles, TTAF-type, age and breed with various outcome variables was statisticall...
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#1Alyssa M. Matos Cruz (Cornell University)
#2Mitsunori Kayano (Obihiro University of Agriculture and Veterinary Medicine)H-Index: 10
Last. Kei Hayashi (Cornell University)H-Index: 34
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Objective鈥僒his study aimed to analyse the epidemiological data of canine appendicular avulsion fractures from three academic veterinary hospitals in the United States. Study Design鈥傾 total of 114 avulsion fractures that presented to three study centres (teaching hospitals in New York, California, and Michigan) between 2008 and 2018 were analysed for avulsion type, breed, sex, body weight, age and affected side. Results鈥僒he mean age for avulsion fractures was 1.6 years (卤2.3 standard deviation), ...
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#1W. T. McCartney (DCU: Dublin City University)H-Index: 12
#2Ciprian Ober (UASD: University of Agricultural Sciences, Dharwad)H-Index: 6
Last. Bryan J. MacDonald (DCU: Dublin City University)H-Index: 8
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Background Cranial cruciate ligament (CCL) rupture is one of the most common causes of limb lameness in dogs. Surgical techniques based on tibial osteotomies such as tibial plateau leveling osteotomy and tibial tuberosity advancement are used to eliminate dynamic thrust. Tibial tuberosity advancement (TTA) uses an osteotomy fixated by cage, plates, forks and screws to change the relationship of the patellar tendon and tibial plateau angle. Tension band wiring technique is one of the most common ...
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#1Pierre Picavet (University of Li猫ge)H-Index: 2
#2Bernard Bouvy (University of Li猫ge)H-Index: 8
Last. Marc Balligand (University of Li猫ge)H-Index: 5
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Objective鈥僒he aim of this study was to describe the use of epiphysiodesis by the means of a screw to treat a proximal tibial Salter鈥揌arris II fracture associated with a tibial tuberosity avulsion in a 4.5-month-old Airedale Terrier. Study design鈥傾 healing proximal tibial epiphyseal fracture was observed after a 10-day period. Tibial plateau angle was 40掳. The fracture was treated by the insertion of a fluoroscopy-guided 3.5-mm cancellous screw. Results鈥僑uccessful healing of fractures and levelli...
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A Salter-Harris type III left distal radial physeal fracture in a miniature dachshund was stabilised using a medially applied 1.5-mm veterinary cuttable plate in buttress fashion and seven 1.5-mm cortical screws. Lameness resolved following surgery and the outcome was optimal, with long-term follow-up including veterinary examination and radiography 18 months following surgery revealing no lameness, no muscle atrophy, symmetrical carpal range of motion and no evidence of implant-related complica...
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Objectives: To retrospectively describe cases treated via percutaneous tibial physeal fracture repair (PTPFR), using intra-operative fluoroscopy (IFL) or digital radiography (DR). To describe a technique (鈥渟piking鈥), used to treat tibial tuberosity avulsion fractures. Methods: Clinical data of 14 dogs and three cats were included. The 鈥渟piking鈥 technique was described. Results: Intra-operative fluoroscopy (n = 11) and DR (n = 6) were successfully used in 11 tibial tuberosity avulsion fractures, ...
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Objective: To describe proximal tibial metaphyseal fractures in immature dogs. Materials and methods: Medical records of immature dogs with metaphyseal fractures of the proximal tibia were reviewed and data were collected on signalment and history of trauma. Craniocaudal and mediolateral radiographs were evaluated for the determination of the bones fractured, location of the fracture within the bone, fracture configuration, and the presence of fracture segment displacement and angulation. Result...
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#1Lydia J. Tong (University of Cambridge)H-Index: 4
Abstract Non-accidental injury (NAI) refers to trauma arising from deliberate physical abuse and is increasingly recognised as an important differential diagnosis in veterinary medicine. Given the sensitivity and importance of identifying NAI, clinicians, pathologists, and veterinary forensic experts need clear scientific evidence to support their diagnosis. The aim of this study was to investigate fractures occurring in accidental and NAI in dogs by comparing the radiographic features of fractu...
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