Simultaneous Rupture of Patella Tendon with Tibial Tubercle Avulsion Fracture, An terior Cruciate Ligament Avulsion Fracture of the Tibial Spine in a Skeletally Mature Patient: A Case Report

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Authors

  • M. Craig McMains Department of Orthopaedics, The Ohio State University, USA
  • Sohrab Virk Department of Orthopaedics, The Ohio State University, USA
  • Erica Fisk Department of Orthopaedics, The Ohio State University, USA
  • Olukemi Fajolu Department of Orthopaedics, The Ohio State University, USA
  • David C. Flanigan Department of Orthopaedics, The Ohio State University, USA

DOI:

https://doi.org/10.17140/SEMOJ-1-104

Keywords:

patella tendon, skeletally mature, knowledge

Abstract

There have been only rare incidences of simultaneous rupture of the patella tendon and anterior cruciate ligament. We describe a patient that had the first reported case of a patella tendon rupture with a tibial tubercle avulsion fracture and an anterior cruciate ligament avulsion fracture of the tibial eminence. The patient was a 19-year-old skeletally mature collegiate athlete who sustained the above injuries after falling from his bicycle. The next day he was treated with an open reduction and internal fixation of both his tibial tubercle avulsion fracture and his tibial eminence avulsion fracture as well as a repair of his patella tendon. Over the course of his rehabilitation, the patient showed no complications and was pleased with his outcome at his 2 year visit. To our knowledge, this is the first time this specific pattern of injury has ever been reported.

References

Kendall NS, Hsu SY, Chan KM. Fracture of the tibial spine in adults and children. J Bone and Joint Surg Br. 1992; 74(6): 848-852.

Hunter RE, Simonian PT, Cole BJ, et al. Sports Injuries of the knee: Surgical Approaches. New York. Thieme Medical Pub-lishers Inc. 2006.

Levy HJ, Fowbie VA. Type III tibial avulsion fracture with associated anterior cruciate ligament injury: Report of two cas-es in adults. Arthroscopy. 2001; 17(5): E20. doi: http://dx.doi. org/10.1053/jars.2001.21250

May JH, Levy BA, Guse D, et al. ACL tibial spine avulsion: mid-term outcomes and rehabilitation. Orthopedics. 2011; 34(2): 89. doi: 10.3928/01477447-20101221-10

Mosier SM, Stantski CL. Acute tibial tubercle avulsion frac-tures. Journal of Pediatric Orthopaedics. 2004; 24(2): 180-184.

Futch LA, Garth WP, Folsom GJ, et al. Acute rupture of the anterior cruciate ligament and patellar tendon in a collegiate ath-lete. Arthroscopy. 2007; 23(1): 112.

Koukouilas NE, Koumis P, Papadopoulus A, et al. Acute si-multaneous tear of patellar tendon and ACL: possible mecha-nism of injury and rationality of the two stage surgical treatment. BMJ Case Report. 2011; doi: 10.1136/bcr.05.2011.4178

Chiang AS, Shin SS, Jazrawi LM, et al. Simultaneous ipsilat-eral ruptures of the anterior cruciate ligament and patellar ten-don: a case report. Bull Hosp Jt Dis. 2005; 62(3-4).

Costa-Paz M, Muscolo DL, Makino A, et al. Simultaneous acute rupture of the patellar tendon and the anterior cruciate ligament. Arthroscopy. 2005; 21(9): 1143. doi: http://dx.doi. org/10.1016/j.arthro.2005.05.028

Wissman RD, Vonfischer N, Kempf K. Acute concomitant anterior cruciate ligament and patellar tendon tears in a non-dis-located knee. J Clin Imaging Sci. 2012; 2: 3. doi: 10.4103/2156- 7514.93035

Baker BE. O’Donogue’s triad plus patellar tendon rupture. NY State J Med. 1980; 80: 1436-1437.

Rae PJ, Davies DR. Simultaneous rupture of the ligamen-tum patellae, medial collateral, and anterior cruciate ligaments. A case report. Am. J Sports Med. 1991; 19(5): 529-530.

Levakos Y, Sherman MF, Shelbourne KD, et al. Simulta-neous rupture of the anterior cruciate ligament and the patellar tendon. Six case reports. 1996; 24(4): 498-503.

Chow FY, Wun YC, Chow YY. Simultaneous rupture of the patellar tendon and the anterior cruciate ligament: a case report and literature review. Knee Surg Sports Traumatol Arthrosc. 2006; 14: 1017-1020. doi: 10.1007/s00167-006-0048-3

Tsarouhas A, Losifidis M, Kotzamitelos D, et al. Combined rupture of the patellar tendon, anterior cruciate ligament and lat-eral. Hippokratia. 2011; 15(2): 178-180.

McCormack RG, Dryden PJ. Simultaneous rupture of the anterior cruciate ligament and patellar tendon. Clin J Sport Med. 1998; 8(4): 307-309.

Fazal MA, Siddiqui MS. Avulsion fracture of inferior pole of patella and tibial spine - a case report of rare combination of knee injury. Int J Sports Med. 2005; 26(2): 120-121. doi: 10.1055/s-2004-830496

Torzilli PA, Deng X, Warren RF. The effect of joint-compres-sive load and quadriceps muscle force on knee motion in the in-tact and anterior cruciate ligament-sectioned knee. Am J Sports Med. 1994; 22(1): 105-112. doi: 10.1177/036354659402200117

Kuechle DK, Stuart MJ. Isolated rupture of the patellar ten-don in athletes. Am J Sports Med. 1994; 22(5): 692-695.

Hapa O, Barber FA, Suner G, et al. Biomechanical compari-son of tibial eminence fracture fixation with high-strength su-ture, EndoButton and Suture Anchor. Arthroscopy. 2012; 28(5): 681-87. doi: 10.1016/j.arthro.2011.10.026

Matthews DE, Geissler WB. Arthroscopic suture fixation of displaced tibial eminence fractures. Arthroscopy. 1994; 10(4): 418-423.

Tsukada H, Ishibashi Y, Tsuda E, et al. A biomechani-cal comparison of repair techniques for anterior cruciate liga-ment tibial avulsion fracture under cyclic loading. Arthrosco-py. 2005; 21(10): 1197-2001. doi: http://dx.doi.org/10.1016/j. arthro.2005.06.020

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Published

2015-03-20

How to Cite

M. Craig McMains, Sohrab Virk, Erica Fisk, Olukemi Fajolu, & David C. Flanigan. (2015). Simultaneous Rupture of Patella Tendon with Tibial Tubercle Avulsion Fracture, An terior Cruciate Ligament Avulsion Fracture of the Tibial Spine in a Skeletally Mature Patient: A Case Report. Sports and Exercise Medicine , 1(1), 22–26. https://doi.org/10.17140/SEMOJ-1-104

Issue

Vol. 1 No. 1 (2015): Volume 1 Issue 1 2015

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Articles

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