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Intercondylar Eminence

Avulsion fracture of the anterior cruciate ligament (ACL) is a fracmre of the tibial attachment site of the ACL, which is pulled out, rather than a tear in the substance of the ACL. It is also called an intercondylar eminence fracture of the tibia, tibial eminence fracture, tibial eminentia fracture, or tibial spine fracmre. Although a previous report suggested that ACL fibers could become elongated and damaged when avulsion fractures occur [1], the ACL substance is well preserved in most cases. Avulsion fractures of the ACL are seen in pediatric patients and infrequently in adult patients. Patients manifest symptoms similar to those of patients with ACL tears. Inadequate treatment can result in pain, range of motion limitation, and joint... [Pg.437]

Wnfinger et al. reported clinical outcomes after nmioperative treatment of fractures of the tibial intercondylar eminence in 43 pediatric patients <17 years (range 6-16 years) of age. The injuries comprised 14 type I, 13 type II, and 16 type III fractures. Patients were treated with a long leg cast with the knee hyperextended for 3 weeks followed by casting at 10-15° flexion for another 2-3 weeks. Only one patient showed a delayed union and needed surgical treatment none of the patients reported pain or giving way in their daily life. Therefore, the authors recommended conservative treatment as a primary treatment choice for intercondylar eminence fractures in children [15]. [Pg.443]

Louis et al. treated 17 pediatric patients (age 6-16 years) with type II fractures by open reduction and internal fixation with sutures or a suture anchor. They reported that none of the patients showed obvious instability, and all patients were able to return to their original sports activities. The authors, therefore, recommended surgical treatment for type II tibial intercondylar eminence fractures in children [39]. Casalonga et al. retrospectively examined 32 children with avulsion fractures of the ACL, including 8 type I, 17 type II, 5 type III, and 2 type IV fractures, who were treated both conservatively and surgically, with a mean followup of 9 years. Type I and II fractures were treated conservatively, and types III and IV were treated by open reduction and fixation with either sutures or a screw. The mean side-to-side anteroposterior difference on KT-1000 testing was 0.88 mm for... [Pg.444]

Casalonga A, Bourelle S, Chalencon F, De Oliviera L, Gautheron V, Cottalorda J (2010) Tibial intercondylar eminence fractures in children the long-term perspective. Orthop Traumatol Surg Res 96 525-530. doi 10.1016/j.otsr.2010.01.012... [Pg.447]

Meyers MH, Me KF (1959) Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am 41-A 209-220 discussion 220-202... [Pg.447]

Tohyama H, Kutsumi K, Yasuda K (2002) Avulsion fiacture at the femoral attachment of the antraior cruciate ligamcait after intercondylar eminence fracture of the tibia. Am J Sports Med... [Pg.448]

Hallam PJ, Fazal MA, Ashwood N, Ware HE, Glasgow MM, Powell JM (2002) An alternative to fixatirai of displaced fiactures of the anterior intercondylar eminence in children. J Bone Joint Surg (Br) 84 579—582... [Pg.448]

Su WR, Wang PH, Wang HN, Lin CJ (2011) A simple, modified arthroscopic suture fixation of avulsion fracture of the tibial intercondylar eminence in children. J Pediatr Orthop B 20 17-21. doi 10.1097/BPB.0bO13e32832d8452... [Pg.448]

Doral MN, Atay OA, Leblebicioglu G, Tetik O (2001) Arthroscopic fixation of the fiactures of the intercondylar eminence via transquadricipital tendinous pOTtal. Knee Sing Sports Traumatol Arthrosc 9 346-349. doi 10.1007/s001670100235... [Pg.448]

Prince AR, Moyer RA (1995) Arthroscopic treatment of an avulsion fracture of the intercondylar eminence of the tibia. Case report. Am J Knee Surg 8 114—116... [Pg.451]

Louis ML, Guillaume JM, Launay F, Toth C, louvre JL, Bollini G (2008) Surgical management of type II tibial intercondylar eminence fractures in children. J Pediatr Orthop B 17 231-235. doi 10.1097/BPB. ObO 13e32830b61 f4... [Pg.451]

Tudisco C, Giovarruscio R, Febo A, Savarese E, Bisicchia S (2010) Intercondylar eminence avulsion fracture in children long-term follow-up of 14 cases at the end of skeletal growth. J Pediatr Orthop B 19 403 08. doi 10.1097/BPB.0b013e32833a5f4d... [Pg.451]

Fig. 14.12. Diagram of the different types of fracture of the intercondylar eminence ofthe tibia. I, minimal displacement II, displacement of the anterior third/half of the avulsed fragment from the intercondylar eminence (beak-like deformity) III, the avulsed fragment is completely separated, with III the fragment is rotated so that the bony fracture margin faces into the joint (union impossible). (From Meyers and McKeever 1959)... Fig. 14.12. Diagram of the different types of fracture of the intercondylar eminence ofthe tibia. I, minimal displacement II, displacement of the anterior third/half of the avulsed fragment from the intercondylar eminence (beak-like deformity) III, the avulsed fragment is completely separated, with III the fragment is rotated so that the bony fracture margin faces into the joint (union impossible). (From Meyers and McKeever 1959)...
The tibial condyles are concave and end toward the mid-tibial line in intercondylar emin-... [Pg.484]

The femorotibial joint is one of the few articulations with menisci. The medial meniscus is semicircular. Its anterior end is attached to the anterior intercondylar area in front of the anterior cruciate ligament. The lateral meniscus is almost a complete ring. Its anterior end is attached in front of the intercondylar eminence of the tibia, blending partially with the anterior cruciate ligament. [Pg.484]

See other pages where Intercondylar Eminence is mentioned: [Pg.399]    [Pg.439]    [Pg.441]    [Pg.444]    [Pg.463]    [Pg.638]    [Pg.399]    [Pg.439]    [Pg.441]    [Pg.444]    [Pg.463]    [Pg.638]    [Pg.141]    [Pg.321]   
See also in sourсe #XX -- [ Pg.638 ]



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