How do you fix a ACL avulsion fracture?
The ACL avulsion fracture can be treated effectively by arthoscopic suture fixation with fiber wires. It may restore knee function and stabiity.
What is an ACL avulsion fracture?
Anterior cruciate ligament (ACL) avulsion fracture or tibial eminence avulsion fracture is a type of avulsion fracture of the knee. This typically involves separation of the tibial attachment of the ACL to variable degrees. Separation at the femoral attachment is rare 5.
How do you account for the avulsion of the ACL?
INTRODUCTION Anterior cruciate ligament (ACL) avulsion fractures contribute most of the injuries around the knee joint and result in significant disability if left untreated. They are caused by forceful hyperextension of the knee or by a direct blow over distal end of femur with the knee flexed.
What attaches to tibial eminence?
The tibial eminence, also known as the tibial spine, is the tibial attachment of the anterior cruciate ligament (ACL).
Where is a tibial eminence fracture?
A Tibial Eminence Fracture, also known as a tibial spine fracture, is an intra-articular fracture of the bony attachment of the ACL on the tibia that is most commonly seen in children from age 8 to 14 years during athletic activity.
Can avulsion fracture get worse?
Your avulsion fracture can get worse if you don’t follow your healthcare provider’s advice.
What is intercondylar eminence?
The intercondylar eminence is the raised area on the proximal tibial surface between articular facets.
Where does the intercondylar eminence sit?
Intercondyloid eminence It lies between the articular facets of the proximal tibia, but nearer the posterior than the anterior aspect of the bone, surmounted on either side by a prominent tubercle, on to the sides of which the articular facets are prolonged.
What is meaning of intercondylar eminence?
The intercondylar eminence is the raised area on the proximal tibial surface between articular facets. e. The medial intercondylar tubercle forms the medial part of the intercondylar eminence.
What does intercondylar eminence mean?
The intercondyloid eminence is composed of the medial and lateral intercondylar tubercles, and divides the intercondylar area into an anterior and a posterior area.
When is surgery indicated for a torn ACL in a child?
Therefore, most pediatric orthopedic physicians would strongly recommend surgical reconstruction once the diagnosis of a torn ACL is made with confirmation of a pivot shift during the examination under anesthesia.
What is the purpose of ACL reconstruction in the skeletally immature?
As the purpose of ACL reconstruction in the skeletally immature patient is to provide the patient a rotationally and translationally stable knee, anatomic ACL reconstruction may be more desirable than non-anatomic vertical tunnel positioning.
What are the treatment options for anterior cruciate ligament (AC) fracture?
Kim Y-M, Kim S-J, Yang J-Y, Kim K-C. Pullout reattachment of tibial avulsion fractures of the anterior cruciate ligament: a firm, effective suture-tying method using a tensioner. Knee Surg Sports Traumatol Arthrosc.
What is the best technique for ACL reconstruction?
Technique for ACL reconstruction is typically based on the status of the physis, yet there is an increasing body of evidence supporting transphyseal reconstruction even in the very young patient. Graft source can depend on technique used, but should be performed with autograft tissue.