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Concurrent ACL disruption
12%
296/2532
Compartment syndrome
82%
2071/2532
Popliteal artery disruption
2%
57/2532
Quadriceps tendon tear
46/2532
Patella baja
50/2532
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Radiographs show a type III tibial tubercle avulsion fracture. Anterior compartment syndrome is at risk as anterior tibial recurrent artery may be disrupted. Meniscal tears have been reported in this population as well. The referenced article by Pape et al reports tibial tubercle fractures to be uncommon physeal fractures that are predisposed to anterior compartment syndrome due to the proximity of the anterior tibial recurrent artery. Mosier reviews 19 tibial tubercle physeal fractures finding the fracture to occur in athletic participation 77% of the time specifically with an eccentric quadriceps contraction during flexion of the knee. Fifteen of the 19 fractures were treated with open reduction and all had good outcomes.
4.4
(23)
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