Management of the Athlete’s Knee Event Recording-6. MIND THE GAP! Managing Tibial Spine Injuries: Non-Op, Suture or Screw?

6. MIND THE GAP! Managing Tibial Spine Injuries: Non-Op, Suture or Screw?

Video Transcription

Video Summary

In this video, the speaker discusses tibial spine injuries and their management. Tibial spine avulsion fractures are most common in patients aged 8 to 14 and are often caused by rapid deceleration or hyperextension with rotation injuries. Non-operative treatment is generally preferred for non-displaced fractures and reducible type 2 fractures, while operative treatment is indicated for non-reducible type 2 fractures and all type 3 and 4 fractures. The choice between suture fixation and screw fixation depends on the size and characteristics of the fracture. The speaker emphasizes the importance of early mobilization to avoid complications such as arthrofibrosis. The video also highlights the need for preoperative MRI to identify concomitant injuries.

Asset Caption

Lauren H. Redler, MD

Keywords

tibial spine injuries

management

avulsion fractures

non-operative treatment

operative treatment