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Paediatrics
intermediate
X-Type

Tibial Tubercle Fractures

Pediatric Knee Trauma

A 14-year-old boy presents to the emergency department after landing awkwardly while playing basketball. He felt a sudden pop in his knee and immediate pain. He is unable to actively extend his knee against gravity. Examination reveals a tense haemarthrosis, tenderness over the tibial tubercle with palpable step-off, and inability to perform a straight leg raise. His Tanner stage is 4. He has a history of bilateral Osgood-Schlatter disease. Regarding tibial tubercle fractures in adolescents:

Mark each as TRUE or FALSE

A

Tibial tubercle fractures are avulsion injuries that occur predominantly in adolescent males (male:f...

B

The tibial tubercle develops from a secondary ossification centre that appears around age 9-10 years...

C

Tibial tubercle fractures occur equally in males and females; they are most common in children under...

D

The Watson-Jones classification (Types I-III) is based on fracture displacement and proximal extensi...

E

Clinical presentation includes sudden pain during athletic activity, inability to actively extend th...

Answer the questions to see explanations

Click T (True) or F (False) for each option