Fractures of the tibia through the proximal epiphysis are rare. This injury usually results from severe direct or indirect force about the knee, and has not been described as resulting from a patellar tendon avulsion injury. Four patients presented with five avulsion fractures of the proximal tibial epiphysis. All were older adolescent males who had been engaged in jumping sports when the injur...

Apophyseal spinous process avulsion injury was first described in 1941. Since then, there have been sparse additional reports in the literature. The authors report their second case, involving an elite adolescent tennis player. The patient underwent surgical excision of the avulsed spinous process 12 weeks after initial presentation and experienced complete resolution of back pain. The authors ...

This article describes a case of an acute anterior inferior iliac spine apophyseal avulsion fracture in an adolescent athlete progressing to secondary symptomatic femoroacetabular impingement from an inferiorly displaced malunion and its arthroscopic management. A 13-year-old boy with an acute minimally displaced avulsion fracture of the anterior inferior iliac spine apophysis had initial sympt...

A 13-year-old right-hand-dominant skeletally immature boy presented to the authors' clinic after being blocked during an overhead dodgeball throw and hearing an abrupt "pop" in the shoulder. He had pain in the subdeltoid region that was most prominent during sports-related activity, particularly throwing. The patient had nonoperative management of a lesser tuberosity avulsion fracture 1 year ea...

Avulsion fractures at the base of second and third metacarpals are very rare, there is no evidence in literature for post-surgical therapy management. The purpose this study was to identify a treatment protocol management an extensor carpi radialis brevis (ECRB) avulsion fracture. patient had fabricated volar wrist splint with 30 degrees extension 60 70 MCP flexion. At 4 weeks, progressed ROM o...

Injury to the structures of the medial elbow is common among baseball players. The injury can result from repeated valgus stress of the elbow. Several types of injury to the structures of the medial elbow have been reported.1 These injuries cause valgus instability and pain of medial aspect of the elbow during pitch.2e4 Avulsion fractures of the sublime tubercle of the ulna are rare and general...

Yoshida N, Tsuchida Y. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222231 Description A 37-year-old man presented to the emergency department with right lower limb pain after being hit by an excavator. His right ankle was swollen, but no open wounds were observed. Radiography and CT of the right ankle revealed a medial malleolus ankle fracture (figure 1A,B). During his treatment with osteosynthesis...

A report on an unusual transverse fracture through the body of the patella in a 13 year old high jumper is presented. The clinic features and treatment of the more usual avulsion injury of the patella is discussed.

INTRODUCTION Only a few reports have described calcaneus fractures after total knee arthroplasty (TKA). Therefore, in this report, we describe a case of calcaneal avulsion fracture that occurred 5 weeks after a TKA in a relatively young male patient with syphilis. CASE REPORT A 63-year-old man with syphilis had Charcot joint of the right knee. The patient developed severe varus deformity and ...

Nonunion of an avulsion fracture of the anterior tibial spine is quite rare. It could be associated with significant instability of the knee as it involves the fixation of the anterior cruciate ligament. Some of the complications of this nonunion include pain in knee extension, loss of knee extension and a certain amount of anterior knee instability. So, loss of knee extension is often a direct...