Abstract

Tibial avulsion fractures account for less than 1% of all pediatric fractures, making them a relatively rare injury in adolescents. When they do occur, these injuries often involve young males approaching skeletal maturity. The injury occurs as a result of imbalances between forces throughout the patellar tendon, often from jumping, sprinting, or high impact. If the injury is mild with minimal displacement, the patient can likely be managed non-operatively with a cast for 6-8 weeks. However, most cases require surgical intervention with open reduction and internal fixation of the affected tibia. After repair, patients undergo several weeks of physical therapy and rehabilitation. Most patients make full recovery with a progressive return to sport in 3-4 months with minimal complications.