AI Article Synopsis
- A 14-year-old boy had an oblique fracture in the lower part of his shin (tibia) that didn't heal properly without surgery, partly due to the anterior tibial tendon getting caught on a bony spike from the broken bone.
- A 3D CT scan helped doctors identify the issue before surgery.
- Surgery successfully released the tendon, fixed the fracture, and restored full, pain-free function to the leg.
Article Abstract
Case: An oblique fracture of the distal third of the tibia, treated nonoperatively in a 14-year-old adolescent boy, did not unite because of ensnarement of the anterior tibial tendon (ATT) around an anterior inferior bony spike from the proximal tibial fragment. Computed tomography scan with 3-dimensional volume rendering aided in preoperative diagnosis. Surgical extraction of the tendon from within the fracture site and internal fixation led to successful union and full painless function.
Conclusion: Beware of possible ATT entrapment as a cause of irreducibility of oblique distal third tibial fractures with an anterior inferior bony spike of the proximal fragment.
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| http://dx.doi.org/10.2106/JBJS.CC.23.00347 | DOI Listing |
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