Tibial Tuberosity Fracture Combined With Entrapped Meniscus

Tibial tubercle fractures are rare injuries that occur in adolescents most commonly during athletic activities. Fractures are typically identified by physical examination and radiographs alone; however, this often underestimates the extent of injury. Soft tissue injuries are often associated with tibial tubercle fractures and can be missed by plain radiographs. The authors report on a patient whose meniscus was entrapped in the fracture site during the initial operative reduction and fixation. Magnetic resonance imaging performed 1 year after continued symptoms revealed that a tear of the anterior horn of the lateral meniscus was entrapped within the fracture during the initial surgery. This could have been prevented by using arthroscopy or doing an arthrotomy during open reduction to visualize the articular surface and meniscus during initial surgical intervention. [ Orthopedics . 2023;46(1):e62–e65.]