J Korean Fract Soc.  2012 Oct;25(4):323-326. 10.12671/jkfs.2012.25.4.323.

Tension Band Plating for a Stress Fracture of the Anterior Tibial Cortex in a Basketball Player: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. leewoochun@gmail.com
  • 2Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea.

Abstract

Stress fractures of the anterior tibial cortex are prone to complete fracture because these stress fractures occur on the tension side of the bone. Recently, surgical treatments are preferred in high-performance athletes requiring rapid return to sports. We report our experience of a case in which stress fracture of the anterior tibial cortex was treated using anterior tension band plating in a male athlete and successful bony union and rapid return to sports were achieved.

Keyword

Tibia; Stress fractures; Athletes; Tension band plating

MeSH Terms

Athletes
Basketball
Fractures, Stress
Humans
Male
Sports
Tibia

Figure

  • Fig. 1 (A) Preoperative plain radiographs and (B) computed tomograph of the 13-year-old basketball player show a distinct radiolucency and periosteal thickening in the anterolateral cortex.

  • Fig. 2 Intraoperative photo shows that multiple drilling was performed with a 2.5 mm drill bit after corticotomy.

  • Fig. 3 (A) Plain radiographs and (B) computed tomograph show the plate fixation with corticotomy and multiple drilling of the fracture site.

  • Fig. 4 (A) Plain radiographs and (B) computed tomograph at 15 months after surgery show the bony union.


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