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Dr. Ebraheim’s educational animated video about Tibial Spine Fractures in children, explaining all you need to know about this fracture, signs, symptoms, diagnostic tests, and treatment. Fractures of the tibial spine in skeletally immature patients. The injury is similar to an ACL injury in adults. It occurs due to hyperextension of the knee. It usually occurs due to falling from a bicycle. An injured child with a swollen knee and who has fallen from a bicycle should alert the clinician to the possibility of a tibial spine fracture. Meniscal injury may also occur especially with the medial meniscus. The interposition of meniscus or rotation of the fracture may prevent closed reduction. Meyers and McKeever classification •Type I: nondisplaced. •Type II: minimally displaced-intact posterior hinge. •Type III: completely displaced. Presentation and examination is similar to ACL tear with immediate swelling and positive Lachman’s test or anterior drawer test. X-ray will show the fracture. CT scan will help in planning for surgery. MRI will show a trapped or a meniscal injury. Treatment •Aspiration of the large hematoma. •Non-operative treatment is used for type I fractures and reducible type II fractures. Closed reduction and immobilization in 0-20 degrees of flexion. •Surgery is used for type III fractures and non-reducible type II fractures. ORIF or arthroscopic reduction and fixation. Move the trapped meniscus out of the way. Use sutures or screws for fixation. Avoid the physis. Complications: •ACL laxity: common but not clinically significant •Stiffness or arthrofibrosis: occurs with surgical fixation •Growth arrest is rare. Become a friend on facebook: / drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundati... Background music provided as a free download from YouTube Audio Library. Song Title: Every Step