{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T09:11:10Z","timestamp":1785575470561,"version":"3.56.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2006,10,6]],"date-time":"2006-10-06T00:00:00Z","timestamp":1160092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2006,10,6]],"date-time":"2006-10-06T00:00:00Z","timestamp":1160092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2006,10,6]],"date-time":"2006-10-06T00:00:00Z","timestamp":1160092800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a case of <jats:italic>en bloc<\/jats:italic> avulsion fracture of tibial tuberosity and Gerdy's tubercle, which has never been reported. A 14\u2010year\u2010old boy suffered from an acute pain in his left knee during running just before a jump. Simple radiographs showed an avulsion of the tibial tuberosity. On CT scans, the fractured fragment was attached not only to patellar tendon but also to iliotibial band (ITB) via Gerdy's tubercle. MRI evaluation revealed no intra\u2010articular associated pathology. Open reduction and internal fixation with three cannulated screws were performed under lateral parapatellar approach to expose both the tibial tuberosity with patellar tendon and Gerdy's tubercle with ITB. At postoperative 1 year, he could walk, run, squat, and complained of no difficulty in activities on daily living with full range\u2010of\u2010motion of the knee. Radiographs showed well\u2010healed fracture in situ. Gradually, he returned to sports activity. We believe that the injury was caused by the dynamic pull of quadriceps muscle via patellar tendon onto tibial tuberosity and the mostly static pull of ITB onto Gerdy's tubercle, both of which took a part in the fracture of the anterolateral portion of the unfused epiphysis of proximal tibia. The pes anserinus attaching on the anteromedial metaphysis of proximal tibia might exert the opposing deforming force. Preoperative planning including the determination of the extent of fracture and recognition of concomitant injury is a prerequisite for appropriate treatment.<\/jats:p>","DOI":"10.1007\/s00167-006-0213-8","type":"journal-article","created":{"date-parts":[[2006,10,5]],"date-time":"2006-10-05T05:52:27Z","timestamp":1160027547000},"page":"781-785","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["An <i>en bloc<\/i> avulsion fracture of tibial tuberosity and Gerdy's tubercle in an adolescent basketball player: a case report"],"prefix":"10.1002","volume":"15","author":[{"given":"Jae Ho","family":"Yoo","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery National Police Hospital 58, Garakbon\u2010dong, Songpa\u2010gu 138\u2010161 Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Ho","family":"Hahn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Police Hospital 58, Garakbon\u2010dong, Songpa\u2010gu 138\u2010161 Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo Kyu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Police Hospital 58, Garakbon\u2010dong, Songpa\u2010gu 138\u2010161 Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Rim","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Police Hospital 58, Garakbon\u2010dong, Songpa\u2010gu 138\u2010161 Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Joon","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Police Hospital 58, Garakbon\u2010dong, Songpa\u2010gu 138\u2010161 Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Jin","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Police Hospital 58, Garakbon\u2010dong, Songpa\u2010gu 138\u2010161 Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Hong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Police Hospital 58, Garakbon\u2010dong, Songpa\u2010gu 138\u2010161 Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,10,6]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199009050-00005"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010003\u20100383\u20106"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658100900603"},{"key":"e_1_2_4_5_1","first-page":"421","article-title":"Tibial tuberosity fractures in adolescents","volume":"34","author":"Buhari SA","year":"1993","journal-title":"Singapore Med J"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(99)70010\u20101"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198112000-00006"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278\u20105919(01)00008\u20104"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000118"},{"key":"e_1_2_4_10_1","first-page":"59","article-title":"Avulsion fractures of the tibial tuberosity in adolescents. 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Treatment with closed reduction and percutaneous screwing, using MRI to identify combined intraarticular lesions","volume":"26","author":"Ozkayin N","year":"2005","journal-title":"Saudi Med J"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198608000-00019"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196345030-00019"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2005.05.021"},{"key":"e_1_2_4_24_1","first-page":"156","article-title":"Simultaneous avulsion fracture of the tibial tubercle with avulsion of the patellar ligament","volume":"13","author":"Sullivan L","year":"2000","journal-title":"Am J Knee Surg"},{"key":"e_1_2_4_25_1","first-page":"299","article-title":"One case of fracture of the tibial tuberosity in the adult","volume":"77","author":"Vella D","year":"1992","journal-title":"Chir Organi Mov"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-006-0213-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-006-0213-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-006-0213-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-006-0213-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T14:19:56Z","timestamp":1760883596000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-006-0213-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,10,6]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,6]]}},"alternative-id":["10.1007\/s00167-006-0213-8"],"URL":"https:\/\/doi.org\/10.1007\/s00167-006-0213-8","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,10,6]]},"assertion":[{"value":"6 July 2006","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 September 2006","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 October 2006","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}