Displaced avulsion fracture of the tibial tubercle. OSD is occasionally associated with a displaced tibial tubercle avulsion fracture, which typically requires operative repair. OSD can leave a large bump on the anterior knee. Patients, especially girls, should be warned of this cosmetic sequela. Educate and Moderate OSD, one of the most common causes of adolescent knee pain, is generally benign.
Mild symptoms require only patient education and activity moderation.
Athletes who have severe symptoms may benefit from rest or, possibly, short-term immobilization, followed by an aggressive rehabilitation program. Scintigraphic, CT, and MR imaging features. Fracture of the tibial tubercle. Dr Wall is director of sports medicine in the department of pediatric orthopedic surgery at the Cincinnati Children's Hospital Medical Center. The McGraw-Hill Companies.