Management of Non-Displaced Tibial Avulsion Fracture with Knee in Full Extension

Initial Assessment and Imaging

• Obtain standard radiographs first to confirm the diagnosis and assess displacement, as recommended by the American College of Radiology 1
• Consider CT imaging if there is uncertainty about fragment size, position, or to rule out additional occult fractures, with CT demonstrating 100% sensitivity for tibial fractures versus 83% for radiographs alone, according to the American College of Radiology and other guidelines 1, 2
• MRI may be indicated if you suspect associated meniscal or ligamentous injuries, particularly if there are clinical signs of instability or the patient cannot achieve full range of motion, as suggested by the American College of Radiology 1, 2