Tibial Spine fracture and bucle handle medial meniscus

Abstract

Introduction: tibial eminence fractures are uncommon injuries but are frequently associated to concomitant injuries. MRI is considered the Gold Standard; it allows a detailed evaluation of any soft tissue involvement with the injury. 

Case presentation: an unusual presentation case is reported: a displaced tibial spine fracture and a bucket handle medial meniscus injury. Arthroscopic reduction and fixation were performed, using two bioabsorbable pins for the tibial spine fixation; and three all-inside and two vertical outside-in sutures were needed for the medial meniscus repair. 

Conclusion: the patient presented excellent clinical outcomes, without presenting inherent complications due to primary injury nor realized treatment, achieving sport activity levels prior to injury.