This narrative review covers the evaluation and management of tibial eminence fractures in pediatric patients — addressing injury mechanisms, imaging workup, the modified Meyers and McKeever classification, nonsurgical vs. arthroscopic fixation strategies, fixation method selection, physeal-sparing considerations, and expected outcomes including residual laxity.
When evaluating a child aged 8–14 with a knee injury and tibial eminence fracture on plain films, obtain MRI — nearly 40% have additional intra-articular injuries that change management.
At surgery, expect soft-tissue interposition blocking reduction in over half of cases with residual displacement, and favor suture fixation in skeletally immature patients to avoid physeal violation and the high reoperation rate associated with hardware removal.
This narrative review covers the evaluation and management of tibial eminence fractures in pediatric patients — addressing injury mechanisms, imaging workup, the modified Meyers and McKeever classification, nonsurgical vs. arthroscopic fixation strategies, fixation method selection, physeal-sparing considerations, and expected outcomes including residual laxity.
When evaluating a child aged 8–14 with a knee injury and tibial eminence fracture on plain films, obtain MRI — nearly 40% have additional intra-articular injuries that change management.
At surgery, expect soft-tissue interposition blocking reduction in over half of cases with residual displacement, and favor suture fixation in skeletally immature patients to avoid physeal violation and the high reoperation rate associated with hardware removal.