Avulsionsfrakturen des unteren Patellapols View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-07

AUTHORS

D. Seybold, F. Hopf, T. Kälicke, T. A. Schildhauer, G. Muhr

ABSTRACT

Fractures of the lower pole of the patella are rare and occur typically in children. In these types of fractures an extensive sleeve of cartilage is pulled off with a small bony fragment. The so-called sleeve fractures are often overlooked in plain radiographs. We describe the operative treatment and outcomes in two patients with sleeve fractures, one receiving early and one delayed treatment.A 12-year-old boy (case 1) sustained an indirect injury to the left knee while playing ball. Clinical examination showed a lag of active extension of the left knee without decrease in passive range of motion. At 9 years of age, a 12-year-old girl (case 2) sustained a direct blunt trauma to her right knee while playing ball. The lesion of the lower pole of the patella was not diagnosed in time. During the following 3 years a lag of extension of the right knee developed.The sleeve fracture diagnosed early was treated by open reduction and internal fixation with transosseous suturing. At the 6-month follow-up the knee had regained full range of motion. The sleeve fracture diagnosed late showed a nonunion of the patella resulting in a lag of extension. Even after 3 years a shortening osteotomy of the patella resulted in full range of motion of the right knee. More... »

PAGES

591-596

References to SciGraph publications

  • 1993-04. Ossification in the patellar tendon and patella alta following sports injuries in children in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 1999-07. Fractures of the patella in children in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2003-08. Die Ausrissfraktur ("sleeve fracture") des oberen Patellapols beim Kind in DER UNFALLCHIRURG
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00113-005-0915-2

    DOI

    http://dx.doi.org/10.1007/s00113-005-0915-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1040049814

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/15778827


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