The total rupture of the quadriceps muscle in an adolescent is a rare lesion. We report a case of a 13 year old boy who suffered a direct trauma to the left knee. No predisposing factors have been diagnosed. The lesion was treated with surgical repair and transosseus sutures. The aim of this study was to present a rare case of rupture of the quadriceps muscle in an adolescent and the therapy used.
Fixation of an osteochondral fracture after acute patellar dislocation is an infrequent form of treatment. Likewise, the location of this fragment in the lateral region of the lateral femoral condyle, functioning as a free body, is uncommon. The aim of this study was to present a case of osteochondral fracture of the patella at an unusual site, along with the therapy used and the clinical follow-up.
Objective: To evaluate the clinical and radiographic outcomes on 15 unstable scapula fractures treated by open reduction and internal fixation. Methods: A retrospective study to evaluate the results of scapula fracture fixation in 15 patients, managed at our Institution during a 10-year period. Shoulder function was recorded in both upper extremities with both the Schofer et al. and the Constant-Murley score. Radiographic analysis was done in terms of loss of reduction, nonunion, and post-traumatic degenerative changes. Statistical analysis was purely descriptive with calculation of percentage. Results: All fractures healed in a mean of 90 days, as documented by simple radiographs. At the last consultation, the mean follow-up was 45.6 months (ranging from 14 to 109,2 months). No patient had constant pain or referred incapacity. The mean Constant-Murley score for the 15 patients was 84 points (ranging from 76 to 90 points). Of the 15 patients, 13 (86.7%) had returned to their previous employment and recreational activities with-out restrictions. No signs of loss of reduction, nonunion, or post-traumatic degenerative changes were seen. In addition, no ardware impingement or articular penetration was observed in any case. conclusion: The respect to the soft tissue is the cornerstone of proper treatment of this scapular fractures. In our series good results were obtained when appropriate preoperative planning and postoperative rehabilitation has been performed.
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