Acute traumatic rupture of the patellar tendon in pediatric population: Case series and review of the literature

Yousef, Mohamed; Rosenfeld, Scott

doi:10.1016/j.injury.2017.08.069

Cited by 27 publications

(27 citation statements)

References 21 publications

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“…Simultaneous occurrence of tibial tubercle fracture and patellar tendon avulsion is extremely rare. Ali Yousef and Rosenfeld [4] reported an incidence of 4% (three cases) among 71 patients with traumatic injuries to their extensor mechanism. In contrast, Bauer et al [17] reported five cases (23%) in their review of 22 patients with tibial avulsion fractures.…”

Section: Discussionmentioning

confidence: 99%

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Neglected Rupture of the Patellar Tendon After Fixation of Tibial Tubercle Avulsion in an Adolescent Male Managed With Ipsilateral Semitendinosus Autograft Reconstruction

Panagopoulos¹,

Antzoulas²,

Giakoumakis³

et al. 2021

Cureus

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The combination of a tibial tubercle fracture with patellar tendon avulsion in adolescents is an extremely rare injury that needs to be managed properly. Herein, we report the case of a 15-year-old boy who presented to our department two months after sustaining a tibial tubercle fracture that had been managed with mini-open reduction and internal fixation in another hospital; he had restricted range of motion and complete inability to extend his knee. Clinical and radiological investigations revealed a neglected avulsion of the patellar tendon with marked scarring and severe retraction. The patient underwent patellar tendon reconstruction using the ipsilateral semitendinosus tendon that passed through separate tunnels in the patella and proximal tibia. The postoperative course was uneventful, and one year later the patient had a satisfactory range of motion and a Lysholm score of 90. To our knowledge, a neglected patellar tendon avulsion after tibial tubercle fracture fixation has been reported only once in the literature. The reconstruction of the patellar tendon using an ipsilateral semitendinosus autograft is an excellent surgical technique, especially when severe tendon retraction has occurred.

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Section: Discussionmentioning

confidence: 99%

“…Rupture of the patellar tendon is another uncommon injury in the pediatric population, with an estimated incidence of 7% of all extensor mechanism injuries [4]. As the physis is the weakest link of the muscletendon-bone interface during childhood, a tibial tubercle avulsion is much more likely to occur than a patellar tendon rupture.…”

Section: Introductionmentioning

confidence: 99%

Neglected Rupture of the Patellar Tendon After Fixation of Tibial Tubercle Avulsion in an Adolescent Male Managed With Ipsilateral Semitendinosus Autograft Reconstruction

Panagopoulos¹,

Antzoulas²,

Giakoumakis³

et al. 2021

Cureus

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“…This study highlights the same tendency for the more active competitors to return to sport earlier (5 months for professionals, 8 months for amateurs participating 1-3 times days per week). In a pediatric population with 80% of ruptures that occurred during a sport practice, Ali Yousef et al reported a mean time of return to sport of 5 months (range 13-30 weeks) (40). The delay of return to sport may vary partially according to the type of rehabilitation program.…”

Section: Discussionmentioning

confidence: 99%

Return to Sport After Patellar Tendon Rupture:a Systematic Review

Grondin

Garraud

et al. 2019

Muscle Ligaments and Tendons J

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Background. Patellar tendon rupture is a rare and disabling injury that may occur during sport practice and is considered as the 4 th stage of the Blazina's classification of jumper's knee. Return to sport after patellar tendon rupture has not been clearly assessed. Methods. Medical databases were screened, and article research extended from 1980 to April 2019. The inclusion criteria were report of more than 2 cases of isolated and complete uni-or bilateral patellar tendon rupture, patients over 18. Studies that did not specify patients' ability to return to sport were excluded. Results. Nine studies, 196 patients and 202 patellar tendon ruptures were included. Mean follow-up ranged from 24 to 111.5 months and return to sport ranged from 52 to 100%. Crucial data were often lacking, such as the type of sport practiced, the pre-injury level of sport, and the delay of return to sport. A high proportion of patients did not report any medical history that could have weakened their patellar tendon before the rupture. Conclusions. The rate of return to sport seems good but our conclusions are restricted due to the studies' low level of evidence. It highlights the need of a standardized report of specific data.

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“…Ruptures of the tendons in children or adolescents are rare; fractures are more common (Williams et al. 2015 , Yousef and Rosenfeld 2017 ). This usually occurs distal to the patellar tendon by an avulsion fracture of the tibial tuberosity or proximally as a patellar sleeve fracture (Berg 1995 ).…”

Section: Discussionmentioning

confidence: 99%

5-year-old child with late discovered traumatic patellar tendon rupture—a case report

Holbeck-Brendel

Rahbek

2018

Acta Orthopaedica

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Acute traumatic rupture of the patellar tendon in pediatric population: Case series and review of the literature

Cited by 27 publications

References 21 publications

Neglected Rupture of the Patellar Tendon After Fixation of Tibial Tubercle Avulsion in an Adolescent Male Managed With Ipsilateral Semitendinosus Autograft Reconstruction

Neglected Rupture of the Patellar Tendon After Fixation of Tibial Tubercle Avulsion in an Adolescent Male Managed With Ipsilateral Semitendinosus Autograft Reconstruction

Return to Sport After Patellar Tendon Rupture:a Systematic Review

5-year-old child with late discovered traumatic patellar tendon rupture—a case report

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