Fractures of the patella in children

Dai, Lei; Zhang, W M

doi:10.1007/s001670050156

Cited by 64 publications

(52 citation statements)

References 21 publications

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“…Although casting provides rigid fixation, there will be associative muscle wasting and joint stiffness; this may lead to inconvenience and limited flexion of the knee. 2 Patellotibial cerclage wiring is able to provide an early joint range of motion with partial weight bearing, thus decreasing the chance of muscle wasting and joint stiffness. At the same time, the stress shielding provided by the wire decreases the chance of jeopardizing the blood supply to the patella, thus avoiding ischemic necrosis and nonunion.…”

Section: Discussionmentioning

confidence: 99%

“…2 Among these, sleeve fractures constitute about 57% of all patellar fractures. 3 Sleeve fracture of the patella usually occurs in children who have been taking part in activities requiring forceful extension of the knee, with the quadriceps contracting against resistance.…”

Section: Discussionmentioning

confidence: 99%

“…8 Complications include wound infection, limitation of knee flexion, ectopic bone formation, and ischemic necrosis of the patella. 2 The blood supply of the young patella comes from the anterior surface of the distal pole, with essentially no supply from the medial margins. 9 Therefore injury to the anterior and distal pole may lead to avascular necrosis of the proximal pole.…”

Section: Discussionmentioning

confidence: 99%

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Inferior sleeve fracture of the patella

Lin

Wang

2011

Journal of the Chinese Medical Association

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Patella sleeve fracture is a rare fracture that only occurs in children. Diagnosis is difficult both clinically and radiologically. A high-riding patella and hemarthrosis are important signs when diagnosing this fracture. We report a case of an 11-year-old boy who suffered from patella sleeve fracture without visible bony fragments on a lateral radiograph. Open reduction with transosseous tunneling and patellotibial cerclage wiring for anastomosis protection was performed. Early weight bearing was achieved together with a satisfactory range of knee motion. Premature anterior physeal arrest was noted because of insertion of cerclage wire in the open physis. However, no genu recurvatum was present 2 years after the initial operation. An awareness of sleeve fracture, together with its characteristic clinical and radiological features, is important to avoid misdiagnosis and treatment delay. If the cerclage wire technique is used, care should be taken not to disturb the proximal tibial apophysis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Inferior sleeve fracture of the patella

Lin

Wang

2011

Journal of the Chinese Medical Association

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“…Fractures of the patella are relatively rare in children and adolescents with an estimated occurrence of 1% of all fractures in this age group [1]. Among these sleeve fractures of the patella are common and seen in children who have been taking part in activities requiring forceful extension of the knee with the quadriceps contracting against the resistance.…”

Section: Discussionmentioning

confidence: 99%

Articular Cartilage Flap Tear of Patella

Arun¹,

Karthik²,

Santosh³

et al. 2015

JCR

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Abstract:Articular cartilage flap tear of patella is a rare injury that occurs in children. Diagnosis is difficult both clinically and radiologically. Apart from knee swelling and retro-patellar tenderness, there is no other clinical finding. We report a case of 16 year old boy who suffered from patella cartilage flap tear without visible bony fragments. Mini-open reduction, microdrilling, sealing of margins with fibrin glue and double breasting of medial patellar retinaculum was performed. Early weight bearing was achieved together with a satisfactory range of knee motion. An awareness of cartilage flap tear, together with its characteristic clinical and radiological features and proper treatment is necessary to avoid misdiagnosis and treatment delay.

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“…Они встречаются более чем в половине случаев переломов надко-ленника. Затем следуют поперечные переломы, реже всего встречаются оскольчатые [4][5][6]. От-личительной особенностью таких переломов яв-ляется частое сочетание перелома с разрывом медиального и латерального сухожильных растя-жений четырехглавой мышцы бедра.…”

Section: Introductionunclassified

Arthroscopic treatement of patella fractures in children

Timofeev¹,

Викторович²,

Dyakonova³

et al. 2017

Pediatr Traum Orthop Reconstr Surg

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ФГАУ «Научный центр здоровья детей» Минздрава России, МоскваВведение. По литературным данным, частота переломов надколенника составляет примерно от 0,5 до 1,5 % от всех повреждений скелета. По характеру перелома можно выделить авульзивные, поперечные, оскольчатые и продольные. При смещении фрагментов более 2-3 мм и повреждении сухожильного растяжения четырехгла-вой мышцы предпочтительна открытая репозиция с восстановлением конгруэнтности суставной поверхности и стабильным остеосинтезом. В случаях продольных переломов артроскопия может рассматриваться как вы-сокоэффективный метод хирургического лечения. Материалы и методы. С применением артроскопии нами были прооперированы 4 пациента с продольным переломом надколенника. Возрастной диапазон пострадавших варьировал от 14 до 17 лет. Из них 3 мальчика и 1 девочка. Все больные получили травму во время занятий спортом. Поскольку при продольных переломах надколенника боковой разгибательный аппарат четырехглавой мышцы бедра оставался неповрежденным, объем оперативного вмешательства в этих случаях заключался в артроскопически ассистированной закрытой репозиции фрагментов и чрескожной диафиксации спи-цами без наложения проволочного шва. Результаты и обсуждение. Малоинвазивность, возможность визуального контроля за качеством восстанов-ления геометрии суставной поверхности надколенника и надежностью фиксации фрагментов, существенное сокращение сроков последующей реабилитации делают артроскопию высокоэффективным методом хирурги-ческого лечения переломов надколенника.Ключевые слова: коленный сустав, перелом, надколенник, артроскопия, подростки. ARTHROSCOPIC TREATEMENT OF PATELLA FRACTURES IN CHILDREN © I.V. Timofeev, E.Y. Dyakonova, A.A. Gusev, E.A. Romanova, P.V. KhrolenkoScientific Centre of Children Health, Moscow, RussiaIntroduction. The frequency of patellar fractures is approximately 0.5% to 1.5% of all skeletal injuries. The following types of fractures can be distinguished: avulsive, transverse, longitudinal, and comminuted. In cases of displacement of more than 2-3 mm and quadriceps tendon injuries open reduction and internal fixation with the restoration of the articular surface is more preferable. In cases of longitudinal fractures, arthroscopy is regarded as a highly effective method of surgical treatment. Materials and methods. Using arthroscopy, we have operated on 4 patients with longitudinal fracture of the patella. The average age of the injured persons was 15.4 years (14-17). These were 3 males and 1 female. All patients had sport-related injuries. Because of the longitudinal fracture of the patella, the lateral knee extensor mechanism remained intact, and arthrosopy-assisted surgical intervention with closed reposition of fragments and transcutaneous wire fixation was performed without wire suturing. Results and discussion. Minimal invasiveness, the possibility of visual control over the recovery quality of patellar surface, the reliability of fragment fixation, and a significant reduction in the subsequent rehabilitation make arthroscopy a highly effective ...

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Fractures of the patella in children

Cited by 64 publications

References 21 publications

Inferior sleeve fracture of the patella

Inferior sleeve fracture of the patella

Articular Cartilage Flap Tear of Patella

Arthroscopic treatement of patella fractures in children

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