Partial Rupture of the Distal Insertion of the Patellar Tendon in a Professional Basketball Center

Cooper, Mitchell E.; Selesnick, F. Harlan

doi:10.1097/00005768-199905001-00844

Cited by 3 publications

(5 citation statements)

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“…To our knowledge, only 10 cases of distal patellar tendon avulsion injuries have previously been reported in healthy individuals, and none affected teenagers [9,[13][14][15]. Interestingly, most of the reported cases (70%) had associated intra-articular injuries diagnosed by MRI.…”

Section: Discussionmentioning

confidence: 98%

“…The force necessary to cause a patellar tendon rupture in a weight lifter is estimated to be 17.5 times the body weight [10]. Therefore, patellar tendon ruptures in mature teenagers typically occur at the proximal insertion site rather than in midsubstance [11], and avulsion injuries occur rarely from the tibial tubercule [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, most of the reported cases (70%) had associated intra-articular injuries diagnosed by MRI. The most frequently reported injuries were ACL and MCL tears and medial meniscus lesions [9,[13][14][15]. Most of the distal patellar tendon avulsions were associated with high-energy trauma to the knee [9].…”

Section: Discussionmentioning

confidence: 99%

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Distal Patellar Tendon Avulsion Associated with an ACL Tear in a Teenager: A Case Report and Review of the Literature

Steiger

Coulin

Vendeuvre

et al. 2021

Case Reports in Orthopedics

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Distal patellar tendon avulsions are rare injuries in healthy individuals, and to date, no case affecting skeletally mature teenagers and adolescents has been reported. In the majority of cases, distal patellar tendon avulsions are associated with severe intra-articular knee lesions, signifying a high-energy trauma. We present the case of a 15.5-year-old female who was admitted to the emergency department after a knee injury. The mechanism of injury was a combination of landing after a jump off a scooter and sudden deceleration with a fixed foot. Lateral radiographs revealed a distal patellar tendon avulsion. An MRI was conducted to accurately diagnose concomitant lesions. The MRI revealed a complete tear of the ACL, and associated bone bruises on the lateral femoral condyle, and also on the posterolateral tibial plateau. A knee joint exam under general anesthesia demonstrated good stability during valgus stress testing and only a grade 1 positive Lachman test. Therefore, we decided to only reconstruct the extensor mechanism and to abstain from a primary ACL reconstruction. The presented case and review of the literature demonstrate the clinical relevance of this atypical lesion. In fact, a distal patellar tendon avulsion after physeal fusion of the proximal tibia should raise a strong suspicion of severe associated intra-articular knee lesions and requires prompt MRI investigation. However, controversy still exists regarding the management of these injuries, in particular concerning the question of whether to address both injuries in a single stage or in 2 stages.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Distal Patellar Tendon Avulsion Associated with an ACL Tear in a Teenager: A Case Report and Review of the Literature

Steiger

Coulin

Vendeuvre

et al. 2021

Case Reports in Orthopedics

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“…Surgical repair is widely recommended for cases of complete rupture to prevent long term functional impairment [ 3 , 4 , 5 , 8 , 11 - 13 ]. Partial ruptures are those that do not involve the whole tendon mass and there is less consensus regarding the management of these tears.…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally used surgical repair techniques have included direct suture repair; using drilled suture tunnels in the patella; the Scuderi technique for augmentation of direct repairs and the Codivilla lengthening technique used in shortened chronic tears [ 4 , 5 , 8 ]. More recently, fixation of the tendon with suture anchors on the patella combined with soft tissue reinforcement has been used with good results [ 11 , 13 ]. We chose to use suture anchors pre-loaded with Orthocord because being partially absorbable it would provide prolonged support to the tendon repair which would have to resist high volume dynamic loading as our patient recommenced training.…”

Section: Discussionmentioning

confidence: 99%

Isolated avulsion of the vastus lateralis tendon insertion in a weightlifter: a case report

Phadnis

Trikha

Wood

2009

Cases J

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IntroductionWe report a case of isolated, unilateral avulsion of the vastus lateralis tendon from its insertion at the patella. This was diagnosed by magnetic resonance imaging, and underwent successful surgical repair.Case presentationA healthy 32-year-old national level power lifter presented with an isolated avulsion of the vastus lateralis tendon. After a failed course of conservative therapy he underwent surgical repair and a graded physical therapy programme. One year later he returned to full training with no evidence of re-rupture.ConclusionThis is the first reported case of an isolated vastus lateralis avulsion. Our experience suggests that magnetic resonance imaging is invaluable in the diagnosis of this condition and that surgical repair provides a good outcome in high demand patients.

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Isolated rupture of the vastus lateralis tendon: Case report

Bozoglan

Esenyel

2019

J Orthop Traumatol Rehabil

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Partial Rupture of the Distal Insertion of the Patellar Tendon in a Professional Basketball Center

Cited by 3 publications

References 0 publications

Distal Patellar Tendon Avulsion Associated with an ACL Tear in a Teenager: A Case Report and Review of the Literature

Distal Patellar Tendon Avulsion Associated with an ACL Tear in a Teenager: A Case Report and Review of the Literature

Isolated avulsion of the vastus lateralis tendon insertion in a weightlifter: a case report

Isolated rupture of the vastus lateralis tendon: Case report

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