Superior pole patellar sleeve fracture after medial patellofemoral ligament reconstruction

A 13-year-old boy sustained a superior pole patellar sleeve fracture after a blunt trauma of the knee. A medial patellofemoral ligament reconstruction had been performed 4 weeks earlier. The patient underwent surgery to reinsert the quadriceps tendon in the superior pole of the patella using two bon...

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Bibliographic Details
Published in:BMJ case reports 2021-01, Vol.14 (1), p.e239364
Main Authors: Moreira, Flávia Pinto, Costa, Francisca Pinho, Santos, Sara Almeida, Oliveira, Paulo Ribeiro
Format: Article
Language:English
Subjects:
Adolescent
Age
Cartilage
Case Report
Case reports
Dissection
Fractures
Fractures, Avulsion - diagnostic imaging
Fractures, Avulsion - surgery
Gracilis Muscle
Humans
Injuries
Joint Instability - surgery
Knee
Ligaments
Ligaments, Articular - surgery
Male
Medical imaging
Pain
Patella - injuries
Patellofemoral Joint - surgery
Pediatrics
Plastic Surgery Procedures
Quadriceps Muscle - surgery
Radiography
Range of motion
Surgery
Surgical techniques
Suture Anchors
Sutures
Tendons - transplantation
Tomography, X-Ray Computed
Trauma
Wounds, Nonpenetrating - diagnostic imaging
Wounds, Nonpenetrating - surgery
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Summary:A 13-year-old boy sustained a superior pole patellar sleeve fracture after a blunt trauma of the knee. A medial patellofemoral ligament reconstruction had been performed 4 weeks earlier. The patient underwent surgery to reinsert the quadriceps tendon in the superior pole of the patella using two bone suture anchors. One-year postoperative assessment revealed excellent functional outcomes. Sleeve fractures are easily misdiagnosed, and in our case, clinical examination was essential in order to perform the diagnosis.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-239364