Delaminated Patellar Tendon Rupture in a Pediatric Patient: A Case Report.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 10 2023
Historique:
medline: 23 10 2023
pubmed: 19 10 2023
entrez: 19 10 2023
Statut: epublish

Résumé

We present a 12-year-old boy with partial delamination of the patellar tendon in the coronal plane and bipolar avulsion fracture of the tibial tubercle and patella after a planting injury while skateboarding. Pediatric patellar tendon rupture with associated bipolar avulsion fractures is rare. Furthermore, to the best of our knowledge, a delamination injury pattern of the patellar tendon has not been described. This type of extensor mechanism injury has not been reported in the literature. Repair with Krackow sutures and suture-bone tunnel technique, with consideration of the proximal tibial physis, is a safe and effective way to fix this unique pathology.

Identifiants

pubmed: 37856623
doi: 10.2106/JBJS.CC.23.00335
pii: 01709767-202312000-00012
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C227).

Références

Berg EE. Bipolar infrapatellar tendon rupture. J Pediatr Orthop. 1995;15(3):302-3.
Sidharthan S, Schlichte LM, Green DW, Scher DM, Fabricant PD. Bifocal patellar tendon avulsion fractures in children and adolescents: diagnosis and treatment considerations for a unique injury pattern. Arthrosc Sports Med Rehabil. 2021;3(1):e97-e103.
Bradko V, Stoll WT, Haruno LS, Rosenfeld SB, McKay SD. Two cases of combined patellar tendon avulsion from the tibia and patella. SICOT J. 2018;4:17.
Pretell-Mazzini J, Kelly DM, Sawyer JR, Esteban EM, Spence DD, Warner WC, Beaty JH. Outcomes and complications of tibial tubercle fractures in pediatric patients: a systematic review of the literature. J Pediatr Orthop. 2016;36(5):440-6.
Hunt DM, Somashekar N. A review of sleeve fractures of the patella in children. Knee. 2005;12(1):3-7.
Davidson D, Letts M. Partial sleeve fractures of the tibia in children: an unusual fracture pattern. J Pediatr Orthop. 2002;22(1):36-40.
Hermansen LL, Freund KG. Bifocal osseous avulsion of the patellar tendon from the distal patella and tibial tuberosity in a child. Knee Surg Sports Traumatol Arthrosc. 2016;24(3):712-4.
Stepanovich MT, Slakey JB. Combined tibial tubercle avulsion fracture and patellar avulsion fracture: an unusual variant in an adolescent patient. Am J Orthop (Belle Mead NJ). 2016;45(1):E31-4.
Clarke DO, Franklin SA, Wright DE. Avulsion fracture of the tibial tubercle associated with patellar tendon avulsion. Orthopedics. 2016;39(3):e561-4.
McKoy BE, Stanitski CL. Acute tibial tubercle avulsion fractures. Orthop Clin North Am. 2003;34(3):397-403.
Nakajima T, Rokuuma N, Hamada K, Tomatsu T, Fukuda H. Histologic and biomechanical characteristics of the supraspinatus tendon: reference to rotator cuff tearing. J Shoulder Elbow Surg. 1994;3(2):79-87.
Sonnabend DH, Watson EM. Structural factors affecting the outcome of rotator cuff repair. J Shoulder Elbow Surg. 2002;11(3):212-8.
Fukuda H. The management of partial-thickness tears of the rotator cuff. J Bone Joint Surg Br. 2003;85-B(1):3-11.
Kim HM, Dahiya N, Teefey SA, Middleton WD, Stobbs G, Steger-May K, Yamaguchi K, Keener JD. Location and initiation of degenerative rotator cuff tears: an analysis of three hundred and sixty shoulders. J Bone Joint Surg Am. 2010;92(5):1088-96.
O'Donnell R, Dove J, Babu JM, Blood T, Hayda RA. Partial delaminated quadriceps tendon rupture: a case report. JBJS Case Connect. 2021;11(1). doi. 10.2106/JBJS.CC.20.00631
doi: 10.2106/JBJS.CC.20.00631
Krackow KA, Thomas SC, Jones LC. Ligament-tendon fixation: analysis of a new stitch and comparison with standard techniques. Orthopedics. 1988;11(6):909-17.
Thévenin-Lemoine C, Ferrand M, Courvoisier A, Damsin J-P, Ducou le Pointe H, Vialle R. Is the Caton-Deschamps index a valuable ratio to investigate patellar height in children? J Bone Joint Surg. 2011;93(8):e35.
Cushman DM, Petrin Z, Eby S, Clements ND, Haight P, Snitily B, Teramoto M. Ultrasound evaluation of the patellar tendon and Achilles tendon and its association with future pain in distance runners. Phys Sportsmed. 2021;49(4):410-9.
Basso O, Johnson DP, Amis AA. The anatomy of the patellar tendon. Knee Surg Sports Traumatol Arthrosc. 2001;9(1):2-5.
Miller TT. The patellar tendon. Semin Musculoskelet Radiol. 2013;17(01):056-9.
Bianchi S, Zwass A, Abdelwahab IF, Banderali A. Diagnosis of tears of the quadriceps tendon of the knee: value of sonography. AJR Am J Roentgenol. 1994;162(5):1137-40.
Zeiss J, Saddemi SR, Ebraheim NA. MR imaging of the quadriceps tendon: normal layered configuration and its importance in cases of tendon rupture. AJR Am J Roentgenol. 1992;159(5):1031-4.
Andrikoula S, Tokis A, Vasiliadis HS, Georgoulis A. The extensor mechanism of the knee joint: an anatomical study. Knee Surg Sports Traumatol Arthrosc. 2006;14(3):214-20.
Weber M, Knechtle B, Lutz B, Stutz G, Baumann P. Nonoperative treatment of a complete distal rectus femoris muscle tear. Clin J Sport Med. 2010;20(6):493-4.
Cetinkaya E, Aydin CG, Akman YE, Gul M, Arikan Y, Aycan OE, Kabukcuoglu YS. A rare knee extensor mechanism injury: vastus intermedius tendon rupture. Int J Surg Case Rep. 2015;14:186-8.
Bates DG, Hresko MT, Jaramillo D. Patellar sleeve fracture: demonstration with MR imaging. Radiology. 1994;193(3):825-7.

Auteurs

Frederick Mun (F)

Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland.

Rachel A Thomas (RA)

Department of Orthopaedics and Rehabilitation, Penn State Health, Hershey, Pennsylvania.

Raymond Y Kim (RY)

Department of Orthopaedics and Rehabilitation, Penn State Health, Hershey, Pennsylvania.

Joseph L Petfield (JL)

Department of Orthopaedics and Rehabilitation, Penn State Health, Hershey, Pennsylvania.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH