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髌骨嵌顿伴髌骨骨折:一例罕见的无股骨骨折的儿科患者病例。

Patella incarceration with associated patella fracture: a rare case of a paediatric patient with no associated femoral fracture.

作者信息

Morley Hannah Louise, Sharma Aadhar, Whittingham-Jones Paul

机构信息

Trauma and Orthopaedic Department, West Hertfordshire Hospitals NHS Trust, Watford, UK.

出版信息

BMJ Case Rep. 2018 Sep 14;2018:bcr-2018-226603. doi: 10.1136/bcr-2018-226603.

Abstract

We describe the case of a 15-year-old girl who presented to the Accident and Emergency Department with right knee pain and a tense effusion following a twist and fall directly onto her right knee. An MRI scan demonstrated that she had an incarcerated dislocated patella with an associated patella avulsion fracture. This required open reduction. Open reduction and fixation was performed using suture anchors. We feel that this case is particularly pertinent since nearly all previous case reports describe an incarcerated patella with an associated femur fracture. Furthermore, no previous case reports have been published in a child.

摘要

我们描述了一名15岁女孩的病例,她因右膝直接扭转摔倒后出现右膝疼痛和紧张性积液而就诊于急诊科。磁共振成像扫描显示她有一个嵌顿性髌骨脱位并伴有髌骨撕脱骨折。这需要切开复位。使用缝合锚钉进行切开复位和内固定。我们认为这个病例特别相关,因为几乎所有以前的病例报告都描述了伴有股骨骨折的嵌顿性髌骨。此外,以前没有在儿童中发表过病例报告。

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