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髌骨上极袖状骨折漏诊

Missed Sleeve Fracture of the Superior Pole of Patella.

作者信息

Güler Y, Arslanoğlu F, Korkmaz O, Hakyemez Ö S, Ateş G, Çaçan M A

机构信息

Istanbul Medipol University School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey.

出版信息

Acta Chir Orthop Traumatol Cech. 2020;87(2):127-128.

PMID:32396514
Abstract

Patellar sleeve fracture is a form of injury in which small osseous fragments avulsed with periosteum and cartilage. 15-year-old male patient, playing in school football team, apllied to our clinic with a history of previously missed patellar superior pole sleeve avulsion fracture. Care must be taken in order not to miss the patellar superior pole sleeve fractures, which are very rare in children. Extra care must be taken in patients, whose X-ray imaging is clean but there is a problem in the extensor mechanism of the knee. INTRODUCTION Since the patella has high mobility and large cartilage surfaces, it's fracture is very rare in children (9). Growing patella is more prone to osteochondral or avulsion fractures (8). Patellar sleeve fracture is a form of injury in which small osseous fragments fractured with periosteum and cartilage (5). Avulsion or sleeve fractures of patella can be seen in inferior and superior patellar poles. Fractures in superior pole is very rare and only a few cases have been described in the literature (2).

摘要

髌袖骨折是一种损伤形式,即小骨碎片与骨膜和软骨一起撕脱。一名15岁男性患者,是学校足球队队员,因之前漏诊的髌上极袖套撕脱骨折前来我院就诊。对于儿童中非常罕见的髌上极袖套骨折,必须小心谨慎以免漏诊。对于X线影像正常但膝关节伸肌机制存在问题的患者,更需格外留意。引言:由于髌骨活动度高且软骨面大,其骨折在儿童中非常罕见(9)。正在生长的髌骨更容易发生骨软骨或撕脱骨折(8)。髌袖骨折是一种小骨碎片与骨膜和软骨一同断裂的损伤形式(5)。髌骨的撕脱或袖套骨折可见于髌下极和髌上极。上极骨折非常罕见,文献中仅描述了少数病例(2)。

相似文献

1
Missed Sleeve Fracture of the Superior Pole of Patella.髌骨上极袖状骨折漏诊
Acta Chir Orthop Traumatol Cech. 2020;87(2):127-128.
2
Subacute superior patellar pole sleeve fracture.亚急性髌上极袖套骨折。
Am J Orthop (Belle Mead NJ). 2014 Jan;43(1):29-32.
3
Upper pole sleeve fracture of the patella secondary to patellar dislocation: A case report.髌骨脱位继发髌骨上极袖状骨折:一例报告。
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Sleeve fracture of the superior pole of patella: a case report.髌骨上极袖状骨折:一例报告
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Rare sleeve fracture of the superior patella pole in an adult due to forceful passive physiotherapy following cast immobilization.成人因石膏固定后强力被动物理治疗导致髌骨上极罕见的袖状骨折。
Knee. 2014 Mar;21(2):600-4. doi: 10.1016/j.knee.2013.03.007. Epub 2013 Apr 6.
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Superior Patella Periosteal Sleeve Avulsion After Ipsilateral Tibial Tubercle Fracture Fixation: A Case Report.同侧胫骨结节骨折固定术后髌骨骨膜袖套撕脱:1 例报告。
JBJS Case Connect. 2020 Jul-Sep;10(3):e20.00155. doi: 10.2106/JBJS.CC.20.00155.
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Quadriceps tendon rupture and periosteal sleeve avulsion fracture of the proximal patella pole in an active adolescent.一名活跃青少年的股四头肌肌腱断裂及髌骨近端极的骨膜袖套撕脱骨折
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Treatment of inferior patellar pole avulsion fractures with pole resection and patellotibial cerclage wire.采用髌骨下极切除术及髌胫环扎钢丝治疗髌骨下极撕脱骨折。
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[Avulsion fractures of the lower pole of the patella].[髌骨下极撕脱骨折]
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