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具有创伤性分离和膝关节伸肌完全断裂的二分髌骨新变体。

New variant of bipartite patella with traumatic separation and complete disruption of the extensor mechanism of the knee.

机构信息

Trauma and Orthopaedics, Countess of Chester Hospital NHS Foundation Trust, Chester, UK

Trauma and Orthopaedics, Countess of Chester Hospital NHS Foundation Trust, Chester, UK.

出版信息

BMJ Case Rep. 2021 Jan 15;14(1):e236773. doi: 10.1136/bcr-2020-236773.

Abstract

Very few case reports have been reported on traumatic separation of the bipartite patella along with quadriceps tendon rupture. These reports relate to separation of superolateral bipartite patella (Saupe type 3). We describe a new variant which to our knowledge has not been described or classified so far, which is purely a superior bipartite patella with traumatic separation and complete functional disruption of the extensor mechanism of the knee in a young patient working in the army which was managed with open reduction and internal fixation along with repair of the extensor mechanism of the knee achieving complete functional recovery.

摘要

鲜有外伤性二分髌骨伴股四头肌腱断裂的病例报告。这些报告涉及到外侧二分髌骨(Saupe 3 型)的分离。我们描述了一种新的变异型,据我们所知,这种变异型迄今为止尚未被描述或分类,它纯粹是一种外伤性上部分髌骨分离,伴有膝关节伸肌机制完全功能障碍的年轻军人,通过切开复位内固定联合膝关节伸肌机制修复治疗,获得了完全的功能恢复。

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本文引用的文献

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Arthroscopic Bony Resection for Treatment of Symptomatic Bipartite Patella.关节镜下骨性切除术治疗有症状的二分髌骨
Arthrosc Tech. 2017 Jul 10;6(4):e1003-e1007. doi: 10.1016/j.eats.2017.03.013. eCollection 2017 Aug.
4
The management of the painful bipartite patella: a systematic review.疼痛性二分髌骨的治疗:一项系统评价
Knee Surg Sports Traumatol Arthrosc. 2016 Sep;24(9):2798-2805. doi: 10.1007/s00167-014-3498-z. Epub 2015 Jan 7.
5
Efficacy of surgical interventions for a bipartite patella.二分髌骨手术干预的疗效
Orthopedics. 2014 Sep;37(9):623-8. doi: 10.3928/01477447-20140825-07.
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Injury of a bipartite patella in a young upcoming sportsman.年轻运动员的二分髌骨损伤。
Arch Orthop Trauma Surg. 2011 Jan;131(1):75-8. doi: 10.1007/s00402-010-1109-0. Epub 2010 May 19.
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Clinical features and classification of bipartite or tripartite patella.二分髌骨和三分髌骨的临床特征和分类。
Knee Surg Sports Traumatol Arthrosc. 2010 Nov;18(11):1465-9. doi: 10.1007/s00167-010-1047-y. Epub 2010 Jan 29.

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