Centro Hospitalar Universitário de São João, Porto, Portugal
Centro Hospitalar Universitário de São João, Porto, Portugal.
BMJ Case Rep. 2021 Jan 25;14(1):e239364. doi: 10.1136/bcr-2020-239364.
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.
一位 13 岁男孩的膝关节受到钝性创伤后，发生了髌骨上极袖套样骨折。4 周前曾进行过内侧髌股韧带重建。患者接受了手术，使用两个骨缝线锚钉将股四头肌腱重新插入髌骨上极。术后 1 年评估显示功能恢复极佳。袖套样骨折容易误诊，在本例中，临床检查对于做出诊断至关重要。
