Department of Traumatology, Bambino Gesu' Children Hospital of Rome, Italy.
JBJS Case Connect. 2020 Nov 24;10(4):e20.00065. doi: 10.2106/JBJS.CC.20.00065.
A 13-year-old boy suffered a sports injury of the right knee. The clinical examination showed swelling, inability to bear weight, and pain involving the inferior apex of the patella and the anterior tibial tuberosity. Imaging studies showed an avulsion fracture, sleeve-like, from the patella apex and avulsion of the tibial tuberosity. The patient underwent open reduction and internal fixation. At the 24-month follow-up, no pain, limitation, or complication was reported.
Bifocal patellar tendon avulsion in a skeletally immature patient is an extremely rare injury, and to our knowledge, only one case is reported.
一名 13 岁男孩的右膝遭受运动损伤。临床检查显示肿胀、无法承重，疼痛涉及髌骨下极和胫骨结节前。影像学研究显示髌骨尖撕脱骨折，呈套状，胫骨结节撕脱。患者接受了切开复位内固定。24 个月随访时，无疼痛、活动受限或并发症。
在骨骼未成熟的患者中，双焦点髌腱撕脱是一种极其罕见的损伤，据我们所知，仅有一例报告。
