Department of Orthopedic Surgery, Monmouth Medical Center, Long Branch, New Jersey.
Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
JBJS Case Connect. 2021 Oct 20;11(4):01709767-202112000-00016. doi: e21.00232.
A 12-year-old boy sustained a patella sleeve fracture of the superior pole, medial patellofemoral ligament tear, and lateral femoral condyle fracture after a direct contact sledding injury. He was managed nonoperatively with 5 weeks of cylinder cast immobilization with transition to a hinged knee brace and physiotherapy. By 3 months, he returned to sport activity without patellar instability.
This is the first case to describe simultaneous development of these 3 injuries in an adolescent. We recommend that patients with patella sleeve fracture undergo magnetic resonance imaging to assess for local soft-tissue injury because this may influence treatment decisions.
一名 12 岁男孩在直接接触雪橇受伤后，发生了髌骨上极袖套骨折、内侧髌股韧带撕裂和外侧股骨髁骨折。他接受了非手术治疗，用圆柱形石膏固定 5 周，然后过渡到铰链式膝关节支具和物理治疗。3 个月后，他无髌骨不稳定地恢复了运动。
这是首例描述青少年同时发生这 3 种损伤的病例。我们建议髌骨袖套骨折患者进行磁共振成像检查以评估局部软组织损伤，因为这可能会影响治疗决策。
