青少年远端髌腱撕脱的延迟诊断和治疗。
Delayed diagnosis and treatment of a distal patellar tendon avulsion in an adolescent.
机构信息
Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
PCOM, Philadelphia, Pennsylvania, USA.
出版信息
BMJ Case Rep. 2022 Feb 28;15(2):e248526. doi: 10.1136/bcr-2021-248526.
Distal patellar tendon avulsions are uncommon. While much is known about proximal patella tendon ruptures, there are very few reports to guide treatment of a patellar tendon disruption near the tibial tuberosity. Moreover, delayed diagnosis and treatment presents additional challenges. We present a distal patellar tendon avulsion in an adolescent whereby diagnosis and treatment were delayed due to a distracting nearby contaminated wound. The tendon was separated from post-traumatic scar then repaired back to its native footprint using suture anchors. This report aims to increase awareness of this rare diagnosis as well as provide details about our chosen treatment and rehabilitation protocol.
髌腱远侧止点撕脱较为少见。虽然人们对髌腱近侧止点断裂已有较多了解，但对于胫骨结节附近髌腱断裂的治疗，相关报道却很少。此外，延迟诊断和治疗会带来更多挑战。我们报告了一例青少年髌腱远侧止点撕脱，由于附近有一处分散注意力的污染伤口，导致诊断和治疗延迟。我们通过缝线锚钉将肌腱从创伤后瘢痕中分离出来，然后修复至其原始止点。本报告旨在提高对这一罕见诊断的认识，并详细介绍我们选择的治疗和康复方案。
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