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一名儿科患者的胫骨结节骨折与髌腱断裂合并症：病例报告及文献综述

Tibia Tuberosity Fracture and Patellar Tendon Rupture Combination in a Pediatric Patient: Case Report and Narrative Review.

作者信息

Mousafeiris Vasileios K, Repantis Thomas, Kalyva Nektaria, Papaioannou Ioannis, Arachoviti Christine, Chatziperi Stamatia, Baikousis Andreas

机构信息

Orthopedics and Traumatology, General Hospital of Patras "Agios Andreas", Patras, GRC.

Pediatrics, University Hospital of Patras, Patras, GRC.

出版信息

Cureus. 2022 Apr 16;14(4):e24182. doi: 10.7759/cureus.24182. eCollection 2022 Apr.

DOI:10.7759/cureus.24182
PMID:35586351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9109652/
Abstract

A combination of tibial tuberosity (TT) fracture (TTF) along with patellar tendon (PT) rupture (PTR) is rare. We report a 15-year-old male who presented to our ED with acute knee pain and an inability to actively extend the knee after jumping during a basketball game. Diagnosis of simultaneous PTR is crucial as it changes clinical management. It is, therefore, important to maintain a high index of suspicion for the combination of TTF and PT injury.

摘要

胫骨结节骨折（TTF）合并髌腱（PT）断裂（PTR）的情况较为罕见。我们报告一名15岁男性，他在一场篮球比赛中跳跃后出现急性膝关节疼痛，无法主动伸直膝关节，随后被送往我们的急诊科。同时诊断出PTR至关重要，因为这会改变临床治疗方案。因此，对于TTF和PT损伤的合并情况保持高度怀疑指数很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/22702a5a47e9/cureus-0014-00000024182-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/2a4a2d266c4e/cureus-0014-00000024182-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/2b865022d936/cureus-0014-00000024182-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/905161374660/cureus-0014-00000024182-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/11827b4f70a9/cureus-0014-00000024182-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/22702a5a47e9/cureus-0014-00000024182-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/2a4a2d266c4e/cureus-0014-00000024182-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/2b865022d936/cureus-0014-00000024182-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/905161374660/cureus-0014-00000024182-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/11827b4f70a9/cureus-0014-00000024182-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7446/9109652/22702a5a47e9/cureus-0014-00000024182-i05.jpg

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本文引用的文献

1
Neglected Rupture of the Patellar Tendon After Fixation of Tibial Tubercle Avulsion in an Adolescent Male Managed With Ipsilateral Semitendinosus Autograft Reconstruction.一名青少年男性胫骨结节撕脱固定术后髌腱延迟性断裂，采用同侧半腱肌自体移植重建治疗
Cureus. 2021 Jun 1;13(6):e15368. doi: 10.7759/cureus.15368. eCollection 2021 Jun.
2
Tibial tuberosity avulsion-fracture associated with complete distal rupture of the patellar tendon: A case report and review of literature.胫骨结节撕脱骨折合并髌腱完全远端断裂：1例病例报告及文献复习
World J Orthop. 2020 Dec 18;11(12):615-626. doi: 10.5312/wjo.v11.i12.615.
3
Combined avulsion fracture of the tibial tubercle and patellar tendon rupture in pediatric population: case series and review of literature.
小儿人群中胫骨结节联合撕脱骨折与髌腱断裂：病例系列及文献综述
Eur J Orthop Surg Traumatol. 2018 Feb;28(2):317-323. doi: 10.1007/s00590-017-2048-z. Epub 2017 Sep 27.
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Avulsion fracture of the tibial tubercle apophysis with avulsion of patellar ligament.胫骨结节骨骺撕脱骨折伴髌韧带撕脱。
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