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Sleeve fracture of the adult patella: Case report and review of the literature

RATIONALE: The patellar fractures are common in adults, but rare in children. As a particular type of patellar fracture, however, sleeve fractures are almost always limited to children in the under 16's group. PATIENT CONCERNS: Herein, we report a rare case of a 19-year-old healthy adult female...

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Autores principales: Xie, Linjun, Xu, Hong, Zhang, Lizhi, Xu, Rong, Guo, Yingkun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556194/
https://www.ncbi.nlm.nih.gov/pubmed/28796028
http://dx.doi.org/10.1097/MD.0000000000007096
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author Xie, Linjun
Xu, Hong
Zhang, Lizhi
Xu, Rong
Guo, Yingkun
author_facet Xie, Linjun
Xu, Hong
Zhang, Lizhi
Xu, Rong
Guo, Yingkun
author_sort Xie, Linjun
collection PubMed
description RATIONALE: The patellar fractures are common in adults, but rare in children. As a particular type of patellar fracture, however, sleeve fractures are almost always limited to children in the under 16's group. PATIENT CONCERNS: Herein, we report a rare case of a 19-year-old healthy adult female who presented sleeve fracture at the superior pole of the left patella. The clinical and radiological features are found including joint effusion, anterior tilt of the patella and a shell of bone lying proximally to the patella. DIAGNOSES: Computed tomography and magnetic resonance imaging examination have been performed to further confirm the diagnosis of sleeve fracture, rupture of the quadriceps tendon and the cartilaginous injury. INTERVENTIONS: Under general anaesthesia, she underwent open surgical procedures for reconstituting anatomically the fracture and repairing the rupture of the quadriceps tendon. OUTCOMES: Six months after the operation, she could fully use her left knee without any pain and disability. LESSONS: Sleeve fractures of the patellar in adults are extremely rare, and our case is of interest for the first time occurring in healthy female adults. Our case report and literature review was aim to describe the clinic and imaging characteristics of superior pole sleeve fractures in adults, and highlight that physicians must be aware of this entity in adults so as to reduce misdiagnosis due to unfamiliarity.
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spelling pubmed-55561942017-08-25 Sleeve fracture of the adult patella: Case report and review of the literature Xie, Linjun Xu, Hong Zhang, Lizhi Xu, Rong Guo, Yingkun Medicine (Baltimore) 6800 RATIONALE: The patellar fractures are common in adults, but rare in children. As a particular type of patellar fracture, however, sleeve fractures are almost always limited to children in the under 16's group. PATIENT CONCERNS: Herein, we report a rare case of a 19-year-old healthy adult female who presented sleeve fracture at the superior pole of the left patella. The clinical and radiological features are found including joint effusion, anterior tilt of the patella and a shell of bone lying proximally to the patella. DIAGNOSES: Computed tomography and magnetic resonance imaging examination have been performed to further confirm the diagnosis of sleeve fracture, rupture of the quadriceps tendon and the cartilaginous injury. INTERVENTIONS: Under general anaesthesia, she underwent open surgical procedures for reconstituting anatomically the fracture and repairing the rupture of the quadriceps tendon. OUTCOMES: Six months after the operation, she could fully use her left knee without any pain and disability. LESSONS: Sleeve fractures of the patellar in adults are extremely rare, and our case is of interest for the first time occurring in healthy female adults. Our case report and literature review was aim to describe the clinic and imaging characteristics of superior pole sleeve fractures in adults, and highlight that physicians must be aware of this entity in adults so as to reduce misdiagnosis due to unfamiliarity. Wolters Kluwer Health 2017-08-11 /pmc/articles/PMC5556194/ /pubmed/28796028 http://dx.doi.org/10.1097/MD.0000000000007096 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Noncommercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and build-up the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 6800
Xie, Linjun
Xu, Hong
Zhang, Lizhi
Xu, Rong
Guo, Yingkun
Sleeve fracture of the adult patella: Case report and review of the literature
title Sleeve fracture of the adult patella: Case report and review of the literature
title_full Sleeve fracture of the adult patella: Case report and review of the literature
title_fullStr Sleeve fracture of the adult patella: Case report and review of the literature
title_full_unstemmed Sleeve fracture of the adult patella: Case report and review of the literature
title_short Sleeve fracture of the adult patella: Case report and review of the literature
title_sort sleeve fracture of the adult patella: case report and review of the literature
topic 6800
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556194/
https://www.ncbi.nlm.nih.gov/pubmed/28796028
http://dx.doi.org/10.1097/MD.0000000000007096
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