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Traumatic separation of osseous segments in a double-layered patella
INTRODUCTION: Double-layered patella is a rare intra-articular disorder associated with multiple epiphyseal dysplasia. PRESENTATION OF CASE: We present a case of a 40-year old man with acute pain in his left knee after a tackle during soccer play. DISCUSSION: Clinical examination and radiographs con...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686473/ https://www.ncbi.nlm.nih.gov/pubmed/29145110 http://dx.doi.org/10.1016/j.ijscr.2017.11.006 |
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author | Jørgensen, Andreas Brandt, Erik Ulstrup, Anton |
author_facet | Jørgensen, Andreas Brandt, Erik Ulstrup, Anton |
author_sort | Jørgensen, Andreas |
collection | PubMed |
description | INTRODUCTION: Double-layered patella is a rare intra-articular disorder associated with multiple epiphyseal dysplasia. PRESENTATION OF CASE: We present a case of a 40-year old man with acute pain in his left knee after a tackle during soccer play. DISCUSSION: Clinical examination and radiographs confirmed the diagnosis of a bilateral double-layered patella with traumatic separation of the osseous segments on the afflicted left side. Surgical management comprised of open arthrotomy and debridement of the bony interface. Stabilization was performed with tension cerclage, supported by a lag screw with excellent outcome at 12 months follow-up. CONCLUSION: It is possible that micromovement in a double-layered patella can dispose to a traumatic coronal segment displacement. Osseous fusion of traumatic patellar segments can be achieved. |
format | Online Article Text |
id | pubmed-5686473 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56864732017-11-22 Traumatic separation of osseous segments in a double-layered patella Jørgensen, Andreas Brandt, Erik Ulstrup, Anton Int J Surg Case Rep Article INTRODUCTION: Double-layered patella is a rare intra-articular disorder associated with multiple epiphyseal dysplasia. PRESENTATION OF CASE: We present a case of a 40-year old man with acute pain in his left knee after a tackle during soccer play. DISCUSSION: Clinical examination and radiographs confirmed the diagnosis of a bilateral double-layered patella with traumatic separation of the osseous segments on the afflicted left side. Surgical management comprised of open arthrotomy and debridement of the bony interface. Stabilization was performed with tension cerclage, supported by a lag screw with excellent outcome at 12 months follow-up. CONCLUSION: It is possible that micromovement in a double-layered patella can dispose to a traumatic coronal segment displacement. Osseous fusion of traumatic patellar segments can be achieved. Elsevier 2017-11-10 /pmc/articles/PMC5686473/ /pubmed/29145110 http://dx.doi.org/10.1016/j.ijscr.2017.11.006 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Jørgensen, Andreas Brandt, Erik Ulstrup, Anton Traumatic separation of osseous segments in a double-layered patella |
title | Traumatic separation of osseous segments in a double-layered patella |
title_full | Traumatic separation of osseous segments in a double-layered patella |
title_fullStr | Traumatic separation of osseous segments in a double-layered patella |
title_full_unstemmed | Traumatic separation of osseous segments in a double-layered patella |
title_short | Traumatic separation of osseous segments in a double-layered patella |
title_sort | traumatic separation of osseous segments in a double-layered patella |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686473/ https://www.ncbi.nlm.nih.gov/pubmed/29145110 http://dx.doi.org/10.1016/j.ijscr.2017.11.006 |
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