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Serial Radiographs Showing Progression of a Patellar Stress Fracture and Beneficial Surgical Technique for a Displaced Patellar Stress Fracture
Stress fractures of the patella occurring in athletes are quite rare and only 23 cases have been introduced in English literatures. Stress fractures of the patella are classified into two types: transverse and longitudinal. They are mostly seen in the distal one-third of the patella on a plain later...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Knee Society
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853175/ https://www.ncbi.nlm.nih.gov/pubmed/29482309 http://dx.doi.org/10.5792/ksrr.17.044 |
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author | Kizaki, Kazuha Yamashita, Fumiharu Funakoshi, Noboru |
author_facet | Kizaki, Kazuha Yamashita, Fumiharu Funakoshi, Noboru |
author_sort | Kizaki, Kazuha |
collection | PubMed |
description | Stress fractures of the patella occurring in athletes are quite rare and only 23 cases have been introduced in English literatures. Stress fractures of the patella are classified into two types: transverse and longitudinal. They are mostly seen in the distal one-third of the patella on a plain lateral radiograph. We present here a 16-year-old female basketball player with a stress fracture of the patella. Her serial radiographs demonstrated progression of the fracture including a lytic cortex lesion, known as the gray cortex sign for early stage stress fractures, in the distal one-third of the patella on plain lateral radiographs. In addition, we introduce a surgical technique using non-absorbable suture ligatures (No.2 Ethibond) for a displaced transverse stress fracture of the patella when the extensor mechanism is intact. The ligatures are passed through into the patella using suture passers and simply tied down over the top of the patella. In our case, it led to neither hardware-related nor circumferential loop-related irritation postoperatively. |
format | Online Article Text |
id | pubmed-5853175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Knee Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-58531752018-03-20 Serial Radiographs Showing Progression of a Patellar Stress Fracture and Beneficial Surgical Technique for a Displaced Patellar Stress Fracture Kizaki, Kazuha Yamashita, Fumiharu Funakoshi, Noboru Knee Surg Relat Res Case Report Stress fractures of the patella occurring in athletes are quite rare and only 23 cases have been introduced in English literatures. Stress fractures of the patella are classified into two types: transverse and longitudinal. They are mostly seen in the distal one-third of the patella on a plain lateral radiograph. We present here a 16-year-old female basketball player with a stress fracture of the patella. Her serial radiographs demonstrated progression of the fracture including a lytic cortex lesion, known as the gray cortex sign for early stage stress fractures, in the distal one-third of the patella on plain lateral radiographs. In addition, we introduce a surgical technique using non-absorbable suture ligatures (No.2 Ethibond) for a displaced transverse stress fracture of the patella when the extensor mechanism is intact. The ligatures are passed through into the patella using suture passers and simply tied down over the top of the patella. In our case, it led to neither hardware-related nor circumferential loop-related irritation postoperatively. Korean Knee Society 2018-03 2018-03-01 /pmc/articles/PMC5853175/ /pubmed/29482309 http://dx.doi.org/10.5792/ksrr.17.044 Text en Copyright © 2018 Korean Knee Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kizaki, Kazuha Yamashita, Fumiharu Funakoshi, Noboru Serial Radiographs Showing Progression of a Patellar Stress Fracture and Beneficial Surgical Technique for a Displaced Patellar Stress Fracture |
title | Serial Radiographs Showing Progression of a Patellar Stress Fracture and Beneficial Surgical Technique for a Displaced Patellar Stress Fracture |
title_full | Serial Radiographs Showing Progression of a Patellar Stress Fracture and Beneficial Surgical Technique for a Displaced Patellar Stress Fracture |
title_fullStr | Serial Radiographs Showing Progression of a Patellar Stress Fracture and Beneficial Surgical Technique for a Displaced Patellar Stress Fracture |
title_full_unstemmed | Serial Radiographs Showing Progression of a Patellar Stress Fracture and Beneficial Surgical Technique for a Displaced Patellar Stress Fracture |
title_short | Serial Radiographs Showing Progression of a Patellar Stress Fracture and Beneficial Surgical Technique for a Displaced Patellar Stress Fracture |
title_sort | serial radiographs showing progression of a patellar stress fracture and beneficial surgical technique for a displaced patellar stress fracture |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853175/ https://www.ncbi.nlm.nih.gov/pubmed/29482309 http://dx.doi.org/10.5792/ksrr.17.044 |
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