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A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast
INTRODUCTION: The overuse and repetitive loading of a bone cause a stress fracture, commonly occurring in the weight-bearing structures of the lower extremities of athletes, but rarely the patella. Patella stress fractures are an extremely rare occurrence. Müller first described a patella stress fra...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343559/ https://www.ncbi.nlm.nih.gov/pubmed/30687662 http://dx.doi.org/10.13107/jocr.2250-0685.1154 |
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author | Baker, Steven Seales, Jacob Newcomer, Scotty Bruce, Jeremy |
author_facet | Baker, Steven Seales, Jacob Newcomer, Scotty Bruce, Jeremy |
author_sort | Baker, Steven |
collection | PubMed |
description | INTRODUCTION: The overuse and repetitive loading of a bone cause a stress fracture, commonly occurring in the weight-bearing structures of the lower extremities of athletes, but rarely the patella. Patella stress fractures are an extremely rare occurrence. Müller first described a patella stress fracture in 1943; however, we could find <15 reported cases in literature since that time. Thus, some uncertainty exists as to the proper treatment of this very rare condition. CASE REPORT: A female collegiate gymnast presented with 2–months of anterior knee pain, and initial radiographs revealed a non-displaced patella stress fracture. An magnetic resonance imaging (MRI)was obtained which confirmed the diagnosis and ruled out any patellar tendon or intra-articular pathology. The patient was treated with immobilization, vitamin supplementation, and low-intensity pulsed ultrasound therapy. At 3 months, the patient had complete healing of her fracture and returned to full competition in her sport. After approximately 1year of returning to sport, she unfortunately developed a patella stress fracture in her contralateral knee confirmed by radiographs and MRI. She received the same conservative management plan as before, and at 3 months, she was pain free and returned to full competition in her sport. She is now 3 years from injury on the right knee and 2 years from injury on the left knee and continues to compete at the Division I collegiate level without pain. CONCLUSION: This case report illustrates how patella stress fractures may be successfully treated conservatively, even when presenting with a radiographic fracture line. This varies from other forms of stress fractures where surgical fixation is recommended once radiographic fracture line is noted. This is likely due to the abundant blood supply in the region, which allows for healing. |
format | Online Article Text |
id | pubmed-6343559 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-63435592019-01-26 A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast Baker, Steven Seales, Jacob Newcomer, Scotty Bruce, Jeremy J Orthop Case Rep Case Report INTRODUCTION: The overuse and repetitive loading of a bone cause a stress fracture, commonly occurring in the weight-bearing structures of the lower extremities of athletes, but rarely the patella. Patella stress fractures are an extremely rare occurrence. Müller first described a patella stress fracture in 1943; however, we could find <15 reported cases in literature since that time. Thus, some uncertainty exists as to the proper treatment of this very rare condition. CASE REPORT: A female collegiate gymnast presented with 2–months of anterior knee pain, and initial radiographs revealed a non-displaced patella stress fracture. An magnetic resonance imaging (MRI)was obtained which confirmed the diagnosis and ruled out any patellar tendon or intra-articular pathology. The patient was treated with immobilization, vitamin supplementation, and low-intensity pulsed ultrasound therapy. At 3 months, the patient had complete healing of her fracture and returned to full competition in her sport. After approximately 1year of returning to sport, she unfortunately developed a patella stress fracture in her contralateral knee confirmed by radiographs and MRI. She received the same conservative management plan as before, and at 3 months, she was pain free and returned to full competition in her sport. She is now 3 years from injury on the right knee and 2 years from injury on the left knee and continues to compete at the Division I collegiate level without pain. CONCLUSION: This case report illustrates how patella stress fractures may be successfully treated conservatively, even when presenting with a radiographic fracture line. This varies from other forms of stress fractures where surgical fixation is recommended once radiographic fracture line is noted. This is likely due to the abundant blood supply in the region, which allows for healing. Indian Orthopaedic Research Group 2018 /pmc/articles/PMC6343559/ /pubmed/30687662 http://dx.doi.org/10.13107/jocr.2250-0685.1154 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Baker, Steven Seales, Jacob Newcomer, Scotty Bruce, Jeremy A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast |
title | A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast |
title_full | A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast |
title_fullStr | A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast |
title_full_unstemmed | A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast |
title_short | A Case Report: Bilateral Patella Stress Fractures in a Collegiate Gymnast |
title_sort | case report: bilateral patella stress fractures in a collegiate gymnast |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343559/ https://www.ncbi.nlm.nih.gov/pubmed/30687662 http://dx.doi.org/10.13107/jocr.2250-0685.1154 |
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