Journal of

Case Reports and Images in Orthopedics and Rheumatology

 
     
Case Report
 
Late MRI-detected patellar sleeve fracture: A case report and review of the literature
Johan Kirkegaard1, Manuel Bieder2, Susanne Kristensen Mallet1, Jesper Fabrin1
1Department of Orthopaedics, Koege Hospital, Lykkebaekvej 1, 4600 Koege, Denmark
2Department of Orthopaedics, Nykoebing Falster Hospital, Fjordvej 15, 4800 Nykoebing Falster

Article ID: 100004Z14JK2017
doi:10.5348/Z14-2017-4-CR-1

Address correspondence to:
Johan Kirkegaard
Amerikavej 7
4 th, 1756 Koebenhavn V
Denmark

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How to cite this article:
Kirkegaard J, Bieder M, Mallet SK, Fabrin J. Late MRI-detected patellar sleeve fracture: A case report and review of the literature. J Case Rep Images Orthop Rheum 2017;2:1–6.


Abstract
This is a detailed report of a case and a review of literature concerning the patellar sleeve fracture. The diagnosis of this type of fracture is often missed in the emergency room, which the mentioned case also stresses. The fracture is a subtype of patella fractures, and is mostly seen among children between eight between sixteen years of age. The trauma mechanism is an indirect powerful extension of the knee with a simultaneous contraction against a resistance of the quadriceps muscle group. Inflicted patients have often been trampolining, skateboarding or playing soccer. A bruised, painful and immobile knee is the typical clinical presentation. Ultrasound or/and magnetic resonance imaging are alternatives when plain radiographs are inconclusive. The treatment is often an open surgical fixation of the bone fragment. Early treatment is essential for a good prognosis.

Keywords: Pediatrics, Patella fracture, Osteosynthesis, Trauma


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Author Contributions
Johan Kirkegaard – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Manuel Bieder – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Susanne Kristensen Mallet – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jesper Fabrin – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Johan Kirkegaard et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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