Advertisement

Bilateral sleeve fracture of the patella in a healthy child

  • S. Goyal
  • H. SharmaEmail author
  • G. K. Singh
  • S. Richards
  • P. Calvert
Case Report

Abstract

Sleeve fractures of the patella are relatively rare in the paediatric population. They can be missed in the initial evaluation of the knee due to the relative rarity, minimal radiological findings and an intact extension function of the knee in the majority of patients. Only one case is reported in the English literature on bilateral simultaneous sleeve fracture in a child with secondary hyperparathyroidism. To the authors’ best knowledge, concomitant bilateral patellar sleeve fracture in an otherwise fit and healthy child has not been described before.

Keywords

Sleeve fracture Patella Extension Knee 

Fracture avulsion bilatérale de la rotule chez un enfant en bonne santé

Résumé

La fracture avulsion du pôle inférieur de la rotule est une lésion relativement rare chez l’enfant. Son diagnostic peut être méconnu lors du bilan initial compte tenu de cette rareté, de la discrétion des signes radiographiques initiaux, et d’une fonction d’extension du genou conservée chez une majorité de patients. Une seule publication dans la littérature anglaise fait état d’une localisation bilatérale de fracture avulsion rotulienne observée simultanément chez un enfant atteint d’hyperparathyroïdie secondaire. De l’avis des auteurs, il n’y a aucun autre cas publié de fracture avulsion rotulienne bilatérale survenue simultanément chez un enfant ne présentant aucune autre pathologie associée.

Mots clés

Fracture avulsion Rotule Extension Genou 

References

  1. 1.
    Bates DG, Hres MT, Jaramillo D (1994) Patellar sleeve fracture: demonstration with MR Imaging. Radiology 193(3):825–827PubMedGoogle Scholar
  2. 2.
    Bruijn JD, Sanders RJ, Jensen BRH (1993) Ossification in the patellar tendon and patella alta following sports injuries in children: complications of sleeve fracture after conservative treatment. Arch Orthop Trauma Surg 112:157–158PubMedGoogle Scholar
  3. 3.
    Gardiner JS, McInerney VK, Avella DG, Valdez NA (1990) Injuries to the inferior pole of the patella in children. Orthop Rev 19(7):643–649PubMedGoogle Scholar
  4. 4.
    Hadlow AT, Medlicott PAW (1987) Bilateral simultaneous sleeve fracture of the patella in secondary hyperparathyroidism. Injury 18(6):417–418CrossRefPubMedGoogle Scholar
  5. 5.
    Houghton GR, Achroyd CE (1979) Sleeve fracture of the patella in children: a report of three cases. J Bone Joint Surg Br 61:165–168Google Scholar
  6. 6.
    Karr TK, Murray P, Cashman WF (1993) Transosseous suturing for sleeve fracture of the patella: case report. Ir J Med Sci 162(4):148–149PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • S. Goyal
    • 1
  • H. Sharma
    • 2
    • 4
    Email author
  • G. K. Singh
    • 1
  • S. Richards
    • 3
  • P. Calvert
    • 3
  1. 1.Department of Trauma and OrthopaedicsSt. Richard’s HospitalChichester, West SussexUK
  2. 2.Department of Trauma and OrthopaedicsSouthern General HospitalGlasgowUK
  3. 3.Department of Trauma and OrthopaedicsSt George’s HospitalLondonUK
  4. 4.Newton Mearns, GlasgowUK

Personalised recommendations