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Case Reports
. 2017:2017:2537028.
doi: 10.1155/2017/2537028. Epub 2017 Aug 10.

Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture

Shuichi Miyamoto  1 , Makoto Otsuka  1 , Fumio Hasue  1 , Takayuki Fujiyoshi  1 , Koushirou Kamiya  1 , Hitoshi Kiuchi  1 , Ken Ohara  1 , Atsushi Yunde  1 , Yasunori Toki  1 , Tadashi Tanaka  1 , Junichi Nakamura  2 , Seiji Ohtori  2
Affiliations
Case Reports

Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture

Shuichi Miyamoto et al. Case Rep Orthop. 2017.

Abstract

Patellar tendon rupture in children is especially rare. The fact that the area of traumatic rupture has wide variations makes surgical treatment difficult. We present an 11-year-old boy with acute traumatic patellar tendon rupture at the tibial tuberosity attachment without avulsion fracture. Primary end-to-end repair and reinforcement using 1.5 mm stainless steel wires as a surgical strategy were undertaken. Early range of motion began with a functional knee brace and the reinforced stainless wire was removed 3 months after surgery. Knee function at the final follow-up was satisfactory. We suggest that this strategy may provide a useful option for surgical treatment.

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Figures

Figure 1
Figure 1
Preoperative lateral radiographs of the (a) right knee and (b) left knee.
Figure 2
Figure 2
Preoperative lateral MRI of the left knee on (a) a T1-weighted image, (b) a T2-weighted image, and (c) a short T1 inversion recovery (STIR) image. The white arrowhead indicates a rupture of the patellar tendon.
Figure 3
Figure 3
(a) Intraoperative view and (b) drawing of end-to-end repair and reinforcement with a wire cerclage. (c) Postoperative anteroposterior radiograph of the left knee. (d) Postoperative lateral radiograph of left knee.
Figure 4
Figure 4
One year after surgery, lateral radiographs of the (a) right knee and (b) left knee.
Figure 5
Figure 5
One year after surgery, lateral MRI of the left knee on (a) a T1-weighted image, (b) a T2-weighted image, and (c) a STIR image. The white arrowhead indicates the tendinous continuity of the patellar tendon.
See this image and copyright information in PMC

References

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