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Case Reports
. 2019 Mar 12:2019:6193498.
doi: 10.1155/2019/6193498. eCollection 2019.

Patellar Tendon Avulsion with Tibial Tuberosity Sleeve Fragment

Akira Isaka  1 , Satoshi Ichihara  2 , Yasuhiro Homma  3 , Tomohiko Hirose  1 , Hajime Kajihara  4
Affiliations
Case Reports

Patellar Tendon Avulsion with Tibial Tuberosity Sleeve Fragment

Akira Isaka et al. Case Rep Orthop. .

Abstract

Rupture of the patellar tendon is relatively rare. We report a case of patellar tendon avulsion with a tibial tuberosity sleeve fragment in pediatric patient. In pediatric patient, diagnosis is sometimes difficult due to uncompleted ossification. In the present case, which involved the presence of a small fleck of bone from tibia, we were able to attain a diagnosis using the Koshino-Sugimoto index and MRI and easily determine the optimal treatment with the use of the suture anchor and tension band wiring method.

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Figures

Figure 1
Figure 1
X-rays and computed tomography (CT) showed small flecks of bone at proximal tibial tuberosity.
Figure 2
Figure 2
(a) Left is affected side. (b) Right is healthy side. Magnetic resonance imaging (MRI) revealed swelling and loosening of the patellar tendon.
Figure 3
Figure 3
Koshino-Sugimoto index.
Figure 4
Figure 4
Operative findings. The patellar tendon was avulsed with sleeve fragment from tibial tuberosity.
Figure 5
Figure 5
The avulsed tendon was repaired using two suture anchors, and fragment including cartilage was attached by tension band wiring method.
See this image and copyright information in PMC

References

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