G X Gao1, A Mahadev, E H Lee. 1. Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore.
Abstract
PURPOSE: To report the diagnosis, treatment, and outcomes of sleeve patellar fractures in children. METHODS: Records of a consecutive series of patients with sleeve patellar fractures were retrospectively reviewed. RESULTS: Of the 11 children (8 boys and 3 girls; mean age, 12 years), 6 had minimally displaced fractures (1-2 mm) and were managed by cylindrical plaster of Paris immobilisation, whereas the other 5 with severely displaced fractures underwent open reduction with tension band wiring. The mean follow-up period was 10 (range, 3-36) months. All patients obtained full extension of the knee except one (with an extension lag of 10 degrees). No patient complained of pain or discomfort of the involved knee. CONCLUSION: Sleeve patellar fractures in children are uncommon. Diagnosis can be missed, especially in those with a very small avulsed bony fragment. For undisplaced fracture, conservative management can achieve good results. For severely displaced fractures, early surgical intervention is effective.
PURPOSE: To report the diagnosis, treatment, and outcomes of sleeve patellar fractures in children. METHODS: Records of a consecutive series of patients with sleeve patellar fractures were retrospectively reviewed. RESULTS: Of the 11 children (8 boys and 3 girls; mean age, 12 years), 6 had minimally displaced fractures (1-2 mm) and were managed by cylindrical plaster of Paris immobilisation, whereas the other 5 with severely displaced fractures underwent open reduction with tension band wiring. The mean follow-up period was 10 (range, 3-36) months. All patients obtained full extension of the knee except one (with an extension lag of 10 degrees). No patient complained of pain or discomfort of the involved knee. CONCLUSION:Sleeve patellar fractures in children are uncommon. Diagnosis can be missed, especially in those with a very small avulsed bony fragment. For undisplaced fracture, conservative management can achieve good results. For severely displaced fractures, early surgical intervention is effective.
Authors: Andrés Schmidt-Hebbel; Felipe Eggers; Vincent Schütte; Andrea Achtnich; Andreas B Imhoff Journal: BMC Musculoskelet Disord Date: 2020-04-23 Impact factor: 2.362