Open tibia plateau fracture with intra-osseous dislocation of the patella and quadriceps tendon rupture: a case report
| العنوان: | Open tibia plateau fracture with intra-osseous dislocation of the patella and quadriceps tendon rupture: a case report |
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| المؤلفون: | Jun Zhang, Luping Liu, Chen Leijie, Daohong Zhao, Ning Lu, Weiqiang Li |
| المصدر: | BMC Surgery, Vol 20, Iss 1, Pp 1-5 (2020) BMC Surgery |
| بيانات النشر: | BMC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, musculoskeletal diseases, medicine.medical_specialty, Knee Joint, Joint Dislocations, lcsh:Surgery, Case Report, Knee dislocation, Tendons, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Quadriceps tendon rupture, Tibial plateau fracture, medicine, Humans, Rupture, Tibia, business.industry, Knee Dislocation, Avulsion fracture, General Medicine, Patella, lcsh:RD1-811, medicine.disease, musculoskeletal system, Surgery, Radiography, Tibial Fractures, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Posterior cruciate ligament, 030211 gastroenterology & hepatology, Quadriceps tendon, business |
| الوصف: | Background Both tibial plateau fractures and extensor apparatus injuries are serious injuries to the knee joint that generally do not occur in the same patient. We report a rare case of open tibial plateau fracture combined with quadriceps tendon rupture and complete displacement of the patella into the tibial plateau fracture. Case presentation The case involved a male who was 19 years old who had been in a motorcycle accident. The patient was admitted to our department with an open tibial plateau fracture 3 h post-injury. X-ray showed a tibial plateau fracture and complete displacement of the patella into the tibial plateau. CT showed an avulsion fracture in the patella and tibial intercondylar eminence. Concomitant quadriceps tendon injury and both anterior and posterior cruciate ligament tibial insertion avulsion fractures were considered. The operative findings of emergency surgery confirmed our preoperative diagnosis. Single-stage quadriceps tendon repair and ORIF for the tibial plateau fracture were performed. Satisfactory restoration of function was acquired at the last follow up. Conclusion The most difficult aspect of this case was the determination of the cause of the intra-osseous dislocation of the patella into the tibial plateau. The most likely mechanism of the injury may be that the patient experienced transient posterior dislocation of the knee during the injury. Rupture of the quadriceps tendon should be considered with posterior dislocation of the knee, and the patella was pushed into the tibial plateau fracture by force after the rupture of the quadriceps tendon. |
| اللغة: | English |
| تدمد: | 1471-2482 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::289085d647857b86f439e8f9284cbe79 http://link.springer.com/article/10.1186/s12893-020-00770-3 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....289085d647857b86f439e8f9284cbe79 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712482 |
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