Superior pole patellar sleeve fracture after medial patellofemoral ligament reconstruction

BMJ Case Rep. 2021 Jan 25;14(1):e239364. doi: 10.1136/bcr-2020-239364.

Abstract

A 13-year-old boy sustained a superior pole patellar sleeve fracture after a blunt trauma of the knee. A medial patellofemoral ligament reconstruction had been performed 4 weeks earlier. The patient underwent surgery to reinsert the quadriceps tendon in the superior pole of the patella using two bone suture anchors. One-year postoperative assessment revealed excellent functional outcomes. Sleeve fractures are easily misdiagnosed, and in our case, clinical examination was essential in order to perform the diagnosis.

Keywords: knee injuries; orthopaedic and trauma surgery; orthopaedics.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Fractures, Avulsion / diagnostic imaging*
  • Fractures, Avulsion / surgery
  • Gracilis Muscle
  • Humans
  • Joint Instability / surgery
  • Ligaments, Articular / surgery
  • Male
  • Patella / injuries*
  • Patellofemoral Joint / surgery*
  • Plastic Surgery Procedures
  • Quadriceps Muscle / surgery*
  • Suture Anchors*
  • Tendons / transplantation
  • Tomography, X-Ray Computed
  • Wounds, Nonpenetrating / diagnostic imaging
  • Wounds, Nonpenetrating / surgery