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Bilateral patellar tendon rupture in a child: a case report
Hasan Hilmi Muratli1, Levent Celebi, Onur Hapa
13rd Orthopedics and Traumatology Clinic, Ankara Numune Education and Research Hospital, 100.YilMahallesi, 32.Cadde, KardelenSitesi, ABlok.Daire:1, Balgat, Ankara, Turkey. hasanmuratli@yahoo.com
Summary
Bilateral mid-substance patellar tendon ruptures are exceptionally rare in children. This case details a unique instance in a 9-year-old boy, treated with surgical repair and augmentation.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Musculoskeletal trauma
Background:
- Patellar tendon ruptures are uncommon in pediatric populations.
- Typically, pediatric patellar tendon ruptures occur at the patellar or tibial tuberosity insertion points.
- Mid-substance ruptures are exceedingly rare in children.
Observation:
- A 9-year-old boy presented with subsequent bilateral patellar tendon ruptures.
- The ruptures occurred through the mid-substance of both patellar tendons.
- This specific pattern of injury has not been previously documented in pediatric literature.
Findings:
- The patient underwent primary end-to-end repair for both patellar tendon ruptures.
- Surgical intervention included reinforcement with cerclage wires.
- Fresh-frozen Achilles tendon allograft was utilized for augmentation of both sides.
Implications:
- This case expands the understanding of rare pediatric tendon injuries.
- It highlights surgical techniques for managing complex bilateral patellar tendon ruptures in children.
- Successful surgical management may offer a viable treatment option for similar rare pediatric injuries.