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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...

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Simultaneous bilateral patellar tendon avulsion in an adolescent.

P K Yee1, K C Poon, S Y Chiu

  • 1Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong. yeepk@hotmail.com

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|December 11, 2012
PubMed
Summary

A rare bilateral distal patellar tendon avulsion occurred in a young soccer player after a jump. Surgical repair yielded excellent results, suggesting a new subtype of this knee injury.

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Evaluation of Stem Cell Therapies in a Bilateral Patellar Tendon Injury Model in Rats
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Published on: March 30, 2018

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Pediatric Traumatology

Background:

  • Distal patellar tendon avulsions are uncommon injuries in adolescents.
  • Avulsion fractures of the tibial tuberosity are more frequently described.
  • Understanding rare injury patterns is crucial for accurate diagnosis and treatment.

Observation:

  • A 13-year-old male soccer player experienced bilateral knee injuries after landing from a jump.
  • Radiography and MRI revealed bilateral distal patellar tendon avulsions.
  • No fractures of the tibial tuberosities or physes were identified.

Findings:

  • This case represents a previously undescribed injury pattern: bilateral distal patellar tendon avulsion without physeal or tibial tuberosity fracture.
  • Surgical intervention with open repair and internal fixation was performed.
  • The patient achieved an excellent functional outcome post-surgery.

Implications:

  • This injury shares pathogenetic and treatment similarities with tibial tuberosity avulsion fractures.
  • The findings suggest a new subtype of extensor mechanism avulsion injuries in pediatric athletes.
  • Further research into this specific injury pattern is warranted to refine understanding and management strategies.