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Patellar ligament rupture in an adolescent
Rodrigo Sattamini Pires e Albuquerque1, Gabriel Costa Serrão de Araújo1, Pedro José Labronici1
1Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.
BMJ Case Reports
|March 7, 2015
Summary
Patellar tendon rupture is rare in adolescents but can occur from falls. This case highlights surgical repair using transosseous suturing and semitendinosus tendon reinforcement for this uncommon knee extensor mechanism injury.
Area of Science:
- Orthopaedic Surgery
- Pediatric Orthopaedics
- Sports Medicine
Background:
- Patellar tendon rupture is a known injury in adults.
- In skeletally immature patients, knee injuries typically involve sleeve fractures or tibial tuberosity avulsions.
- Patellar tendon rupture is exceptionally rare in the adolescent population.
Observation:
- A case of a healthy adolescent experiencing a traumatic patellar tendon rupture after a jump-related fall is presented.
- No predisposing medical conditions or risk factors were identified in the patient.
- The injury affected the extensor mechanism of the knee.
Findings:
- The adolescent patient underwent surgical repair for the patellar tendon rupture.
- The surgical technique involved transosseous suturing for primary repair.
- Reinforcement was achieved using the semitendinosus tendon graft.
Implications:
- This case contributes to the limited literature on adolescent patellar tendon ruptures.
- It underscores the importance of considering rare injuries in adolescent athletes.
- The presented surgical approach offers a viable treatment option for this rare injury.
