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Management of Superior Pole Patellar Osteochondrosis: A Case Report
Daniel R Massillon1, Eric W Edmonds2
1University of California, San Diego School of Medicine, San Diego, California.
Case:
An 11-year-old girl presented with left knee pain after a fall. Imaging revealed bilateral superior osteochondrosis of the patella with a superimposed fracture of the superior third portion of the left patella. The patient underwent open reduction and internal fixation of the fracture. At the 1-year follow-up, imaging showed healing of the left patella fracture and near resolution of the osteochondrosis. There was minimal ossification and continued pain symptoms in the right knee during physical activity.
Conclusion:
This case highlights the presentation and subsequent management of a rare pediatric superior osteochondrosis of the patella, not previously accounted for in classification schemes.
