The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
A Case of Simultaneous Sleeve Fractures of Bilateral Patellas in a Child
Kouji FUJIISigenobu MORI
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1995 Volume 7 Issue 2 Pages 271-273

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Abstract
Sleeve fracture of the patella is uncommon type of fracture in children.
We report a case of simultaneous sleeve fractures of bilateral patellas.
The case was a 12-year-old boy. He experienced sudden, severe pain in his knees when he was going to jump on his both legs. Physical examination revealed swollen bilateral knees.
Tenderness was located over the inferior pole of his patellas.
A lateral radiograph showed patella alta and an avulsion fracture at lower pole of the patella.
At surgery, an unique procedure in suturing the displaced cartilages with 3-0 DEXON was performed for adequate reduction. The fracture was fixed with tension band wiring. Three months after surgery, he resumed full range of motion without pain.
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