Fractures of the patella in children and adolescents

Hagen Schmal, Peter C Strohm, Philipp Niemeyer, Kilian Reising, Kerstin Kuminack, Norbert P Sudkamp

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Fractures of the patella in children and adolescents are rare injuries with particular characteristics. The aim of this study was an analysis of epidemiology, treatment strategy and outcome of this injury. Between 1992 and 2006 all fractures of the patella in patients with an age 5 16 years were included in a case control study. Besides outcome analysis using the modified HSS knee score, radiological follow-up was evaluated. During that time period, 23 children (6 girls, 17 boys) with patella fractures were seen in our institution; the incidence of patellar fractures was 0.44%. The average age was 12.4 years. The fractures mainly occurred during sports and leisure activities, followed by traffic accidents. Specific to children are avulsions of the lower or upper pole of the patella. Eleven children were non-operatively treated. Surgical techniques used were screw osteosynthesis, tension band wiring, transosseous suture, and refixation with biodegradable pins. In 7 cases an arthroscopy was performed in order to evaluate intraarticular lesions. Twenty-one children were recruited for a follow-up examination after an average of 40 months. A very good result was achieved in 16 cases and a good result in 5 cases. The radiological result at short term did not correlate with the clinical outcome. Patella fractures in children are a rare injury with a good shortterm prognosis ; long term outcome may significantly depend on the accompanying cartilage damage. In two cases an Autologous Chondrocyte Implantation was performed two years after the injury.

OriginalsprogEngelsk
TidsskriftActa Orthopaedica Belgica
Vol/bind76
Udgave nummer5
Sider (fra-til)644-50
Antal sider7
ISSN0001-6462
StatusUdgivet - okt. 2010

Fingeraftryk

Patella
Wounds and Injuries
Traffic Accidents
Leisure Activities
Chondrocytes
Case-Control Studies
Knee
Epidemiology
Incidence

Citer dette

Schmal, H., Strohm, P. C., Niemeyer, P., Reising, K., Kuminack, K., & Sudkamp, N. P. (2010). Fractures of the patella in children and adolescents. Acta Orthopaedica Belgica, 76(5), 644-50.
Schmal, Hagen ; Strohm, Peter C ; Niemeyer, Philipp ; Reising, Kilian ; Kuminack, Kerstin ; Sudkamp, Norbert P. / Fractures of the patella in children and adolescents. I: Acta Orthopaedica Belgica. 2010 ; Bind 76, Nr. 5. s. 644-50.
@article{2932ec07878d4f99b1991eb7163151ed,
title = "Fractures of the patella in children and adolescents",
abstract = "Fractures of the patella in children and adolescents are rare injuries with particular characteristics. The aim of this study was an analysis of epidemiology, treatment strategy and outcome of this injury. Between 1992 and 2006 all fractures of the patella in patients with an age 5 16 years were included in a case control study. Besides outcome analysis using the modified HSS knee score, radiological follow-up was evaluated. During that time period, 23 children (6 girls, 17 boys) with patella fractures were seen in our institution; the incidence of patellar fractures was 0.44{\%}. The average age was 12.4 years. The fractures mainly occurred during sports and leisure activities, followed by traffic accidents. Specific to children are avulsions of the lower or upper pole of the patella. Eleven children were non-operatively treated. Surgical techniques used were screw osteosynthesis, tension band wiring, transosseous suture, and refixation with biodegradable pins. In 7 cases an arthroscopy was performed in order to evaluate intraarticular lesions. Twenty-one children were recruited for a follow-up examination after an average of 40 months. A very good result was achieved in 16 cases and a good result in 5 cases. The radiological result at short term did not correlate with the clinical outcome. Patella fractures in children are a rare injury with a good shortterm prognosis ; long term outcome may significantly depend on the accompanying cartilage damage. In two cases an Autologous Chondrocyte Implantation was performed two years after the injury.",
keywords = "Adolescent, Child, Female, Fractures, Bone, Humans, Male, Patella, Journal Article",
author = "Hagen Schmal and Strohm, {Peter C} and Philipp Niemeyer and Kilian Reising and Kerstin Kuminack and Sudkamp, {Norbert P}",
year = "2010",
month = "10",
language = "English",
volume = "76",
pages = "644--50",
journal = "Acta Orthopaedica Belgica",
issn = "0001-6462",
publisher = "ARSMB-KVBMG",
number = "5",

}

Schmal, H, Strohm, PC, Niemeyer, P, Reising, K, Kuminack, K & Sudkamp, NP 2010, 'Fractures of the patella in children and adolescents', Acta Orthopaedica Belgica, bind 76, nr. 5, s. 644-50.

Fractures of the patella in children and adolescents. / Schmal, Hagen; Strohm, Peter C; Niemeyer, Philipp; Reising, Kilian; Kuminack, Kerstin; Sudkamp, Norbert P.

I: Acta Orthopaedica Belgica, Bind 76, Nr. 5, 10.2010, s. 644-50.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Fractures of the patella in children and adolescents

AU - Schmal, Hagen

AU - Strohm, Peter C

AU - Niemeyer, Philipp

AU - Reising, Kilian

AU - Kuminack, Kerstin

AU - Sudkamp, Norbert P

PY - 2010/10

Y1 - 2010/10

N2 - Fractures of the patella in children and adolescents are rare injuries with particular characteristics. The aim of this study was an analysis of epidemiology, treatment strategy and outcome of this injury. Between 1992 and 2006 all fractures of the patella in patients with an age 5 16 years were included in a case control study. Besides outcome analysis using the modified HSS knee score, radiological follow-up was evaluated. During that time period, 23 children (6 girls, 17 boys) with patella fractures were seen in our institution; the incidence of patellar fractures was 0.44%. The average age was 12.4 years. The fractures mainly occurred during sports and leisure activities, followed by traffic accidents. Specific to children are avulsions of the lower or upper pole of the patella. Eleven children were non-operatively treated. Surgical techniques used were screw osteosynthesis, tension band wiring, transosseous suture, and refixation with biodegradable pins. In 7 cases an arthroscopy was performed in order to evaluate intraarticular lesions. Twenty-one children were recruited for a follow-up examination after an average of 40 months. A very good result was achieved in 16 cases and a good result in 5 cases. The radiological result at short term did not correlate with the clinical outcome. Patella fractures in children are a rare injury with a good shortterm prognosis ; long term outcome may significantly depend on the accompanying cartilage damage. In two cases an Autologous Chondrocyte Implantation was performed two years after the injury.

AB - Fractures of the patella in children and adolescents are rare injuries with particular characteristics. The aim of this study was an analysis of epidemiology, treatment strategy and outcome of this injury. Between 1992 and 2006 all fractures of the patella in patients with an age 5 16 years were included in a case control study. Besides outcome analysis using the modified HSS knee score, radiological follow-up was evaluated. During that time period, 23 children (6 girls, 17 boys) with patella fractures were seen in our institution; the incidence of patellar fractures was 0.44%. The average age was 12.4 years. The fractures mainly occurred during sports and leisure activities, followed by traffic accidents. Specific to children are avulsions of the lower or upper pole of the patella. Eleven children were non-operatively treated. Surgical techniques used were screw osteosynthesis, tension band wiring, transosseous suture, and refixation with biodegradable pins. In 7 cases an arthroscopy was performed in order to evaluate intraarticular lesions. Twenty-one children were recruited for a follow-up examination after an average of 40 months. A very good result was achieved in 16 cases and a good result in 5 cases. The radiological result at short term did not correlate with the clinical outcome. Patella fractures in children are a rare injury with a good shortterm prognosis ; long term outcome may significantly depend on the accompanying cartilage damage. In two cases an Autologous Chondrocyte Implantation was performed two years after the injury.

KW - Adolescent

KW - Child

KW - Female

KW - Fractures, Bone

KW - Humans

KW - Male

KW - Patella

KW - Journal Article

M3 - Journal article

C2 - 21138220

VL - 76

SP - 644

EP - 650

JO - Acta Orthopaedica Belgica

JF - Acta Orthopaedica Belgica

SN - 0001-6462

IS - 5

ER -

Schmal H, Strohm PC, Niemeyer P, Reising K, Kuminack K, Sudkamp NP. Fractures of the patella in children and adolescents. Acta Orthopaedica Belgica. 2010 okt;76(5):644-50.