Resumé
Originalsprog | Tysk |
---|---|
Tidsskrift | Aktuelle Traumatologie |
Vol/bind | 30 |
Udgave nummer | 6 |
Sider (fra-til) | 236-240 |
Antal sider | 5 |
ISSN | 0044-6173 |
Status | Udgivet - 29. nov. 2000 |
Fingeraftryk
Emneord
- accident
- adolescent
- arthroscopy
- article
- avulsion fracture
- case report
- child
- disease classification
- fracture dislocation
- human
- infant
- joint effusion
- knee function
- leisure
- male
- open reduction
- osteosynthesis
- patella fracture
- retrospective study
- treatment outcome
Citer dette
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Patellafrakturen im Kindesalter. / Schmal, H.; Seif El Nasr, M.; Schlickewei, W.
I: Aktuelle Traumatologie, Bind 30, Nr. 6, 29.11.2000, s. 236-240.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
TY - JOUR
T1 - Patellafrakturen im Kindesalter
AU - Schmal, H.
AU - Seif El Nasr, M.
AU - Schlickewei, W.
PY - 2000/11/29
Y1 - 2000/11/29
N2 - With a retrospective study all patella fractures of infants (to 16 years) treated between 1992 and 1996 at the Department of Traumatology of the University of Freiburg were evaluated. Because of the rare occasion of a fracture event in this group caused by flexible anchoring of the patella not surprisingly only 4 cases were noticed. All patients were males and accidents happend during leasure activities. Relevant accompanying injuries were not seen. In 3 of 4 cases an effusion of the knee joint was diagnosed. A virtually not dislocated avulsion of the inferior patella pole was treated without operation, two displaced transverse fractures were internally fixed by tension band wiring and a vertical comminuted non-displaced fracture was treated by a screw osteosynthesis. Two patients additionally underwent a diagnostic arthroscopy used for shaving of cartilage damage in one case. Following a treatment between 7 to 9 weeks full weight bearing and a free knee joint mobility could be achieved. In summary, treatment guidelines are equivalent to those applied to adults. Displaced fractures under special consideration of a disturbed extension function need an ORIF otherwise a conservative treatment is appropriate. "Sleeve-fractures" are only seen in children, consist of a small distal bony fragment and a large part of articular cartilage and should always be taken into account while evaluating operative necessity. Initial radiography may in these cases not reflect the actual extent of injury.
AB - With a retrospective study all patella fractures of infants (to 16 years) treated between 1992 and 1996 at the Department of Traumatology of the University of Freiburg were evaluated. Because of the rare occasion of a fracture event in this group caused by flexible anchoring of the patella not surprisingly only 4 cases were noticed. All patients were males and accidents happend during leasure activities. Relevant accompanying injuries were not seen. In 3 of 4 cases an effusion of the knee joint was diagnosed. A virtually not dislocated avulsion of the inferior patella pole was treated without operation, two displaced transverse fractures were internally fixed by tension band wiring and a vertical comminuted non-displaced fracture was treated by a screw osteosynthesis. Two patients additionally underwent a diagnostic arthroscopy used for shaving of cartilage damage in one case. Following a treatment between 7 to 9 weeks full weight bearing and a free knee joint mobility could be achieved. In summary, treatment guidelines are equivalent to those applied to adults. Displaced fractures under special consideration of a disturbed extension function need an ORIF otherwise a conservative treatment is appropriate. "Sleeve-fractures" are only seen in children, consist of a small distal bony fragment and a large part of articular cartilage and should always be taken into account while evaluating operative necessity. Initial radiography may in these cases not reflect the actual extent of injury.
KW - accident
KW - adolescent
KW - arthroscopy
KW - article
KW - avulsion fracture
KW - case report
KW - child
KW - disease classification
KW - fracture dislocation
KW - human
KW - infant
KW - joint effusion
KW - knee function
KW - leisure
KW - male
KW - open reduction
KW - osteosynthesis
KW - patella fracture
KW - retrospective study
KW - treatment outcome
M3 - Tidsskriftartikel
VL - 30
SP - 236
EP - 240
JO - Aktuelle Traumatologie
JF - Aktuelle Traumatologie
SN - 0044-6173
IS - 6
ER -