Patellafrakturen im Kindesalter

H. Schmal, M. Seif El Nasr, W. Schlickewei

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

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.
OriginalsprogTysk
TidsskriftAktuelle Traumatologie
Vol/bind30
Udgave nummer6
Sider (fra-til)236-240
Antal sider5
ISSN0044-6173
StatusUdgivet - 29. nov. 2000

Fingeraftryk

Patella
Knee Joint
Wounds and Injuries
Weight-Bearing
Radiography
Accidents
Retrospective Studies
Guidelines

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

Schmal, H., Seif El Nasr, M., & Schlickewei, W. (2000). Patellafrakturen im Kindesalter. Aktuelle Traumatologie, 30(6), 236-240.
Schmal, H. ; Seif El Nasr, M. ; Schlickewei, W. / Patellafrakturen im Kindesalter. I: Aktuelle Traumatologie. 2000 ; Bind 30, Nr. 6. s. 236-240.
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Schmal, H, Seif El Nasr, M & Schlickewei, W 2000, 'Patellafrakturen im Kindesalter', Aktuelle Traumatologie, bind 30, nr. 6, s. 236-240.

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 tidsskriftTidsskriftartikelForskningpeer 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.

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KW - infant

KW - joint effusion

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Schmal H, Seif El Nasr M, Schlickewei W. Patellafrakturen im Kindesalter. Aktuelle Traumatologie. 2000 nov 29;30(6):236-240.