Distal patellar tendon avulsion in association with high-energy knee trauma: A case series and review of the literature
The Knee, ISSN: 0968-0160, Vol: 24, Issue: 2, Page: 468-476
2017
- 14Citations
- 56Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations14
- Citation Indexes14
- 14
- CrossRef9
- Captures56
- Readers56
- 56
Case Description
Patellar tendon rupture is rare in the general population. Typically, failure occurs proximally or at the mid-substance. Distal avulsion from the tibial tubercle in adults is rare and not well described in the orthopedic literature. We present the largest series of patients with distal patellar tendon injury with associated multi-ligamentous disruption of the knee. A series of six patients with distal patellar tendon avulsion were identified at a single institution. The cases were reviewed and are presented. Each case of distal patellar tendon rupture was associated with high-energy trauma to the knee. There was multi-ligamentous disruption in all cases, associated tibial plateau fracture in one case, and a compartment syndrome diagnosed in another. We propose that distal patellar tendon avulsion is a distinct pathology of the extensor mechanism in healthy adults. When present, it should prompt clinicians to assess patients for occult knee dislocation, monitor their neurovascular status, and obtain an MRI to evaluate for associated multi-ligamentous injury. We propose a modification to the Schenk classification to include extensor mechanism injury to help guide steps of operative intervention.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0968016016301880; http://dx.doi.org/10.1016/j.knee.2016.10.020; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85007413434&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/27916579; https://linkinghub.elsevier.com/retrieve/pii/S0968016016301880
Elsevier BV
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