Tibial tuberosity avulsion-fracture associated with complete distal rupture of the patellar tendon:A case report and review of literature

作     者：Rodolfo Morales-Avalos Luis E Martinez-Manautou Santiago de la Garza-Castro Alejandra J Pozos-Garza Gregorio A Villarreal-Villareal Victor M Pena-Martinez Felix Vilchez-Cavazos 

作者机构：Department of Orthopedic Surgery and TraumatologyUniversity Hospital"Dr.JoseEleuterio Gonzalez"Universidad Autonoma de Nuevo LeonMonterrey 66434Nuevo LeonMexico Department of Orthopaedics and TraumatologyUniversity Hospital“Dr.JoseEleuterio Gonzalez”Universidad Autónoma de Nuevo LeonMonterrey 66460Nuevo LeonMexico 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2020年第11卷第12期

页      面：615-626页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Avulsion Case report Patellar tendon Rupture Simultaneous Tibial tuberosity 

摘      要：BACKGROUND Few cases of avulsion fractures of the tibial tuberosity with simultaneous rupture of the patellar tendon have been reported in the ***,its mechanism and incidence have not been determined *** type of fracture is considered a serious injury that requires prompt diagnosis and early surgical *** is no therapeutic algorithm or standard method of treatment due to the infrequency of the *** this case report,we conducted an exhaustive review and synthesis of the existing literature including all previously reported *** SUMMARY We present a 16-year-old male soccer player with a case of a tibial tuberosity fracture with distal avulsion of the patellar tendon 5 d prior to surgical *** patient presented with a loss of the extensor mechanism of the knee,edema,the inability to walk,and pain.X-rays showed a high patella and a 180-degree avulsion of the tibial *** diagnosis was confirmed by magnetic resonance imaging and computed *** patient underwent open reduction and internal fixation of the fracture with a cannulated screw and washer as well as patellar tendon repair with two metallic *** rehabilitation protocol consisted of initial immobilization in extension followed by passive mobility and muscle strengthening *** patient demonstrated excellent postoperative outcomes and returned to regular activity without *** This case presentation and literature review comprise the most relevant clinical,radiographic,and treatment details described in the international literature to date,providing the reader with an overview of this rare condition.