关键词: Anchors patellar tendon spontaneous rupture

来  源:   DOI:10.13107/jocr.2024.v14.i05.4460   PDF(Pubmed)

Abstract:
UNASSIGNED: The extensor mechanism and patellar tendon (PT) are considered essential components. Adult PT avulsion from the tibial tubercle is uncommon, with little information in the literature. Technical challenges arise during injury management. Knotless anchors have several applications in treating tendon injuries, such as the rotator cuff, distal biceps, and quadriceps tendons but were not used to repair distal PT avulsions.
UNASSIGNED: A 50-year-old male patient, an active adult, presented to emergency department with significant right knee pain, giving away and limitation of range of motion (ROM) that had started after he sustained direct trauma with a ground-level fall on his knee that morning.
UNASSIGNED: In this paper, we report a case and describe a technique to manage a rare presentation of pure distal PT rupture without an avulsion fracture using knotless anchors with FiberTape®, which showed excellent results. To the best of our knowledge, this technique has never been used before in such injury and anatomical location. At 2 years of follow-up, the patient is free of complaints with almost full ROM at the knee and back to his standard daily life activity.
摘要:
伸肌机制和髌腱(PT)被认为是必不可少的组成部分。成人胫骨结节PT撕脱并不常见,文献中的信息很少。在损伤管理期间出现技术挑战。无结锚在治疗肌腱损伤方面有多种应用,比如肩袖,肱二头肌远端,和股四头肌肌腱,但未用于修复远端PT撕脱。
一名50岁的男性患者,一个活跃的成年人,出现严重的右膝疼痛,放弃和限制运动范围(ROM),这是在他遭受直接创伤并于当天早晨在膝盖上摔倒后开始的。
在本文中,我们报告了一个病例,并描述了一种使用FiberTape®无结锚解决罕见的无撕脱性骨折的纯远端PT破裂的技术。显示出优异的结果。据我们所知,这种技术以前从未在这种损伤和解剖位置使用过。在2年的随访中,患者没有抱怨,膝盖和背部几乎充满ROM,回到他的标准日常生活活动。
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