title: [An avulsion (sleeve) fracture of the proximal patella pole in a child. Diagnosis, treatment and results in a patient after a fall onto the knee].
abstract: We report a case of an avulsion fracture (sleeve fracture) of the proximal pole of the patella in an 8 year old boy who fell onto his left knee. After the fracture was diagnosed, the patient under went surgery on the day of the accident. The articular cartilage and the upper fragment were reconstituted and fixed with transosseous sutures. A cast immobilisation in extension was used for 6 weeks and the patient regained full active mobility of the left knee joint after cast removal. A radiograph showed that the fracture had completely united. Diagnosis, pathomechanism and treatment strategies are discussed with reference to this rare case, and the literature is reviewed.
authors.affiliation: Klinik für Unfall- Wiederherstellungs- und Handchirurgie, Ev. Bethesda-Krankenhaus, Essen, Germany. hepekai@t-online.de
authors.forename: P
authors.initials: P
authors.lastname: Kaivers
authors.forename: T
authors.initials: T
authors.lastname: Busch
authors.forename: A
authors.initials: A
authors.lastname: Lies
mesh_terms: D000058:Accidental Falls; D002358:Cartilage, Articular / Q000293:injuries / Q000601:surgery; D002370:Casts, Surgical; D002648:Child; D005500:Follow-Up Studies; D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery; D050724:Fractures, Cartilage; D006801:Humans; D007719:Knee Joint / Q000502:physiology; D008297:Male; D010329:Patella / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D016059:Range of Motion, Articular; D013536:Suture Techniques; D013997:Time Factors; D014463:Ultrasonography
vernacular_title: Die Ausrissfraktur ("sleeve fracture") des oberen Patellapols beim Kind. Diagnostik, Behandlungsstrategie und Ergebnis bei einem Patienten nach einem Sturz auf das Kniegelenk.