Delaminated Patellar Tendon Rupture in a Pediatric Patient: A Case Report

Frederick Mun; Rachel A. Thomas; Raymond Y. Kim; Joseph L. Petfield

doi:10.2106/JBJS.CC.23.00335

Delaminated Patellar Tendon Rupture in a Pediatric Patient: A Case Report

Frederick Mun, Rachel A. Thomas, Raymond Y. Kim, Joseph L. Petfield

Research output: Contribution to journal › Article › peer-review

Abstract

Case:We present a 12-year-old boy with partial delamination of the patellar tendon in the coronal plane and bipolar avulsion fracture of the tibial tubercle and patella after a planting injury while skateboarding. Pediatric patellar tendon rupture with associated bipolar avulsion fractures is rare. Furthermore, to the best of our knowledge, a delamination injury pattern of the patellar tendon has not been described.Conclusion:This type of extensor mechanism injury has not been reported in the literature. Repair with Krackow sutures and suture-bone tunnel technique, with consideration of the proximal tibial physis, is a safe and effective way to fix this unique pathology.

Original language	English (US)
Article number	e23.00335
Journal	JBJS case connector
Volume	13
Issue number	4
DOIs	https://doi.org/10.2106/JBJS.CC.23.00335
State	Published - Oct 19 2023

All Science Journal Classification (ASJC) codes

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.23.00335

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title = "Delaminated Patellar Tendon Rupture in a Pediatric Patient: A Case Report",

abstract = "Case:We present a 12-year-old boy with partial delamination of the patellar tendon in the coronal plane and bipolar avulsion fracture of the tibial tubercle and patella after a planting injury while skateboarding. Pediatric patellar tendon rupture with associated bipolar avulsion fractures is rare. Furthermore, to the best of our knowledge, a delamination injury pattern of the patellar tendon has not been described.Conclusion:This type of extensor mechanism injury has not been reported in the literature. Repair with Krackow sutures and suture-bone tunnel technique, with consideration of the proximal tibial physis, is a safe and effective way to fix this unique pathology.",

author = "Frederick Mun and Thomas, {Rachel A.} and Kim, {Raymond Y.} and Petfield, {Joseph L.}",

note = "Publisher Copyright: {\textcopyright} 2023 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED.",

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doi = "10.2106/JBJS.CC.23.00335",

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T1 - Delaminated Patellar Tendon Rupture in a Pediatric Patient

T2 - A Case Report

AU - Mun, Frederick

AU - Thomas, Rachel A.

AU - Kim, Raymond Y.

AU - Petfield, Joseph L.

PY - 2023/10/19

Y1 - 2023/10/19

N2 - Case:We present a 12-year-old boy with partial delamination of the patellar tendon in the coronal plane and bipolar avulsion fracture of the tibial tubercle and patella after a planting injury while skateboarding. Pediatric patellar tendon rupture with associated bipolar avulsion fractures is rare. Furthermore, to the best of our knowledge, a delamination injury pattern of the patellar tendon has not been described.Conclusion:This type of extensor mechanism injury has not been reported in the literature. Repair with Krackow sutures and suture-bone tunnel technique, with consideration of the proximal tibial physis, is a safe and effective way to fix this unique pathology.

AB - Case:We present a 12-year-old boy with partial delamination of the patellar tendon in the coronal plane and bipolar avulsion fracture of the tibial tubercle and patella after a planting injury while skateboarding. Pediatric patellar tendon rupture with associated bipolar avulsion fractures is rare. Furthermore, to the best of our knowledge, a delamination injury pattern of the patellar tendon has not been described.Conclusion:This type of extensor mechanism injury has not been reported in the literature. Repair with Krackow sutures and suture-bone tunnel technique, with consideration of the proximal tibial physis, is a safe and effective way to fix this unique pathology.

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Delaminated Patellar Tendon Rupture in a Pediatric Patient: A Case Report

Abstract

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