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Case Report
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| Bipartite patella separation with quadriceps tendon avulsion: A rare surgical case | ||||||
| Hasan Raza Mohammad1, S Bitar2, I Mc Laughlin-Symon3, A Henry4, G Batra5 | ||||||
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1MRes Medical Student, Orthopedics Department, Salford Royal Foundation Trust.
2MD, MRCSEd Senior Fellow in Trauma and Orthopedics, Orthopedics Department, Salford Royal Foundation Trust. 3MRCSEd Fellow in Trauma and Orthopedics, Orthopedic department, Salford Royal Foundation Trust. 4FRCS(Orth), FRCS(Glas), M.Ch.Orth Consultant Orthopedic Surgeon, Trauma Unit, Salford Royal Foundation Trust. 5FRCS (Tr and Orth) Consultant Trauma and Orthopedic Surgeon, Orthopedics Department, Salford Royal Foundation Trust. | ||||||
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| How to cite this article |
| Mohammad HR, Bitar S, Laughlin-Symon IM, Henry A, Batra G. Bipartite patella separation with quadriceps tendon avulsion: A rare surgical case. International Journal of Case Reports and Images 2014;5(2):155–159. |
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Abstract
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Introduction:
The occurrence of bipartite patellar disruption simultaneously with quadriceps tendon avulsion is an extremely rare injury. A literature review found three documented cases in which only two repaired both the patella and tendon. We present a case report outlining this unusual injury and propose a method of surgical treatment.
Case Report: A 45-year-old male presented following a fall directly onto his knee, with no significant medical history or previous injury. He was diagnosed with both separation of a type III bipartite patella and a clinical suspicion of a quadriceps tendon rupture. Intra-operatively, we found a complete tear of the quadriceps tendon at its insertion to the patella with disruption of the synchondrosis and significant separation of the bipartite patella. The displaced fragment was reduced and held using two cannulated screws, the quadriceps tendon was reattached to the superior pole of the patella using two anchor sutures and the retinaculum repaired. Conclusion: We could find no documented cases of using both cannulated screws and anchor sutures as a fixation method for this injury. We recommend this technique as we found that it gave a stronger fixation and was associated with a good functional outcome for our patient. | |
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Keywords:
Bipartite patella, Quadriceps avulsion, Surgical repair.
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Author Contributions
Hasan Raza Mohammad – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Writing the article and revising the content, Final approval of the version to be published S Bitar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Patient assessment and follow up, Revising the content of the article and proofreading, Final approval of the version to be published I Symon – Substantial contributions to conception and design, Revising article for intellectual content and proofreading, Final approval of the version to be published A Henry – Substantial contributions to conception and design, Helped to obtain images, Revising the content of the article, Final approval of the version to be published. G Batra – Substantial contributions to conception and design, Operating surgeon, Revising the content of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Hasan Raza Mohammad et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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