儿童罕见的髌骨袖骨折、肌腱撕裂和视网膜破裂的组合：诊断和手术见解
A Rare Combination of Patellar Sleeve Fracture, Tendon Avulsion, and Retinacular Disruption in a Child: Diagnostic and Operative Insights.
摘要(中文译文)
一名13岁男孩因足球运动受伤后出现急性右膝疼痛、明显关节积液及主动伸直功能完全丧失。X线片显示高位髌骨及髌下脂肪垫内密度增高。术中探查发现罕见的“三联损伤”：髌骨下极套状撕脱骨折伴移位、髌腱远端自胫骨止点撕脱，以及内外侧支持带近完全断裂。手术重建采用缝线带联合锚钉固定髌骨套状撕脱，以Krakow缝合法联合螺钉增强行肌腱再插入，并一期修复支持带。经过结构化术后康复方案，患者获得优良的功能结局，关节活动度完全恢复。本病例突出了骨骼未成熟患者中复杂的多层伸膝装置损伤，以及用于解剖恢复的手术方法。
Abstract
A 13-year-old boy presented with acute right knee pain, significant effusion, and a complete loss of active extension following a football injury. Radiographs demonstrated patella alta and increased density within the infrapatellar fat pad. Intraoperative exploration revealed a rare "triple injury" triad: a displaced inferior pole patellar sleeve fracture, a distal patellar tendon avulsion from the tibial insertion, and near-complete medial and lateral retinacular disruption. Surgical reconstruction was performed using suture-tape fixation with anchors for the patellar sleeve, tendon reinsertion utilizing Krakow sutures with screw augmentation, and primary retinacular repair. Following a structured postoperative rehabilitation program, the patient achieved an excellent functional outcome with restored full range of motion. This case highlights a complex multilevel extensor mechanism disruption in a skeletally immature patient and the surgical approach used for anatomical restoration.
如何引用
AMA
Ali Tariq, Muhammad Mubeen Bashir, Mahrukh Azhar, Eswara Murthy, William Gaine. A Rare Combination of Patellar Sleeve Fracture, Tendon Avulsion, and Retinacular Disruption in a Child: Diagnostic and Operative Insights.. Cureus. 2026; doi:10.7759/cureus.108404.
APA
Ali Tariq, Muhammad Mubeen Bashir, Mahrukh Azhar, Eswara Murthy, William Gaine (2026). A Rare Combination of Patellar Sleeve Fracture, Tendon Avulsion, and Retinacular Disruption in a Child: Diagnostic and Operative Insights.. Cureus. https://doi.org/10.7759/cureus.108404
GB/T 7714
Ali Tariq, Muhammad Mubeen Bashir, Mahrukh Azhar, Eswara Murthy, William Gaine. A Rare Combination of Patellar Sleeve Fracture, Tendon Avulsion, and Retinacular Disruption in a Child: Diagnostic and Operative Insights.[J]. Cureus, 2026 doi:10.7759/cureus.108404.
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