Neglected Pediatric Osteochondral Fracture Dislocation of the Patella

Pediatric osteochondral fracture dislocation of the patella is sometimes difficult to diagnose on the basis of physical examination or plain film radiography. Magnetic resonance imaging plays an important role in its early diagnosis, and early treatment can prevent damage to the articular cartilage...

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Main Authors: Ta-Li Hsu, Shang-Ming Lin, Chih-Hung Chang, Tsung-Yu Lan
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/2904782
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author Ta-Li Hsu
Shang-Ming Lin
Chih-Hung Chang
Tsung-Yu Lan
author_facet Ta-Li Hsu
Shang-Ming Lin
Chih-Hung Chang
Tsung-Yu Lan
author_sort Ta-Li Hsu
collection DOAJ
description Pediatric osteochondral fracture dislocation of the patella is sometimes difficult to diagnose on the basis of physical examination or plain film radiography. Magnetic resonance imaging plays an important role in its early diagnosis, and early treatment can prevent damage to the articular cartilage as well as decrease the dislocation rate. Currently, many treatment choices have been reported with good results, but there is no consensus on which treatment option may lead to the best outcome. Herein, we describe the case of a 14-year-old girl with neglected osteochondral fracture dislocation of the patella. The outcome was optimal on the basis of a 2-year postoperative follow-up; thus, we believe that fixation with headless screws is a simple and effective method if the fracture fragment is large enough.
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series Case Reports in Orthopedics
spelling doaj-art-e37e113e07ef481b829283e1e056224c2025-02-03T01:32:45ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/29047822904782Neglected Pediatric Osteochondral Fracture Dislocation of the PatellaTa-Li Hsu0Shang-Ming Lin1Chih-Hung Chang2Tsung-Yu Lan3Department of Orthopedic Surgery, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Materials and Textiles, Oriental Institute of Technology, New Taipei City, TaiwanDepartment of Orthopedic Surgery, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Orthopedic Surgery, Far Eastern Memorial Hospital, New Taipei City, TaiwanPediatric osteochondral fracture dislocation of the patella is sometimes difficult to diagnose on the basis of physical examination or plain film radiography. Magnetic resonance imaging plays an important role in its early diagnosis, and early treatment can prevent damage to the articular cartilage as well as decrease the dislocation rate. Currently, many treatment choices have been reported with good results, but there is no consensus on which treatment option may lead to the best outcome. Herein, we describe the case of a 14-year-old girl with neglected osteochondral fracture dislocation of the patella. The outcome was optimal on the basis of a 2-year postoperative follow-up; thus, we believe that fixation with headless screws is a simple and effective method if the fracture fragment is large enough.http://dx.doi.org/10.1155/2019/2904782
spellingShingle Ta-Li Hsu
Shang-Ming Lin
Chih-Hung Chang
Tsung-Yu Lan
Neglected Pediatric Osteochondral Fracture Dislocation of the Patella
Case Reports in Orthopedics
title Neglected Pediatric Osteochondral Fracture Dislocation of the Patella
title_full Neglected Pediatric Osteochondral Fracture Dislocation of the Patella
title_fullStr Neglected Pediatric Osteochondral Fracture Dislocation of the Patella
title_full_unstemmed Neglected Pediatric Osteochondral Fracture Dislocation of the Patella
title_short Neglected Pediatric Osteochondral Fracture Dislocation of the Patella
title_sort neglected pediatric osteochondral fracture dislocation of the patella
url http://dx.doi.org/10.1155/2019/2904782
work_keys_str_mv AT talihsu neglectedpediatricosteochondralfracturedislocationofthepatella
AT shangminglin neglectedpediatricosteochondralfracturedislocationofthepatella
AT chihhungchang neglectedpediatricosteochondralfracturedislocationofthepatella
AT tsungyulan neglectedpediatricosteochondralfracturedislocationofthepatella