Skip Navigation Links.
Collapse <span class="m110 colortj mt20 fontw700">Volume 12 (2024)</span>Volume 12 (2024)
Collapse <span class="m110 colortj mt20 fontw700">Volume 11 (2023)</span>Volume 11 (2023)
Collapse <span class="m110 colortj mt20 fontw700">Volume 10 (2022)</span>Volume 10 (2022)
Collapse <span class="m110 colortj mt20 fontw700">Volume 9 (2021)</span>Volume 9 (2021)
Collapse <span class="m110 colortj mt20 fontw700">Volume 8 (2020)</span>Volume 8 (2020)
Collapse <span class="m110 colortj mt20 fontw700">Volume 7 (2019)</span>Volume 7 (2019)
Collapse <span class="m110 colortj mt20 fontw700">Volume 6 (2018)</span>Volume 6 (2018)
Collapse <span class="m110 colortj mt20 fontw700">Volume 5 (2017)</span>Volume 5 (2017)
Collapse <span class="m110 colortj mt20 fontw700">Volume 4 (2016)</span>Volume 4 (2016)
Collapse <span class="m110 colortj mt20 fontw700">Volume 3 (2015)</span>Volume 3 (2015)
Collapse <span class="m110 colortj mt20 fontw700">Volume 2 (2014)</span>Volume 2 (2014)
Collapse <span class="m110 colortj mt20 fontw700">Volume 1 (2013)</span>Volume 1 (2013)
American Journal of Medical Case Reports. 2016, 4(6), 186-189
DOI: 10.12691/AJMCR-4-6-1
Case Report

Isolated Bilateral Traumatic Patellar Fracture: A Case Report

Ali Akbar Esmailiejah1, , Ali Keipourfard1 and Yasamin Hashemi2

1Bone Joint and Related Tissue Research Center, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2Iran University of Medical Sciences, Tehran, Iran

Pub. Date: June 02, 2016

Cite this paper

Ali Akbar Esmailiejah, Ali Keipourfard and Yasamin Hashemi. Isolated Bilateral Traumatic Patellar Fracture: A Case Report. American Journal of Medical Case Reports. 2016; 4(6):186-189. doi: 10.12691/AJMCR-4-6-1

Abstract

Background: Patellar fracture accounts for approximately 1% of all skeletal fractures. Bilateral fracture of the patella is even rarer, comprising less than 3% of all patellar injuries. Case Description: A 28 year old man presented with bilateral patellar fracture after car accident and direct dashboard injury while driving, with superficial abrasion on both fracture sites. Mentioned fracture had transverse fracture pattern which was fixed with two Kirschner wire following tension band principle. Our patient was able to squat, sit in crossed leg position and perform his household activities by the end of 2nd month. He regained his full strength and ability to perform normal daily activities by the end of 6th months, without any post-operative complaints. Discussion: A case of bilateral patellar fracture as a consequence of dashboard injury is presented and pathomechanical and operative management and follow up of such injuries is discussed.

Keywords

bilateral, Patellar fracture, transverse fracture, Kirschner wire, post-operative complications

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Scolaro, J., Bernstein, J., Ahn, J., “In Brief: Patellar Fractures,” Clin Orthop Relat Res, 469(4). 1213-1215. 2011.
 
[2]  Atesok, K., Doral, MN., Lowe, J., Finsterbush, A., “Symptomatic bipartite patella: treatment alternatives,” J Am Acad Orthop Surg, 16. 455-461. 2008.
 
[3]  Anand, S., Hahnel, J.C., Giannoudis, P.V., “Open patellar fractures: high energy injuries with a poor outcome?,” Injury, 39(4). 480-484. 2008.
 
[4]  Bumbaširević, M., Lešić, A., “Acute injuries of the extensor mechanism of the knee,” Current Orthopaedics, 19. 49-58. 2005.
 
[5]  Bali, K., Krishnan, V., Sen, R., “Bilateral pertrochanteric fractures with bilateral patellar fractures with missed medial process fracture of talus in a young adult: a case report and review of literature,” Musculoskelet Surg, 95(3). 259-63. 2011.
 
[6]  Carneiro, M., Nery, C.A., Mestriner, L.A., “Bilateral stress fracture of the patellae: a case report,” Knee, 13(2). 164-6. 2006.
 
[7]  Murphy, J.J., “Bilateral fracture of patella,” Br Med J, 1(4301). 725. 1943.
 
[8]  Vinay, G., Zile, K., Rakesh, G., Gaurav, S., “Bilateral traumatic patellar fracture: a case report and review of literature,” Chinese Journal of Traumatology, 15(3). 188-191. 2012.
 
[9]  Gardner, M.J., Griffith, M.H., Lawrence, B.D., Lorich, D.G., “Complete exposure of the articular surface for fixation of patellar fractures,” J Orthop Trauma, 19(2). 118-123. 2005.
 
[10]  Carpenter, J.E., Kasman, R., Matthews, L.S., “Fractures of the patella,” Instr Course Lect, 43. 97-108. 1994.
 
[11]  Atesok, K., Doral, M.N., Lowe, J., Finsterbush, A., “Symptomatic bipartite patella: treatment alternatives,” J Am Acad Orthop Surg, 16. 455-461. 2008.
 
[12]  Kellersman, R., Blattert, T.R., Weckbach, A., “Bilateral patellar tendon rupture without predisposing systemic disease or steroid use: a case report and review of the literature,” Arch Orthop Trauma Surg, 125. 127-33. 2005.
 
[13]  Vinay, G., Zile, K., Rakesh, G., Gaurav, S., “Bilateral traumatic patellar fracture: a case report and review of literature,” Chin J Traumatol, 15(3). 188-91. 2012.
 
[14]  Gao, G.X., Mahadev, A., Lee, E.H., “Sleeve fracture of the patella in children,” J Orthop Surg (Hong Kong), 16(1). 43-6. 2008.
 
[15]  Shivji, F.S., Ramoutar, D.N., Hu, J.B., “An Isolated Articular Surface Fracture of the Distal Patella: An Unusual and Previously Unreported Paediatric Injury,” Case Rep Orthop, 2013. 605852. 2013.
 
[16]  Berkes, M.B., Little, M.T., Pardee, N.C., Lazaro, L.E., Helfet, D.L., Lorich, D.G., “Defining the lateral and accessory views of the patella: an anatomic and radiographic study with implications for fracture treatment,” J Orthop Trauma, 27(12). 663-71. 2013.
 
[17]  Lazaro, L.E., Wellman, D.S., Pardee, N.C., Gardner, M.J., Toro, J.B., Macintyre, N.R., “Effect of computerized tomography on classification and treatment plan for patellar fractures,” J Orthop Trauma, 27 (6). 336-44. 2013.
 
[18]  Lazaro, L.E., Wellman, D.S., Sauro, G., Pardee, N.C., Berkes, M.B., Little, M.T., Nguyen, J.T., Helfet, D.L., Lorich, D.G., “Outcomes after operative fixation of complete articular patellar fractures: assessment of functional impairment,” J Bone Joint Surg Am, 95(14). e96 1-e96 8. 2013.
 
[19]  LeBrun, C.T., Langford, J.R., Sagi, H.C., “Functional outcomes after operatively treated patella fractures.” J Orthop Trauma, 26(7). 422-426. 2012.
 
[20]  Berg, E.E., “Open reduction internal fixation of displaced transverse patella fractures with figure-eight wiring through parallel cannulated compression screws,” J Orthop Trauma, 11(8). 573-6. 1997.
 
[21]  Böstman, O., Kiviluoto, O., Nirhamo, J., “Comminuted displaced fractures of the patella,” Injury, 13. 196-202. 1981.
 
[22]  Braun, W., Wiedemann, M., Rüter, A., Kundel, K., Kolbinger, S., “Indications and results of nonoperative treatment of patellar fractures,” Clin Orthop Relat Res, 289. 197-20, 1993.
 
[23]  Parikh, S.N., Nathan, S.T., Wall, E.J., Eismann, E.A., “Complications of medial patellofemoral ligament reconstruction in young patients,” Am J Sports Med, 41(5). 1030-1038. 2013.
 
[24]  Hoshino, C.M., Tran, W., Tiberi, J.V., Black, M.H., Li, B.H., Gold, S.M., Navarro, R.A., “Complications following tension-band fixation of patellar fractures with cannulated screws compared with Kirschner wires,” J Bone Joint Surg Am, 95(7). 653-659. 2013.