A Rare Combination of Avulsion Fractures Around the Knee –A Case Report
Published: September 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6522
Deepak Sampath, Hanumantha Reddy, Chirag Thonse, Jayanth Kumar Bangalore Chikkanna
1. Consultant, Department of Orthopaedic, St Martha’s Hospital, No. 5, Nrupathunga Road, Bangalore, Karnataka, India.
2. Resident, Department of Orthopaedic, St Martha’s Hospital, No. 5, Nrupathunga Road, Bangalore, Karnataka, India.
3. Consultant, Department of Orthopaedic, St Martha’s Hospital, No. 5, Nrupathunga Road, Bangalore, Karnataka, India.
4. Senior Consultant and Unit Chief, Department of Orthopaedic, St Martha’s Hospital, No. 5, Nrupathunga Road, Bangalore, Karnataka, India.
Correspondence Address :
Dr. Deepak Sampath,
No 139, 2B Cross, Ombr Layout,Banaswadi, Bangalore-560043, Karnataka, India.
E-mail : drdeepuortho@gmail.com
Abstract
Patella fractures, tibial spine avulsion and Segond fractures are mainly due to trauma to the knee which may be direct or indirect injuries. While each entity is well documented when occurring in isolation, but bilateral inferior pole patella fracture, tibial spine avulsion in the right knee and bilateral segond fracture in a same patient is a rare occurrence. We report a case of 24-year-old male with such an injury. The diagnosis was confirmed by X-ray, CT scan and MRI imaging of right knee. Then the patient was treated with arthroscopic anterior cruciate ligament (ACL) avulsion fixation with pull through technique and suture disc; bilateral inferior pole patella was treated conservatively with knee brace, segond fracture was treated conservatively similarly. To the best of our knowledge, this is the rare case in the medical literature with all these injuries occurring simultaneously.
Keywords
Bilateral patella fracture, Segond fracture, Tibial spine avulsion