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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Dec 18, 2020; 11(12): 615-626
Published online Dec 18, 2020. doi: 10.5312/wjo.v11.i12.615
Published online Dec 18, 2020. doi: 10.5312/wjo.v11.i12.615
Tibial tuberosity avulsion-fracture associated with complete distal rupture of the patellar tendon: A case report and review of literature
Rodolfo Morales-Avalos, Luis E Martínez-Manautou, Santiago de la Garza-Castro, Alejandra J Pozos-Garza, Víctor M Peña-Martínez, Félix Vílchez-Cavazos, Department of Orthopedic Surgery and Traumatology, University Hospital " Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Monterrey 66434, Nuevo Leon, Mexico
Gregorio A Villarreal-Villareal, Department of Orthopaedics and Traumatology, University Hospital “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey 66460, Nuevo Leon, Mexico
Author contributions: Morales-Avalos R wrote the manuscript, performed the literature search, and integrated the patient’s information; Martínez-Manautou LE wrote the introductory section of the manuscript, integrated the patient’s imaging information, and searched for all cases reported in the literature; de la Garza-Castro S is one of the two knee specialist authors who gave the clinical focus of the case report, wrote part of the manuscript, wrote part of the case report, and integrated the surgical information of the patient; Pozos-Garza AJ wrote part of the manuscript and conducted an exhaustive search of the treatment methods carried out by other authors, and wrote part of the discussion and the comparative table; Villarreal-Villareal GA wrote part of the manuscript with emphasis on the aspects of the pediatric development of patients and from the point of view of pediatric orthopedics; Peña-Martínez VM and Vílchez-Cavazos F wrote part of the manuscript and carried out an exhaustive literature search for the information; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Félix Vílchez-Cavazos, MD, PhD, Professor, Senior Scientist, Surgeon, Department of Orthopedic Surgery and Traumatology, University Hospital " Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Av. Francisco I. Madero, s/n, Col. Mitras Centro, Monterrey 66434, Nuevo Leon, Mexico. rmorales.dr@gmail.com
Received: April 1, 2020
Peer-review started: April 1, 2020
First decision: September 29, 2020
Revised: September 29, 2020
Accepted: October 29, 2020
Article in press: October 29, 2020
Published online: December 18, 2020
Peer-review started: April 1, 2020
First decision: September 29, 2020
Revised: September 29, 2020
Accepted: October 29, 2020
Article in press: October 29, 2020
Published online: December 18, 2020
Core Tip
Core Tip: Simultaneous injury to the anterior tibial tuberosity and the patellar tendon is rare, and the etiology is unclear. To date, no definitive treatment protocols for this pathology have been reported. In this case report, we present a review of the studies published to date. The diagnoses must be based on high clinical suspicion, physical examinations, and imaging methods. Open reduction and internal fixation of the bone fragment are almost always necessary. Patellar tendon repair is performed using sutures, anchors, staples, or screws.