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Science International Vol. 1 (5), 2013
Case Report
Nondisplaced Transverse Patellar Fracture in a Child: A Case Report
Ismail Agir , Mahmut Nedim Aytekin and Mehmet Karabiber
 
Abstract: Fractures of the patella are rare in children, as the patella is largely cartilaginous and has great mobility. Our case is a transverse patellar fracture is rarer than other patellar fractures. Diagnosis is the main problem for patellar fracture. Although, diagnosis can be suggested by clinical and radiographic evaluation, this fracture may not be diagnosed, particularly if there is a large hemarthrosis so X-ray studies cannot clearly show the bone fragment distally withdrawn. Besides because of ossification is completed about the age of puberty, child patella is mostly cartilaginous so X-ray may not show fragments. The case was 7 years old boy. Patient fall onto his knees two weeks before to refer us. He said that he had minimal effusion and pain on knee after fall down and he was continuing to walking and other exercises. On physical examination there was minimal effusion and pain on patella. The passive and active range of motion was full but painful. We seen a suspicious fracture line on X-ray. We took MRI and there was a transverse fracture. We limit the range of motion of knee with a immobiliser during two weeks. After a knee trauma in children a X-ray should be taken. In clinical suspicion even so there is no finding on X-ray, we should take advanced investigation like MRI.
 
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