NDLI: Bilateral sleeve fractures of the patella in a 12-year-old boy with hereditary spastic paraparesis and crouch gait.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Malone, Ailish O Brien, Tim Kiernan, Damien
Description	Author Affiliation: Malone A ( Central Remedial Clinic, Dublin, Ireland.)
Abstract	This is the first reported case of bilateral sleeve fractures of the patellae in a child with crouch gait. A 12-year-old boy with hereditary spastic paraparesis (HSP), who was found to have mid-stance crouch of 20° on previous gait analysis, presented with pain of gradual onset and limited mobility. There was no history of trauma. Three-dimensional gait analysis showed that extensor mechanism function during loading response was intact, but knee flexion in swing was significantly reduced, indicating protective guarding by rectus femoris. X-rays showed bilateral minimally displaced sleeve fractures of the patellae. These were treated with immobilisation in cylinder casts in extension for 4 weeks. Follow-up X-rays showed that the fractures had successfully united and the patient progressed to full weight bearing and mobility as tolerated.
e-ISSN	1757790X
Journal	BMJ Case Reports
Volume Number	2013
Language	English
Publisher	BMJ Publishing Group Ltd.
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Fractures, Bone Etiology Gait Disorders, Neurologic Complications Paraparesis, Spastic Patella Injuries Casts, Surgical Diagnosis, Differential Therapy Genetics Radiography Range Of Motion, Articular Multidisciplinary
Content Type	Text
Resource Type	Article

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Bilateral sleeve fractures of the patella in a 12-year-old boy with hereditary spastic paraparesis and crouch gait.