ArticleCureus2026
A Rare Combination of Patellar Sleeve Fracture, Tendon Avulsion, and Retinacular Disruption in a Child: Diagnostic and Operative Insights.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
A 13-year-old boy presented with acute right knee pain, significant effusion, and a complete loss of active extension following a football injury. Radiographs demonstrated patella alta and increased density within the infrapatellar fat pad. Intraoperative exploration revealed a rare "triple injury" triad: a displaced inferior pole patellar sleeve fracture, a distal patellar tendon avulsion from the tibial insertion, and near-complete medial and lateral retinacular disruption. Surgical reconstruction was performed using suture-tape fixation with anchors for the patellar sleeve, tendon reinsertion utilizing Krakow sutures with screw augmentation, and primary retinacular repair. Following a structured postoperative rehabilitation program, the patient achieved an excellent functional outcome with restored full range of motion. This case highlights a complex multilevel extensor mechanism disruption in a skeletally immature patient and the surgical approach used for anatomical restoration.
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