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Case Report
- Heterotopic Ossification around Patellar Tendon Following Treatment of Patellar Fracture: A Case Report
- Sang Jin Lee, M.D., Ji Wan Kim, M.D., Ph.D., Dong Hyun Lee, M.D., Jae Young Lim, M.D.
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Journal of the Korean Fracture Society 2013;26(1):73-76.
DOI: https://doi.org/10.12671/jkfs.2013.26.1.73
Published online: January 17, 2013
Department of Orthopaedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
- Address reprint requests to: Sang Jin Lee, M.D. Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, 875, Haeun-daero, Haeundae-gu, Busan 612-862, Korea. Tel: 82-51-797-0990, Fax: 82-51-797-0991, sjinnie@paik.ac.kr
• Received: October 22, 2012 • Revised: October 22, 2012 • Accepted: November 26, 2012
Copyright © 2013 The Korean Fracture Society
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Abstract
- Heterotopic ossification around the patellar tendon is known to be extremely rare. A 42-year-old man had a transverse fracture of the left patella. Open reduction and tension band wiring were performed. At four weeks, plain radiographs showed an extensive ossification around the patellar tendon and the patient presented limitation of flexion and pain in kneeling position. We just encouraged active and passive ranges of motion exercises and performed one manipulation under anesthesia. At the final follow-up (10 months post-operatively), he was able to flex his knee by 140 degrees. We present a case of heterotopic ossification around the patellar tendon with limitation of knee flexion that was successfully treated with nonoperative treatment.
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REFERENCES
Fig. 1Plain radiograph of the left knee showing displaced transverse fracture through the mid-body of the patella.
Fig. 2Postoperative radiograph showing extensive heterotopic ossification of the patellar tendon following tension band wiring.
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Fig. 1
Plain radiograph of the left knee showing displaced transverse fracture through the mid-body of the patella.
Fig. 2
Postoperative radiograph showing extensive heterotopic ossification of the patellar tendon following tension band wiring.
Fig. 3
Bone single photon emission computed tomography (bone SPECT) showing hot uptake at the patellar tendon.
Fig. 4
Radiograph of the patient at final follow-up showing full flexion of the knee motion.
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Heterotopic Ossification around Patellar Tendon Following Treatment of Patellar Fracture: A Case Report
