Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2009-6-26
pubmed:abstractText
The double-layered patella (DLP) is a rare intra-articular disorder that in most cases is associated with multiple epiphyseal dysplasia (MED). The DLP usually consists of an anterior and a posterior layer with a cartilaginous interface between the two parts. In this article, we present a case of bilateral DLP of a 17-year-old female adolescent with MED, suffering clinical symptoms on her left knee. Upon clinical examination, a painful "snapping" of the patella at 30-40 degrees flexion of the left knee was evident and two osseous layers could be identified in standard radiographs. Arthroscopic examination revealed a transient cranial displacement of the posterior osteochondral layer at 30-40 degrees knee flexion that replaced beyond 40 degrees knee flexion with a visible jump. Surgical management in this case of DLP comprised open debridement of the soft tissue interface and fusion of the two osseous layers using double-threaded screws leading to an excellent outcome at 12 months follow-up.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1434-3916
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
129
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1071-5
pubmed:meshHeading
pubmed:year
2009
pubmed:articleTitle
Surgical management of a double-layered patella: a case report.
pubmed:affiliation
Division of Sports Medicine and Arthroscopy, Orthopedic Clinic, König-Ludwig-Haus, University of Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
pubmed:publicationType
Journal Article, Case Reports