Acute presentation of Sinding-Larsen-Johansson disease simulating patella sleeve fracture: A case report

Objectives: Diagnosis of Sinding-Larsen-Johansson disease may not be an easy task. Several sport-related conditions affect the distal pole of the patella in the adolescent, and treatment varies considerably. The article describes a patient that had radiographic features of Sinding-Larsen-Johansson d...

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Bibliographic Details
Main Author: Nabil Alassaf
Format: Article
Language:English
Published: SAGE Publishing 2018-09-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X18799242
Description
Summary:Objectives: Diagnosis of Sinding-Larsen-Johansson disease may not be an easy task. Several sport-related conditions affect the distal pole of the patella in the adolescent, and treatment varies considerably. The article describes a patient that had radiographic features of Sinding-Larsen-Johansson disease associated with an atypical acute presentation. Methods: Case report and literature review. Results: A 10-year-old boy presented with a sudden pain after a noncontact soccer injury. He had tenderness and swelling over the patella. Radiographs showed minimally displaced distal patellar ossicle. Magnetic resonance imaging excluded sleeve cartilaginous injury and documented Sinding-Larsen-Johansson disease. The knee was immobilized briefly. There was complete healing of the injury in 4-week follow-up radiographs. Conclusion: Emergency physicians, radiologists, and orthopedic surgeons should be aware of the acute presentation of Sinding-Larsen-Johansson disease after knee injuries.
ISSN:2050-313X