Stiff Knee by Entrapment of Quadriceps Femoris Tendon at Fracture Site in Paediatric Distal Femur Shaft Fracture

Suk Kang; Jong Pil Kim; Chung Soo Hwang; Phil Hyun Chung; Young Sung Kim; Sang Ho Lee; Jin Wook Chung

doi:10.12671/jkfs.2007.20.4.339

Journal List > J Korean Fract Soc > v.20(4) > 1037609

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kang, Kim, Hwang, Chung, Kim, Lee, and Chung: Stiff Knee by Entrapment of Quadriceps Femoris Tendon at Fracture Site in Paediatric Distal Femur Shaft Fracture

Case Report

Journal of the Korean Fracture Society 2007; 20(4): 339-344.

Published online: 14 June 2016

DOI: https://doi.org/10.12671/jkfs.2007.20.4.339

Stiff Knee by Entrapment of Quadriceps Femoris Tendon at Fracture Site in Paediatric Distal Femur Shaft Fracture

Suk Kang, M.D., Jong Pil Kim, M.D., Chung Soo Hwang, M.D., Phil Hyun Chung, M.D., Young Sung Kim, M.D., Sang Ho Lee, M.D., Jin Wook Chung, M.D.

Department of Orthopaedic Surgery, College of Medicine, Dongguk University, Gyeongju, Korea.

Address reprint requests to: Jong Pil Kim, M.D. Department of Orthopaedic Surgery, College of Medicine, Dongguk University, 1090-1, Seokjang-dong, Gyeongju 780-350, Korea. Tel: 82-54-770-8225, Fax: 82-54-770-8378, kjpil@dongguk.ac.kr

Abstract

The complications following paediatric femur fracture are leg length discrepancy, angulation deformity, rotational deformity, ischemic limb. But, stiff knee is rarely expressed after trauma like paediatric femur fracture. We report a case of stiff knee due to entrapment of quadriceps femoris tendon at displaced fracture site after conservative treatment by Russel traction and hip spica cast in paediatric femur fracture. We treated successfully by resection of distal end of proximal segment of femur and release of quadriceps femoris tendon for flexion contracture of the knee.

Keywords: Paediatric femur fracture, Stiff knee, Quadriceps femoris tendon release

Figures and Tables

Fig. 1

Initial radiographs show comminuted fracture on distal one fourth of right femoral shaft.

Fig. 2

Initial radiographs show Salter-Harris type II fracture of left distal tibia.

Fig. 3

The radiographs show some callus along the periosteum at 2nd weeks after initial trauma.

Fig. 4

The radiographs show bridging callus formation from distal fragment to side of proximal fragment at 4 months later.

Fig. 5

The MRI shows entrapment of quadriceps femoris tendon between proximal fragment and anterior cortex of distal fragment.

Fig. 6

The radiographs are taken after resection of proximal fragment and release of quadriceps femoris tendon.

Fig. 7

The radiographs show solid union and remodeling on 1 year after operation.

References

1. Chung ES, Lee JB, Lee BH. Spontaneous correction of angular deformity after femoral shaft fracture in children. J Korean Soc Fract. 1998; 11:644–649.

2. Chung KH, Shim JS, Sung KS, Park SJ. Treatment of the children's femur shaft fracture by early spica cast. J Korean Soc Fract. 2003; 16:270–277.

3. Chung YK, Yoo JH, Song BY, Park YW, Roh GC. Spontaneous correction of the angular deformity after femoral shaft fracture in children - preliminery report -. J Korean Orthop Assoc. 1995; 30:1382–1388.

4. Lee HY, Rhyu KW, Chung JY, Sohn MI, Kim CK, Kang YK. Immediate hip spica cast application for femoral shaft fractures in children. J Korean Soc Fract. 2003; 16:91–97.

5. Moon ES, Rowe SM, Kim OH. Treatment femoral fracture in children. J Korean Orthop Assoc. 1993; 28:1084–1092.

6. Nicoll EA. Quadricepsplasty. J Bone Joint Surg Br. 1963; 45:483–490.

7. Park ND, Ihnn JC, Lee SY, Kim ID. Overgrowth following fracture of the shaft of femur in childhood. J Korean Orthop Assoc. 1973; 8:107–112.

8. Suh JT, Choi SJ, Kim YG. Treatment of stiff knee. J Korean Knee Soc. 2004; 16:59–64.

TOOLS

Similar articles