A hypoplastic patella fracture in nail patella syndrome: a case report

Hdl Handle:
http://hdl.handle.net/10147/242292
Title:
A hypoplastic patella fracture in nail patella syndrome: a case report
Authors:
Neill, Shane C O; Murphy, Colin G; McElwain, John P
Citation:
Journal of Medical Case Reports. 2012 Jul 16;6(1):196
Issue Date:
16-Jul-2012
URI:
http://dx.doi.org/10.1186/1752-1947-6-196; http://hdl.handle.net/10147/242292
Abstract:
AbstractIntroductionNail patella syndrome is a rare autosomal dominant hereditary condition, with an incidence of 22 per million in the United Kingdom. The syndrome’s most common features include iliac horns, hypoplastic patella and nail dysplasia.Case presentationWe report the case of a 26-year-old Caucasian man with nail patella syndrome who sustained a fracture of his right hypoplastic patella after a fall. His right knee became swollen and he was unable to extend against gravity immediately post fall. Radiographs revealed a fracture of the lower pole of his right patella with associated complete disruption of the extensor mechanism of the knee. He underwent operative fixation and his post operative course was uneventful. He was further treated post operatively with a full knee cast and graded immobilization. At six months he had regained the full range of motion at the knee joint.ConclusionsTo the best of our knowledge, this is the only case report in the literature describing a patella fracture in an individual with nail patella syndrome. We hypothesize that given the extent of pre-existing knee joint impairment in these individuals, functional outcome may be inferior, suggesting the need for more frequent follow-up.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorNeill, Shane C O-
dc.contributor.authorMurphy, Colin G-
dc.contributor.authorMcElwain, John P-
dc.date.accessioned2012-09-10T13:09:45Z-
dc.date.available2012-09-10T13:09:45Z-
dc.date.issued2012-07-16-
dc.identifier.citationJournal of Medical Case Reports. 2012 Jul 16;6(1):196-
dc.identifier.urihttp://dx.doi.org/10.1186/1752-1947-6-196-
dc.identifier.urihttp://hdl.handle.net/10147/242292-
dc.description.abstractAbstractIntroductionNail patella syndrome is a rare autosomal dominant hereditary condition, with an incidence of 22 per million in the United Kingdom. The syndrome’s most common features include iliac horns, hypoplastic patella and nail dysplasia.Case presentationWe report the case of a 26-year-old Caucasian man with nail patella syndrome who sustained a fracture of his right hypoplastic patella after a fall. His right knee became swollen and he was unable to extend against gravity immediately post fall. Radiographs revealed a fracture of the lower pole of his right patella with associated complete disruption of the extensor mechanism of the knee. He underwent operative fixation and his post operative course was uneventful. He was further treated post operatively with a full knee cast and graded immobilization. At six months he had regained the full range of motion at the knee joint.ConclusionsTo the best of our knowledge, this is the only case report in the literature describing a patella fracture in an individual with nail patella syndrome. We hypothesize that given the extent of pre-existing knee joint impairment in these individuals, functional outcome may be inferior, suggesting the need for more frequent follow-up.-
dc.titleA hypoplastic patella fracture in nail patella syndrome: a case report-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderShane C O Neill et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2012-09-10T11:07:58Z-
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