Anka Tıp Dergisi

Yazarlar: Turker DEMIRTAKAN, Nagihan YİLMAZ, Afşın İPEKCİ

Konular:Acil Tıp

Anahtar Kelimeler:Patellar fracture,Femoral fracture,Xray

Özet: A patellar fracture is one of the most common knee injuries, usually, after direct trauma to the knee. It represents nearly 1% of all fractures common in those ages between 20-50 years and males. The coincidence of patellar fracture with femoral body fracture in the opposite leg is rather low frequency; moreover, it can be missed out unluckily. In this case, 24 years old young man is brought to the emergency department after a car accident. According to the patient’s claim, he sat on the next seat of the driver without a seatbelt, and the car crashed to a truck from behind. The deformed, swollen, and painful left leg is clearly noticed, and also the patient is complaining about mild pain on the right knee in a secondary survey. Standard anteroposterior and lateral radiographic evaluation of the left hip and thigh shows that midshaft fracture in the left femoral bone. Besides the broken left femoral body, X-ray imaging of the right knee demonstrates that the right patella separates approximately 8mm from the transverse line, multiple fragmental fractures in the upper part of the broken segment, and displacement of the articular face. Clinicians must remind this kind of accompanied minor fractures during the high-energy trauma management.

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