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Wheeless' Textbook of Orthopaedics
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Pediatric update : 13. Injuries to the inferior pole of the patella in


children. Gardiner JS. McInerney VK. Avella DG. Valdez NA. Orthopaedic Review. [JC:orr] 19(7):643-9, 1990 Jul. Sinding-Larsen-Johansson disease and sleeve fractures are two injuries that occur at the inferior pole of the patella in children. The first is a chronic tendinitis accompanied by calcification of the avulsed patellar tendon. The latter are acute injuries that involve a complete avulsion of the proximal insertion of the patellar tendon with a small fleck of bone and portion of patellar articular cartilage. Illustrative case histories and a literature review are presented.



Original Text by Clifford R. Wheeless, III, MD.