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A 10-year-old female presents to the emergency department complaining of anterior knee pain after a fall from her bicycle. Exam reveals ecchymosis and swelling over the patella and an extensor lag. Radiographs are shown in Figures A and B. What is the most appropriate next step in treatment?
Open reduction and suture fixation
Open reduction and internal fixation with plating and wire cerclage technique
Partial patellectomy and advancement of patellar tendon
Patellar tendon midsubstance rupture repair with nonabsorbable suture
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An 11-year-old basketball player reports that he felt a painful pop in the left knee when he stumbled while running. He is unable to bear weight on the extremity and cannot actively extend the knee against gravity. Examination reveals a large knee effusion. A lateral radiograph is shown in Figure 7. Management should consist of
physical therapy for quadriceps strengthening exercises.
a long leg cast with the knee fully extended.
excision of the fragment.
suture reattachment of the patellar tendon to the tibial tuberosity.
open reduction and tension band fixation.