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physical therapy for quadriceps strengthening exercises.
1%
6/656
a long leg cast with the knee fully extended.
4%
24/656
excision of the fragment.
5/656
suture reattachment of the patellar tendon to the tibial tuberosity.
35%
232/656
open reduction and tension band fixation.
58%
380/656
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The radiograph shows an avulsion fracture, or “sleeve fracture,” of the distal pole of the patella. The distal fragment is much larger than it appears on the radiograph because it largely consists of cartilage; therefore, excision of the fragment is contraindicated. The treatment of choice is open reduction and tension band fixation to correct patella alta and restore the extensor mechanism.
3.1
(22)
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