Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella

Detalhes bibliográficos
Autor(a) principal: Segatt , Pedro Henrique
Data de Publicação: 2023
Outros Autores: Pires, Daniel de Almeida, Duarte, Márcio Luí­s
Tipo de documento: Artigo
Idioma: por
Título da fonte: Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
Texto Completo: http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/946
Resumo: Introduction: The fabella is a sesamoid bone that is classically located inside the tendon of the lateral head of the gastrocnemius. This type of ossification is not present in the entire world population. Thus, his fracture is a rare case and difficult to diagnose. Objective: Report a case and review the literature about this uncommon fracture. Case report: A 66-year-old female patient has had knee pain for two years, preventing her from walking long distances and going up and down stairs. Magnetic resonance imaging identified significant edema of the fabella with a horizontal fracture. Conclusion: Fabella fractures can be treated both conservatively and surgically. However, the surgical process provides immediate pain relief and is the definitive treatment for this disease. Cases treated conservatively, that is, physiotherapy, analgesia, and immobilization, have lower success rates.
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spelling Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella Fratura da fabela – avaliação pelos exames de imagem / Fracture of the fabella – evaluation by imaging exams: Fracture of the fabella FractureFabellaRadiographyIntroduction: The fabella is a sesamoid bone that is classically located inside the tendon of the lateral head of the gastrocnemius. This type of ossification is not present in the entire world population. Thus, his fracture is a rare case and difficult to diagnose. Objective: Report a case and review the literature about this uncommon fracture. Case report: A 66-year-old female patient has had knee pain for two years, preventing her from walking long distances and going up and down stairs. Magnetic resonance imaging identified significant edema of the fabella with a horizontal fracture. Conclusion: Fabella fractures can be treated both conservatively and surgically. However, the surgical process provides immediate pain relief and is the definitive treatment for this disease. Cases treated conservatively, that is, physiotherapy, analgesia, and immobilization, have lower success rates.Introdução: A fabela é um osso do tipo sesamoide que se localiza classicamente no interior do tendão da cabeça lateral do gastrocnêmio. Esse tipo de ossificação não está presente em toda a população mundial. Assim, sua fratura é um caso raro e de difícil diagnóstico. Objetivo: Relatar um caso e revisar a literatura acerca desta fratura incomum. Relato do Caso: Paciente do sexo feminino, de 66 anos, apresenta dor no joelho há dois anos impedindo-a de deambular por grandes distâncias bem como subir e descer escadas. A ressonância magnética identificou edema importante da fabela com uma fratura horizontal. Conclusão: O tratamento da fratura da fabela pode ocorrer tanto de maneira conservadora quanto de modo cirúrgico. Entretanto, o processo cirúrgico apresenta alívio imediato da dor e é o tratamento definitivo dessa moléstia. Casos tratados de modo conservador, isto é, com fisioterapia, analgesia e imobilização, apresentam menores taxas de sucesso.Palavras-chave: Ossos sesamoides, Joelho, Músculo gastrocnêmio, Radiografia, Imageamento por ressonância magnética, Fraturas ósseas. ABSTRACT Introduction: The fabella is a sesamoid bone that is classically located inside the tendon of the lateral head of the gastrocnemius. This type of ossification is not present in the entire world population. Thus, such a fracture is a rare case and difficult to diagnose. Objective: To report a case and review the literature about this uncommon fracture. Case report: A 66-year-old female patient has had knee pain for two years, preventing her from walking long distances and going up and down stairs. Magnetic resonance imaging identified a significant edema of the fabella with a horizontal fracture. Conclusion: Fabella fractures can be treated both conservatively and surgically. However, the surgical process provides immediate pain relief and is the definitive treatment for this disease. Cases treated conservatively, that is, through physiotherapy, analgesia, and immobilization, have lower success rates.Keywords: Sesamoid bones, Knee, Fracture, Gastrocnemius muscle, Radiography, Magnetic resonance imaging, Bone fractures.Faculdade de Ciências Médicas da Santa Casa de São Paulo2023-10-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/94610.26432/1809-3019.2023.68.017Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo; V. 68 (2023): Jan/Dez; 1 of 41809-30190101-6067reponame:Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)instname:Faculdade de Ciências Médicas da Santa Casa de São Pauloinstacron:FCMSCSPporhttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/946/1218Copyright (c) 2023 Pedro Henrique Segatt , Daniel de Almeida Pires, Márcio Luí­s Duartehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSegatt , Pedro HenriquePires, Daniel de AlmeidaDuarte, Márcio Luí­s2023-10-18T15:14:43Zoai:ojs2.arquivosmedicos.fcmsantacasasp.edu.br:article/946Revistahttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSPONGhttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/oaiarquivosmedicos@fcmsantacasasp.edu.br||1809-30190101-6067opendoar:2023-10-18T15:14:43Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online) - Faculdade de Ciências Médicas da Santa Casa de São Paulofalse
dc.title.none.fl_str_mv Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella
Fratura da fabela – avaliação pelos exames de imagem / Fracture of the fabella – evaluation by imaging exams: Fracture of the fabella
title Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella
spellingShingle Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella
Segatt , Pedro Henrique
Fracture
Fabella
Radiography
title_short Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella
title_full Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella
title_fullStr Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella
title_full_unstemmed Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella
title_sort Fracture of the fabella – Evaluation by imaging exams : Fracture of the fabella
author Segatt , Pedro Henrique
author_facet Segatt , Pedro Henrique
Pires, Daniel de Almeida
Duarte, Márcio Luí­s
author_role author
author2 Pires, Daniel de Almeida
Duarte, Márcio Luí­s
author2_role author
author
dc.contributor.author.fl_str_mv Segatt , Pedro Henrique
Pires, Daniel de Almeida
Duarte, Márcio Luí­s
dc.subject.por.fl_str_mv Fracture
Fabella
Radiography
topic Fracture
Fabella
Radiography
description Introduction: The fabella is a sesamoid bone that is classically located inside the tendon of the lateral head of the gastrocnemius. This type of ossification is not present in the entire world population. Thus, his fracture is a rare case and difficult to diagnose. Objective: Report a case and review the literature about this uncommon fracture. Case report: A 66-year-old female patient has had knee pain for two years, preventing her from walking long distances and going up and down stairs. Magnetic resonance imaging identified significant edema of the fabella with a horizontal fracture. Conclusion: Fabella fractures can be treated both conservatively and surgically. However, the surgical process provides immediate pain relief and is the definitive treatment for this disease. Cases treated conservatively, that is, physiotherapy, analgesia, and immobilization, have lower success rates.
publishDate 2023
dc.date.none.fl_str_mv 2023-10-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/946
10.26432/1809-3019.2023.68.017
url http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/946
identifier_str_mv 10.26432/1809-3019.2023.68.017
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/946/1218
dc.rights.driver.fl_str_mv Copyright (c) 2023 Pedro Henrique Segatt , Daniel de Almeida Pires, Márcio Luí­s Duarte
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Pedro Henrique Segatt , Daniel de Almeida Pires, Márcio Luí­s Duarte
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Faculdade de Ciências Médicas da Santa Casa de São Paulo
publisher.none.fl_str_mv Faculdade de Ciências Médicas da Santa Casa de São Paulo
dc.source.none.fl_str_mv Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo; V. 68 (2023): Jan/Dez; 1 of 4
1809-3019
0101-6067
reponame:Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
instname:Faculdade de Ciências Médicas da Santa Casa de São Paulo
instacron:FCMSCSP
instname_str Faculdade de Ciências Médicas da Santa Casa de São Paulo
instacron_str FCMSCSP
institution FCMSCSP
reponame_str Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
collection Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
repository.name.fl_str_mv Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online) - Faculdade de Ciências Médicas da Santa Casa de São Paulo
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