The problem patella of crouch gait in adolescents with cerebral palsy

Tim O'Brien, Damien Kiernan, Rory O'Sullivan

Research output: Chapter in Book or Conference Publication/ProceedingChapterpeer-review

Abstract

The purpose of this review is to demonstrate the etiology and effects of patellar fractures in adolescents with crouch gait. We describe the correlation between these fractures and Gait Laboratory kinematic and kinetic data. These fractures are not incidental findings as they are always associated with a significant deterioration in gait. The kinematic and kinetic data that accompanies displaced fractures are typical of knee extensor disruption. The more common oblique fracture through the distal pole of the patella is caused by an increased bending force on the patella while the increased traction of crouch can also result in a sleeve fracture. We outline the surgical options for treatment of knee extensor disruption.

Original languageEnglish
Title of host publicationHandbook on Cerebral Palsy
Subtitle of host publicationRisk Factors, Therapeutic Management and Long-Term Prognosis
PublisherNova Science Publishers, Inc.
Pages53-61
Number of pages9
ISBN (Electronic)9781633218741
ISBN (Print)9781633218529
Publication statusPublished - 1 Oct 2014
Externally publishedYes

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