Occult posterior cruciate ligament avulsion fracture in a paediatric patient: easily missed diagnosis.

نویسندگان

  • Alexander P H Chan
  • K L Liu
  • Bobby K W Ng
چکیده

Posterior cruciate ligament (PCL) avulsion fracture is uncommon in the paediatric population. Clinical examination in children can be difficult as they are often irritable and uncooperative. Moreover, subtle radiological signs on basic X-rays are also liable to be missed. Further imagings including computed tomography (CT) and magnetic resonance imaging (MRI) are crucial to rule out this rare condition. We present a patient with an occult PCL avulsion fracture.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Reverse Segond Fracture Associated with Anteromedial Tibial Rim and Tibial Attachment of Anterior Cruciate Ligament Avulsion Fractures

Reverse Segond fracture is an uncommon avulsion fracture of the tibial attachment of the deep portion of the medial collateral ligament of the knee. We report a reverse Segond fracture associated with anterior cruciate ligament tibial avulsion fracture and anteromedial tibial rim fracture. Unlike previous reports, the combination of reverse Segond fracture, anteromedial tibial rim fracture, and...

متن کامل

Avulsion Fracture of the Medial Tibial Plateau (reverse Segond Injury) Fabio Janson Angelini1, Eduardo Angeli Malavolta2, Caio Oliveira D ́elia3, José Ricardo Pécora4, Arnaldo Hernandez5, Gilberto

INTRODUCTION The Segond injury corresponds to a marginal avulsion fracture of lateral tibial plateau, resultant from flexion traumas, stress in varus and internal rotation. The structure responsible for avulsion is the lateral collateral ligament, and anterior cruciate ligament and lateral meniscal injuries are also frequently present(1-4). Hall and Hochman(5) provided the first report of an in...

متن کامل

Pediatric Posterior Cruciate Ligament Avulsion Fracture of the Tibial Insertion: Case Report and Review of the Literature.

Background  Posterior cruciate ligament (PCL) avulsion fracture of the tibial insertion is a very rare injury in children. In addition to performing an attentive clinical examination, radiologic studies are fundamental for its correct diagnosis and treatment. Its management may be either conservative or operative. So far, only a few cases treated conservatively have been reported in the pediatr...

متن کامل

Avulsion fracture of the posterior cruciate ligament in an uncommon location associated with distal injury to the patellar ligament☆

Avulsion fractures of the posterior cruciate ligament in unusual locations are rare injuries. We report the first case in the literature of an avulsion fracture of the posterior cruciate ligament associated with distal injury to the patellar ligament. The aim of this study was to present a novel case, the therapy used and the clinical follow-up.

متن کامل

Posterior cruciate ligament mediated avulsion fracture of the lateral tibial condyle: a case report

Avulsion fractures of the posterior cruciate ligament (PCL) are uncommon. On the basis of the site of damage of the PCL, hyperflexion, pretibial trauma, and hyperextension are proposed as mechanisms of PCL injuries. On the other hand, avulsion fractures of the tibial condyle are also rare. We report a PCL-mediated avulsion fracture of the lateral tibial condyle along with the tibial insertion o...

متن کامل

ذخیره در منابع من

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Hong Kong medical journal = Xianggang yi xue za zhi

دوره 18 1  شماره 

صفحات  -

تاریخ انتشار 2012