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1.
Article in Spanish | LILACS, BINACIS | ID: biblio-1358105

ABSTRACT

Las fracturas del calcáneo representan el 2-3,1% de las fracturas en general y las avulsiones del tendón de Aquiles son las menos frecuentes de este grupo. Fueron descritas por Bohler como "fracturas en pico de pato". Los casos publicados son muy escasos, Sang-Myung y cols. publicaron la revisión más grande con 764 casos de fracturas de calcáneo, 20 de ellos con avulsión de la tuberosidad del calcáneo. Los mecanismos de acción más frecuentes son tropiezo, caída o golpe directo. Se presenta a un paciente de 48 años que concurre al Servicio de Urgencias de un hospital de segundo nivel, tras caerse de un árbol y quedar suspendido sobre la pierna derecha. Ingresó para estudio con evidencia radiográfica de fractura por avulsión del calcáneo y fue sometido a una osteosíntesis, con una excelente evolución clínica. Consideramos importante comunicar este caso, dada la escasa frecuencia de este tipo de fracturas. Nivel de Evidencia: IV


Calcaneal fractures account for 2-3.1% of all fractures; among these the least common are avulsions of the Achilles tendon, described by Dr Bohler as "Beak fractures". Descriptions in the literature are very scarce, the largest report being that of Sang-Myung et al in 2012, where a summary of 764 cases of calcaneal fractures contained 20 avulsion fractures. The most common mechanisms of trauma are tripping, falling, or a direct knock. This report presents the clinical case of a 48 year-old patient, who attended the Emergency Service of a second-level hospital after falling from a tree which resulted in being suspended by the lower right limb. Radiographs revealed signs of a calcaneal avulsion fracture, which was surgically managed via osteosynthesis with excellent clinical outcomes in follow-up. Given the infrequency of this type of fracture, we considered it important to present this article. Level of Evidence; IV


Subject(s)
Middle Aged , Calcaneus , Foot Injuries , Fractures, Avulsion , Fracture Fixation, Internal
2.
Rev. chil. ortop. traumatol ; 62(1): 11-18, mar. 2021. ilus, tab
Article in Spanish | LILACS | ID: biblio-1342590

ABSTRACT

OBJETIVO: Realizar la evaluación clínica, imagenológica y funcional de pacientes con fracturas avulsivas tibiales del ligamento cruzado posterior (FTALCPs) fijadas con tornillos canulados con técnica abierta. MÉTODOS: Los pacientes con FTALCP operados entre 2010 y 2017 fueron revisados retrospectivamente. Criterios de inclusión: fracturas agudas, desplazadas, test de cajón posterior grado III, lesiones combinadas de rodilla, seguimiento > 12 meses. Se excluyeron pacientes > 65 años, con FTALCPs bilaterales, lesiones del ligamento cruzado posterior (LCP) intrasustancia, test de cajón posterior grados I-II, fracturas expuestas, lesiones neurovasculares, y seguimientos < 12 meses. Objetivo primario: medir la estabilidad clínica mediante test de cajón posterior y radiografía de estrés arrodillada comparativa. Objetivos secundarios: nvaluar la consolidación en radiografías, complicaciones y funcionalidad con las escalas de Lysholm y Tegner. Resultados Se incluyeron 20 pacientes, con edad media de 41 años (rango: 32 a 61 años). El seguimiento promedio fue de 33,9 meses (rango: 12 a 82 meses). La estabilidad clínica mejoró en 93% (cajón posterior postoperatorio grados 0 y I) de los pacientes. La radiografía de estrés arrodillada mostró una diferencia promedio de 2,6 mm (rango: 0,1 mm a 6,8 mm) de traslación posterior al comparar con el lado sano. Todas las fracturas consolidaron. Siete pacientes presentaron complicaciones. El puntaje promedio de la escala de Lysholm al final del seguimiento fue de 85,17. El promedio preoperatorio del puntaje en la escala de Tegner no varió significativamente en comparación con el postoperatorio. CONCLUSIONES: La fijación de fracturas avulsivas tibiales del LCP con tornillos canulados con técnica abierta es efectiva en restaurar la estabilidad posterior y lograr la consolidación ósea. La funcionalidad clínica a mediano plazo es buena, a pesar del alto número de complicaciones y lesiones concomitantes. NIVEL DE EVIDENCIA: tipo IV.


OBJECTIVE: To report mid-term clinical, radiographic, and functional outcomes following open reduction and fixation of posterior cruciate ligament tibial avulsion fractures (PCLTAFs) with cannulated screws. METHODS: This is a retrospective analysis of patients with PCLTAF operated on from August 2010 to April 2017. Patients with acute fractures, with more than 2 mm of displacement and grade III on the posterior drawer test, combined or not to knee injuries, were included. Patients older than 65 years of age, with bilateral avulsion fractures, intrasubstance posterior cruciate ligament (PCL) lesions, stable grade-I to -II on the posterior drawer test, concomitant neurovascular injuries, mid-substance tears, open fractures, and less than 12 months of follow-up were excluded. Primary outcomes: the clinical stability was assessed using the posterior drawer test and a single comparative knee stress radiograph. Secondary outcomes: radiographic consolidation, complications, Lysholm score, and Tegner activity score. RESULTS: In total, 20 patients with a mean age of 41 years (range: 32 to 61 years) were included. The mean follow-up was of 33.9 months (range: 12 to 82 months). Clinical stability (grade 0 or I on the posterior drawer test) was observed in 93% of the patients. The mean difference in contralateral posterior displacement was of 2.6 mm (range: 0.1 mm to 6.8 mm) on a single comparative knee stress radiograph. All fractures presented radiological consolidation. Seven patients developed complications. The mean Lysholm score at the last follow-up visit was of 85.17. The postoperative Tegner activity scores did no vary significantly compared to the preinjury scores. CONCLUSIONS: Cannulated screw fixation of a displaced PCLTAF through a posterior approach restores clinical and radiographic stability and has excellent union rates. The mid-term functional outcomes are good despite the high rates of combined knee lesions and postoperative complications. LEVEL OF EVIDENCE: IV.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Tibial Fractures/surgery , Tibial Fractures/diagnostic imaging , Bone Screws , Posterior Cruciate Ligament/surgery , Posterior Cruciate Ligament/diagnostic imaging , Fracture Fixation/methods , Tibial Fractures/physiopathology , Retrospective Studies , Follow-Up Studies , Posterior Cruciate Ligament/physiopathology , Treatment Outcome , Fractures, Avulsion , Fracture Fixation/instrumentation
3.
Article in Chinese | WPRIM | ID: wpr-921938

ABSTRACT

OBJECTIVE@#To investigate the clinical effect of arthroscopic fixation of tibial avulsion fracture of posterior cruciate ligament with a knot-free anchor and Endobuton titanium plate.@*METHODS@#From October 2019 to October 2020, 12 patients with tibial avulsion fracture of posterior cruciate ligament were treated with the arthroscopic knot-free anchor and Endobuton titanium plate, including 9 males and 3 females. The age ranged from 23 to 58 years old. The time from injury to operation ranged from 2 to 9 days. There were 2 cases of Meyers typeⅡand 10 cases of Meyers type Ⅲ. There were 2 cases of meniscus injury and 1 case of partial injury of medial collateral ligament. The fracture healing and knee range of motion were evaluated after operation, and the clinicalefficacy was evaluated by Lysholm function score.@*RESULTS@#All patients were followed up for 12 months. All patients healed within 6 months, and there were no complications such as incision infection, lower extremity deep venous thrombosis and internal fixation falling off. The knee flexion range of motion recovered from 50°-90° before operation to 115°-130° 6 months after operation, and no patient had straightening disorder. Lysholm functional score recovered from preoperative 29-54 scores to 86-100 scores 12 months after operation.@*CONCLUSION@#Arthroscopic reduction and fixation of tibial avulsion fracture of posterior cruciate ligament with the knot-free anchor and Endobuton titanium plate has less complications, high fracture healing rate, good extension and flexion angle and early function recovery of knee joint.


Subject(s)
Adult , Arthroscopy , Female , Fractures, Avulsion/surgery , Humans , Knee Joint/surgery , Male , Middle Aged , Posterior Cruciate Ligament/surgery , Suture Techniques , Tibial Fractures/surgery , Titanium , Treatment Outcome , Young Adult
4.
Rev. bras. ortop ; 55(5): 620-624, Sept.-Oct. 2020. tab
Article in English | LILACS | ID: biblio-1144222

ABSTRACT

Abstract Objective To verify the applicability and agreement of the Ottawa ankle rules applied by medical students and orthopedic residents in a tertiary trauma service thus validating the Ottawa protocol for use on Brazilian soil. Prospective This was a prospective study, conducted in a tertiary hospital, including all patients with acute torsial trauma of the tibiotarsal joint. The patients underwent ankle and/or foot radiographs, and the questionnaire with the Ottawa ankle rules was applied by academics and, subsequently, by residents. The radiographs were evaluated by on-call orthopedists and specialist in foot and ankle, and the expert opinion was considered the gold standard for analysis. Results Two hundred and sixty-three patients were evaluated, and, after application of the established inclusion criteria, 226 cases remained for evaluation. The sensitivity to detect lesions and negative predictive value (NPV) was 100%. The most sensitive test with higher NPV for both academics and residents was palpation of the lateral malleolus. The study presented potential for a reduction of 30% in the total number of tests requested. Conclusion The data showed applicability and agreement between academics and residents, which allows for the validation of the Ottawa protocol in emergency care in Brazil.


Resumo Objetivo Verificar a aplicabilidade e a concordância das regras do tornozelo de Ottawa aplicadas por estudantes de medicina e residentes de ortopedia em um serviço de trauma terciário, validando assim as regras de Ottawa para utilização em solo brasileiro. Método Estudo prospectivo, realizado em um hospital terciário, incluindo todos os pacientes com trauma torcional agudo da articulação tibiotársica. Os pacientes realizaram radiografias de tornozelo e/ou pé, tendo sido aplicado o questionário com as regras do tornozelo de Ottawa por acadêmicos e, na sequência, por residentes. As radiografias foram avaliadas por ortopedistas plantonistas e especialista em pé e tornozelo, sendo a opinião do especialista considerada padrão-ouro da análise. Resultados Foram avaliados 263 pacientes e, após aplicados os critérios de inclusão estabelecidos, restaram para a avaliação 226 casos. A sensibilidade para detectar lesões e o valor preditivo negativo (VPN) foi de 100%. O teste mais sensível e com maior VPN para ambos, acadêmicos e residentes, foi a palpação do maléolo lateral. O estudo apresentou potencial de redução de 30% no total de exames solicitados. Conclusão Os dados demostraram aplicabilidade e concordância entre acadêmicos e residentes, o que permite a validação do protocolo de Ottawa nos atendimentos de urgência e emergência no Brasil.


Subject(s)
Humans , Male , Female , Wounds and Injuries , Prospective Studies , Surveys and Questionnaires , Ankle Injuries , Emergency Medical Services , Tertiary Care Centers , Fractures, Avulsion , Foot , Orthopedic Surgeons , Ankle
5.
Rev. Univ. Ind. Santander, Salud ; 51(4): 343-348, oct.-dic. 2019. graf
Article in Spanish | LILACS | ID: biblio-1092265

ABSTRACT

Resumen Las fracturas de la epitróclea representan el 11 al 20% de las lesiones en codo en población pediátrica y aproximadamente el 50% se asocia a luxación en el codo, siendo la incarceración menos frecuente. El objetivo del trabajo es describir los resultados funcionales de una serie de pacientes con fractura de epitróclea. Se realizó un estudio observacional descriptivo y retrospectivo de pacientes pediátricos con fracturas de epitróclea, atendidos en un hospital pediátrico. Se revisaron las historias clínicas y los datos fueron analizados en Excel. El estudio fue aprobado por el comité de ética del hospital. Se tomaron 42 casos de los cuales 39 cumplieron con los criterios de inclusión. La edad media fue 11.3 años (4-16 años). El 77% fueron operados y la fractura se asoció a luxación del codo en el 25.6%. El 7.6% de los casos tuvieron neuroapraxia de nervio cubital con recuperación espontánea. La fractura de la epitróclea se observa en población pediátrica involucrada en actividades de alto rendimiento. Puede ocurrir falla en diagnóstico debido a la compleja osificación del codo y también a la superposición de imagen de la epitróclea con la tróclea humeral. Se asocia con luxación del codo entre un 25 a 50% de los casos. El tratamiento de esta fractura es ortopédico o quirúrgico. Las tasas de consolidación en ambos tratamientos son similares.


Abstract Medial epicondyle fractures represent 11-20% of elbow injuries in the pediatric population. Approximately 50% is associated with dislocation in the elbow. Incarceration is less frequent. The objective of this study is to describe the functional results of a cases of patients with medial epicondyle fracture and to review the subject. It is a descriptive and retrospective observational study of pediatric patients with medial epicondyle fracture, attended in a pediatric hospital. The medical records were reviewed and the data were analyzed in an Excel table. The study was approved by the hospital ethics committee. 39 of 42 cases, met the inclusion criteria. The average age was 11.3 years (4-16 years). 77% were operated and the fracture was associated with dislocation of the elbow in 25.6%. The 7.6% of the cases had ulnar nerve neuroapraxia that they recovered spontaneously. The medial epicondyle fracture is observed in the pediatric population involved in high performance activities. Subdiagnosis can occur due to the complex ossification of the elbow and also to the superimposition of the medial epicondyle image with the humeral trochlea. It is associated with dislocation of the elbow between 25 to 50% of cases. The treatment of this fracture is orthopedic or surgical. The consolidation rates in both treatments are similar.


Subject(s)
Humans , Humeral Fractures , Ulnar Nerve , Child , Elbow , Fracture Dislocation , Fractures, Avulsion
6.
Rev. Pesqui. Fisioter ; 9(3): 386-395, ago.2019. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-1151770

ABSTRACT

INTRODUÇÃO: O tornozelo é considerado uma das regiões do corpo mais propensa às lesões esportivas, sendo 70% dessas lesões entorses de tornozelo. A recidiva de entorses pode provocar um prejuízo crônico na função proprioceptiva e sensório-motora. Não existe um tratamento específico para as entorses, sendo utilizados protocolos como o PRICE, abordagem passiva, imobilização da articulação e terapia manual. OBJETIVO: Trazer informações mais consistentes que elucidem os efeitos da terapia manual na recuperação da funcionalidade do paciente. MATERIAIS E MÉTODOS: Tratase de uma revisão sistemática baseada no PRISMA, com buscas realizadas nas bases de dados: PubMed, SciELO, LILACS e PEDro. Foram pesquisados apenas ensaios clínicos randomizados, com avaliação maior ou igual a 5/10 na escala PEDro, nos idioma português e inglês. Os estudos deveriam incluir população com idade entre 18 e 60 anos utilizando técnicas de terapia manual como: Mulligan, Maitland, mobilização neural, massoterapia, liberação miofascial, pompage e alongamento passivo. RESULTADOS: Foram incluídos 7 artigos com um total de 300 indivíduos. Os estudos incluídos investigaram a recuperação da funcionalidade de pacientes submetidos à terapia manual. Limitações: heterogeneidade no tempo de lesão. CONCLUSÃO: Os resultados evidenciaram melhora na capacidade física para correr, saltar, pousar e realizar movimentos de corte e laterais, melhora da cinemática, marcha, distribuição de descarga de peso e função global.


INTRODUCTION: The ankle is considered one of the regions of the body most prone to sports injuries, with 70% of these injuries ankle sprains. The recurrence of sprains can cause chronic impairment in proprioceptive and sensorymotor function. There is no specific treatment for sprains, using protocols such as PRICE, passive approach, immobilization of the joint and manual therapy. Manual therapy in patients who have undergone lateral ankle sprains can provide beneficial results by improving range of motion, subtalar joint slippage, speed and length of steps, distribution of gait forces, pain relief, and activities of daily living. OBJECTIVE: The objective of this study is to provide more consistent information that elucidates the effects of manual therapy on the recovery of the patient's functionality. MATERIALS AND METHODS: This is a systematic review that followed some PRISMA rules in the databases: PubMed, SciELO, LILACS and PEDro. The articles were searched in Portuguese and English. RESULTS: Seven articles with a total of 300 individuals were included. The included studies investigated the retrieval of the functionality of patients undergoing manual therapy. CONCLUSION: The results showed an improvement in physical ability to run, jump, land and perform lateral and lateral movements, improvement of kinematics, improvement of gait, better distribution of weight discharge and improvement of overall function.


Subject(s)
Ankle Injuries , Musculoskeletal Manipulations , Fractures, Avulsion
7.
Rev. bras. ortop ; 53(4): 510-513, July-Aug. 2018. graf
Article in English | LILACS | ID: biblio-959162

ABSTRACT

ABSTRACT Avulsion of the tibial tubercle is an uncommon injury that occurs in the young athlete, resulting from an eccentric contraction of the extensor mechanism with the leg fixed to the ground. Concomitant injuries to the patellar tendon are very rare, with few cases reported in the literature. The authors present a case of a 15-year-old basketball player who suffered an avulsion of the tibial tubercle associated with complete distal rupture of the patellar tendon while training. It was treated with open reduction of the tibial fragment and reconstruction of the patellar tendon with mini-anchors and cannulated screws, as well as hamstring autograft tendon reinforcement. The patient showed excellent results and returned to sports after 12 months of follow-up.


RESUMO A fratura-avulsão da tuberosidade anterior da tíbia é uma lesão incomum que ocorre no jovem atleta, resultado de uma contração excêntrica do mecanismo extensor do joelho com o membro inferior fixo ao solo. Lesões concomitantes ao tendão patelar são muito raras, com poucos casos relatados na literatura. Os autores apresentam o caso de um atleta de basquete de 15 anos que sofreu uma fratura-avulsão da tuberosidade anterior da tíbia associada à ruptura completa distal do tendão patelar durante movimento de arremesso no treino esportivo. O paciente foi tratado com redução aberta da fratura e reparo do tendão patelar com miniâncoras e parafuso poste com reforço tendinoso com enxerto autólogo de semitendíneo. O paciente apresentou ótimos resultados e retornou ao esporte após 12 meses de acompanhamento.


Subject(s)
Humans , Male , Adolescent , Rupture , Tibia/injuries , Patellar Ligament , Fractures, Avulsion
8.
Rev. argent. cir ; 110(2): 109-110, jun. 2018. ilus
Article in Spanish | LILACS | ID: biblio-957904

ABSTRACT

La incidencia de roturas traqueobronquiales secundarias a un traumatismo torácico cerrado es baja, y la mayoría de estos pacientes no llegan con vida a los centros de atención hospitalaria. La presentación clínica es variable dependiendo de la localización de las lesiones, los daños asociados y si las estructuras peribronquiales permanecen íntegras. Para su diagnóstico temprano se debe tener un alto índice de sospecha clínica y una correcta interpretación de los hallazgos semiológicos y radiológicos, lo que permite su rápida y correcta resolución. La demora en el tratamiento aumenta tanto la mortalidad como las complicaciones tempranas y tardías.


The incidence of tracheobronchial ruptures secondary to blunt thoracic trauma is low and most affected patients do not arrive alive to hospitals. Clinical presentation varies with the location of lesions, associated injuries and whether the peribronchial structures remain intact. Early diagnosis requires a high index of clinical suspicion and a correct interpretation of semiologic and radiologic findings, which allows for a rapid and correct resolution. Delay in treatment increases the mortality as well as early and late complications.


Subject(s)
Humans , Female , Adolescent , Thoracic Injuries/complications , Bronchi/injuries , Fractures, Avulsion/diagnostic imaging , Subcutaneous Emphysema/diagnostic imaging , Thoracotomy/methods , Radiography, Thoracic , Tomography, X-Ray Computed , Lung/diagnostic imaging , Mediastinal Emphysema
9.
Chinese Journal of Traumatology ; (6): 352-355, 2018.
Article in English | WPRIM | ID: wpr-771657

ABSTRACT

PURPOSE@#Anterior cruciate ligament (ACL) repair was first described in the mid 1900's. However, due to poorly selected patients led to unsatisfactory early results. We aim to study the outcome of ACL repair in a carefully selected cohort.@*METHODS@#Thirteen consecutive patients of acute Type 1 (proximal ACL avulsion) were treated with arthroscopic ACL repair using a suture pull out technique. At the latest follow-up the patients were evaluated for Lysholm score, KT-1000 measurement and clinical assessment for any laxity.@*RESULTS@#At a mean follow-up of 31.3 months, none of the patients had any subjective laxity. The mean Lysholm score was 95 and instrumented laxity measurement did not reveal any significant laxity compared to the opposite knee.@*CONCLUSION@#The proximal ACL avulsion has healing potential similar to proximal MCL injuries. Performing microfracture of the lateral wall of the notch optimizes the healing environment by negating the effects of the synovial fluid. Performing ACL repair in a carefully selected patient leads to good short term results and saves the patient of a reconstruction procedure, at least in the immediate future.


Subject(s)
Adult , Aged , Anterior Cruciate Ligament , General Surgery , Anterior Cruciate Ligament Injuries , General Surgery , Anterior Cruciate Ligament Reconstruction , Methods , Female , Follow-Up Studies , Fractures, Avulsion , General Surgery , Humans , Joint Instability , Male , Sutures , Time Factors , Treatment Outcome , Young Adult
10.
PODIUM ; 12(3): 242-249, 2017. graf
Article in Spanish | MTYCI, LILACS, MTYCI | ID: biblio-911235

ABSTRACT

La pesca deportiva es una actividad que implica riesgos. El objetivo de este trabajo estuvo referido a identificar las lesiones más comunes en los pescadores cubanos que participaron en eventos deportivos y su tratamiento con Medicina Natural y Tradicional. Se realizó un estudio observacional descriptivo y longitudinal, donde se aplicó una encuesta a 150 participantes que conformaron el universo de estudio y la muestra estuvo representada por los 95 pescadores que sufrieron algún tipo de lesión o accidente en los eventos nacionales de la Federación Cubana de Pesca Deportiva, en las modalidades de Spinning Marítimo, que tuvieron lugar entre los años 2015 y 2016. Durante el proceso investigativo se utilizaron métodos teóricos, empíricos y estadísticos, que permitieron corroborar la existencia real del problema, así como la valoración de su pertinencia. El estudio realizado demostró que las lesiones más comunes ocurridas en los pescadores deportivos durante el desempeño de sus actividades son las lesiones musculo esqueléticas (54,7 %) y las lesiones de la piel (43,1 %). Se reconoció que el uso de la Medicina Natural y tradicional, in situ, puede no solo aliviar y mejorar los síntomas producidos por estas afecciones, sino además prevenir complicaciones a corto, mediano y largo plazo.


Subject(s)
Humans , Male , Athletic Injuries , Fractures, Avulsion , Medicine, Traditional , Chamomile , Cuba
11.
Article in English | WPRIM | ID: wpr-276693

ABSTRACT

<p><b>INTRODUCTION</b>To investigate the feasibility and clinical efficacy of using a toothed plate and hollow lag screw in the surgical treatment of posterior cruciate ligament (PCL) avulsion fractures of the tibia.</p><p><b>METHODS</b>A total of 21 patients were treated with open reduction and internal fixation using a toothed plate and hollow lag screw, through a posteromedial approach using an inverted L-shaped incision. The patients were allowed appropriate functional exercises, including knee flexion and extension, after removal of the plaster at postoperative weeks 3-6. The follow-up period was between six months and two years.</p><p><b>RESULTS</b>This was a retrospective study of patients with PCL avulsion fractures of the tibia caused by road traffic accidents (n = 9), sports-related injuries (n = 6), falls (n = 5) and machinery-related injuries (n = 1). 20 patients presented with fresh fractures and one with an old fracture. The patients (13 men, eight women) had a mean age of 41.5 (range 19-72) years. Anatomical reduction of the fracture and satisfactory fixation were achieved in all 21 patients. Bony union was achieved in all patients at 8-12 weeks after surgery. Six months after surgery, knee flexion was 121.9° ± 10.4° and extension was 0°. According to the Lysholm Knee Scoring Scale, 19 patients were rated as 'excellent' and two as 'good'.</p><p><b>CONCLUSION</b>The use of a toothed plate and hollow lag screw could be a simple and reliable approach for PCL avulsion fractures of the tibia. Patients achieved good knee function after surgery.</p>


Subject(s)
Adult , Aged , Arthroscopy , Bone Plates , Bone Screws , Female , Follow-Up Studies , Fracture Fixation, Internal , Methods , Fractures, Avulsion , Diagnosis , General Surgery , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Posterior Cruciate Ligament , Diagnostic Imaging , Wounds and Injuries , General Surgery , Retrospective Studies , Tibial Fractures , Diagnosis , General Surgery , Young Adult
12.
Article in Malayalam | WPRIM | ID: wpr-629747

ABSTRACT

A case of traumatic posterior cruciate ligament (PCL) avulsion fracture presenting with unusual radiographic findings is described. CT scan of the right knee showed features suggestive of combined ACL and PCL avulsion fractures. Arthroscopic findings showed that the injury was in fact a PCL avulsion fracture that was displaced anteriorly so as to mimic an ACL avulsion fracture on CT scan.


Subject(s)
Fractures, Avulsion , Poster , Ligaments
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