RESUMO
Posterior cruciate ligament avulsion fracture from its tibial insertion is a rare pathology in children. It is usually caused by high-energy traumas and its diagnosis is not always easy. Late diagnosis leads to late treatment, which can result in suboptimal results. We present a case of a 13-year-old boy hit by a car, who had a delay in diagnosis and treatment because of severe head trauma. The patient was treated 4 months after the trauma with open reduction and internal fixation of the avulsion fracture. After 4 years of follow-up, he has no complaints and has achieved good functional outcome.
Assuntos
Fixação Interna de Fraturas/métodos , Fratura Avulsão/cirurgia , Ligamento Cruzado Posterior/cirurgia , Fraturas da Tíbia/cirurgia , Atividades Cotidianas , Adolescente , Diagnóstico Tardio , Seguimentos , Fratura Avulsão/diagnóstico por imagem , Humanos , Masculino , Ligamento Cruzado Posterior/diagnóstico por imagem , Fraturas da Tíbia/diagnóstico por imagem , Fatores de TempoRESUMO
Ramp lesions of the medial meniscus are commonly associated with anterior cruciate ligament ruptures and consist of longitudinal peripheral tears of the posterior horn of the medial meniscus. Given the frequency of partial-thickness tears, they can be difficult to diagnose arthroscopically from the anterior compartment. We describe a classification of the different types of ramp lesions depending on both tear pattern (partial- or full-thickness tear) and associated meniscotibial ligament disruption. An original technique of arthroscopic suture placement through a single posteromedial portal with a 25° curved suture hook device is described.