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Ligamentous rupture of the ACL associated with dislocated fracture of the proximal tibial physis in a 12-year-old boy.

Scholz S, Köpke J, Wessel LM - BMC Musculoskelet Disord (2002)

Bottom Line: This unusual fracture classically excludes rupture of the anterior cruciate ligament due to the ligament's stability.A combination of both injuries has not been previously published in the literature.The authors report the case of a 12-year-old boy who presented with a dislocated fracture (Salter-Harris II) of the proximal tibia combined with ligamentous rupture of the anterior cruciate ligament after a sporting accident.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Vanderbilt University Medical Center, Nashville/TN, USA. stefan.scholz@mcmail.vanderbilt.edu

ABSTRACT

Background: Dislocated fracture of the proximal physeal plate of the tibia with or without metaphyseal fragment is rare in children. This unusual fracture classically excludes rupture of the anterior cruciate ligament due to the ligament's stability. A combination of both injuries has not been previously published in the literature.

Case presentation: The authors report the case of a 12-year-old boy who presented with a dislocated fracture (Salter-Harris II) of the proximal tibia combined with ligamentous rupture of the anterior cruciate ligament after a sporting accident.

No MeSH data available.


Related in: MedlinePlus

Four weeks after the accident: the radiograph shows good alignment and callus (antero-posterior view).
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Figure 6: Four weeks after the accident: the radiograph shows good alignment and callus (antero-posterior view).

Mentions: At the first scheduled follow-up visit 4 weeks post trauma, the cast was removed and the knee examined. Movement of the joint was painful with passive extension. A minor joint effusion was still present. Meticulous testing of ligament instabilities was impossible to perform due to the patient's ongoing pain. MRI- and radiographic pictures in two planes showed no increased postreduction displacement and regular anatomical alignment of the fracture (Figures 5 and 6). All intraarticular ligaments and the menisci were interpreted to be intact on the MRI-films. Consequently, the boy was allowed to weight bear as tolerated.


Ligamentous rupture of the ACL associated with dislocated fracture of the proximal tibial physis in a 12-year-old boy.

Scholz S, Köpke J, Wessel LM - BMC Musculoskelet Disord (2002)

Four weeks after the accident: the radiograph shows good alignment and callus (antero-posterior view).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC78999&req=5

Figure 6: Four weeks after the accident: the radiograph shows good alignment and callus (antero-posterior view).
Mentions: At the first scheduled follow-up visit 4 weeks post trauma, the cast was removed and the knee examined. Movement of the joint was painful with passive extension. A minor joint effusion was still present. Meticulous testing of ligament instabilities was impossible to perform due to the patient's ongoing pain. MRI- and radiographic pictures in two planes showed no increased postreduction displacement and regular anatomical alignment of the fracture (Figures 5 and 6). All intraarticular ligaments and the menisci were interpreted to be intact on the MRI-films. Consequently, the boy was allowed to weight bear as tolerated.

Bottom Line: This unusual fracture classically excludes rupture of the anterior cruciate ligament due to the ligament's stability.A combination of both injuries has not been previously published in the literature.The authors report the case of a 12-year-old boy who presented with a dislocated fracture (Salter-Harris II) of the proximal tibia combined with ligamentous rupture of the anterior cruciate ligament after a sporting accident.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Vanderbilt University Medical Center, Nashville/TN, USA. stefan.scholz@mcmail.vanderbilt.edu

ABSTRACT

Background: Dislocated fracture of the proximal physeal plate of the tibia with or without metaphyseal fragment is rare in children. This unusual fracture classically excludes rupture of the anterior cruciate ligament due to the ligament's stability. A combination of both injuries has not been previously published in the literature.

Case presentation: The authors report the case of a 12-year-old boy who presented with a dislocated fracture (Salter-Harris II) of the proximal tibia combined with ligamentous rupture of the anterior cruciate ligament after a sporting accident.

No MeSH data available.


Related in: MedlinePlus