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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

Lateral radiograph after 1 year.
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Figure 9: Lateral radiograph after 1 year.

Mentions: Eleven months after the trauma, complete healing of the fracture with correct alignment was confirmed (Figures 9 and 10). A leg-length discrepancy of 15 mm in favor of the injured right leg was found on the radiographs but did not increase over the following year. At the last office visit about 30 months post injury, a minimal anterior drawer without further ligament instability or muscle atrophy was noted. The boy was not restricted in his regular activities and was able to play team handball again.


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)

Lateral radiograph after 1 year.
© Copyright Policy
Related In: Results  -  Collection

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

Figure 9: Lateral radiograph after 1 year.
Mentions: Eleven months after the trauma, complete healing of the fracture with correct alignment was confirmed (Figures 9 and 10). A leg-length discrepancy of 15 mm in favor of the injured right leg was found on the radiographs but did not increase over the following year. At the last office visit about 30 months post injury, a minimal anterior drawer without further ligament instability or muscle atrophy was noted. The boy was not restricted in his regular activities and was able to play team handball again.

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