nach oben

Skeletal Radiology

Erschienen in:

26.04.2017 | Case Report

Insufficiency avulsion fracture of the femoral attachment of the posterior cruciate ligament of the knee joint

verfasst von: Omar M. Albtoush, Marius Horger

Erschienen in: Skeletal Radiology | Ausgabe 9/2017

Einloggen, um Zugang zu erhalten

Abstract

Multiple ligaments are involved in avulsion injuries of the knee joint, including both anterior and posterior cruciate ligaments; however, avulsion injury of the posterior cruciate ligament is less frequently encountered than the anterior counterpart. Furthermore, avulsion of the femoral side of the posterior cruciate ligament is far less common than the tibial one.

Femoral attachment avulsion fracture of the posterior cruciate ligaments has been reported in literature in adolescents, rarely in adulthood, and never before in elderly patients, showing an inverse relationship with advancement in patient age. The case presented here shows femoral attachment avulsion fracture of the posterior cruciate ligament in an elderly patient with secondary osteoporosis.

Cabarrus MC, Ambekar A, Lu Y, Link TM. MRI and CT of insufficiency fractures of the pelvis and the proximal femur. AJR Am J Roentgenol. 2008;191:995–1001.CrossRefPubMed

Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006;17(12):1726–33.CrossRefPubMed

Martini F, Kremling E, Sell S. Bilateral atraumatic avulsion fracture of the calcaneal tubercle in osteomalacia during fluoride therapy—a case report. Acta Orthop Scand. 1999;70(1):91–2.CrossRefPubMed

Onada Y, Umemoto T, Fukuda K, Kajino T. Coracoid process avulsion fracture at the coracoclavicular ligament attachment site in an osteoporotic patient with acromioclavicular joint dislocation. Case Rep Orthop. 2016;2016:9580485.PubMedPubMedCentral

Fanelli GC, Edson CJ. Posterior cruciate ligament injuries in trauma patients. II. Arthroscopy. 1995;11(5):526–9.CrossRefPubMed

Suprock MD, Rogers VP. Posterior cruciate avulsion. Orthopedics. 1990;13(6):659–62.PubMed

Clanton TO, DeLee JC, Sanders B, Neidre A. Knee ligament injuries in children. J Bone Joint Surg Am. 1979;61:1195–201.CrossRefPubMed

Hesse E, Bastian L, Zeichen J, Pertschy S, Bosch U, Krettek C. Femoral avulsion fracture of the posterior cruciate ligament in association with a rupture of the popliteal artery in a 9-year-old boy: a case report. Knee Surg Sports Traumatol Arthrosc. 2006;14:335–9.CrossRefPubMed

Itokazu M, Yamane T, Shoen S. Incomplete avulsion of the femoral attachment of the posterior cruciate ligament with an osteochondral fragment in a twelve-year-old boy. Arch Orthop Trauma Surg. 1990;110:55–7.CrossRefPubMed

10.

Mayer PJ, Micheli LJ. Avulsion of the femoral attachment of the posterior cruciate ligament in an eleven-year-old boy: case report. J Bone Joint Surg Am. 1979;61:431–2.CrossRefPubMed

11.

Mirzatolooei F. Posterior dislocation of the hip and posterior cruciate ligament avulsion in an 8-year-old boy. Acta Orthop Traumatol Turc. 2009;43:532–4.CrossRefPubMed

12.

Sanders WE, Wilkins KE, Neidre A. Acute insufficiency of the posterior cruciate ligament in children: two case reports. J Bone Joint Surg Am. 1980;62:129–31.CrossRefPubMed

13.

Drucker MM, Wynne GF. Avulsion of the posterior cruciate ligament from its femoral attachment: an isolated ligamentous injury. J Trauma. 1975;15:616–7.CrossRefPubMed

14.

Lee YS, Ahn JH, Park JH, Park JW, Yoon JY, Kum DH. Partial femoral avulsion of the posterior cruciate ligament presenting as an osteochondral defect. J Knee Surg. 2009;22:369–71.CrossRefPubMed

15.

O’Donoghue DH. Surgical treatment of fresh injuries to the major ligaments of the knee. J Bone Joint Surg Am. 1950;32:721–38.CrossRefPubMed

16.

Park IS, Kim SJ. Arthroscopic fixation of avulsion of the posterior cruciate ligament from femoral insertion. Arthroscopy. 2005;21:1397.PubMed

17.

Xu Z, Chen D, Shi D, Jiang Q. Case report: osteochondral avulsion fracture of the posteromedial bundle of the PCL in knee hyperflexion. Clin Orthop Relat Res. 2012 Dec;470(12):3616–23.CrossRefPubMedPubMedCentral

18.

Mishra AK, Vikas R. A rare case of bony avulsion of posterior cruciate ligament from its femoral attachment. Med J Armed Forces India. 2016;72 (Suppl 1):S98–100

19.

Painter SE, Kleerekoper M, Camacho PM. Secondary osteoporosis: a review of the recent evidence. Endocr Pract. 2006;12:436–45.CrossRefPubMed

20.

Yamamoto T, Bullough PG. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J Bone Joint Surg Am. 2000;82(6):858–66.CrossRefPubMed

21.

Nelson FR, Craig J, Francois H, Azuh O, Oyetakin-White P, King B. Subchondral insufficiency fractures and spontaneous osteonecrosis of the knee may not be related to osteoporosis. Arch Osteoporos. 2014;9:194.CrossRefPubMed

Titel: Insufficiency avulsion fracture of the femoral attachment of the posterior cruciate ligament of the knee joint
verfasst von: Omar M. Albtoush
Marius Horger
Publikationsdatum: 26.04.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Skeletal Radiology / Ausgabe 9/2017
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-017-2660-3

Neu im Fachgebiet Radiologie

18.04.2024 | Pädiatrische Notfallmedizin | Nachrichten

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Insufficiency avulsion fracture of the femoral attachment of the posterior cruciate ligament of the knee joint

Abstract

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Update Radiologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2017

ISS 2017 Annual Meeting New York, New York

Incidental finding in a young man

Imaging features of mammary-type myofibroblastoma of soft tissue: a case series with literature review

Valgus slipped capital femoral epiphysis with contralateral pre-slip

Incidental finding in a young man

Browser’s notes

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Update Radiologie