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Medial Patellofemoral Ligament Tear Associated with an Intra-articular Axial Spilt Osteochondral Fracture of the Lateral Femoral Condyle: a “Knee Trap-door” Fracture
INTRODUCTION: Medial patellofemoral ligament (MPFL) prevents lateral dislocation of the patella and acts as a major stabilizer. The tear could be associated with osteochondral avulsion fractures; however, intra-articular split fractures are not seen. Here, we present one unusual case of such a prese...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Indian Orthopaedic Research Group
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465732/ https://www.ncbi.nlm.nih.gov/pubmed/37654742 http://dx.doi.org/10.13107/jocr.2023.v13.i08.3814 |
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author | Bansal, Shivam Choudhury, Arghya Kundu Barman, Saptarshi Niraula, Bishwa Bandhu Raja, Balgovind S Kalia, Roop Bhushan |
author_facet | Bansal, Shivam Choudhury, Arghya Kundu Barman, Saptarshi Niraula, Bishwa Bandhu Raja, Balgovind S Kalia, Roop Bhushan |
author_sort | Bansal, Shivam |
collection | PubMed |
description | INTRODUCTION: Medial patellofemoral ligament (MPFL) prevents lateral dislocation of the patella and acts as a major stabilizer. The tear could be associated with osteochondral avulsion fractures; however, intra-articular split fractures are not seen. Here, we present one unusual case of such a presentation. CASE REPORT: A 16-year-old male presented with a history of recurrent patellar dislocation and inability to bear weight following the last episode. The patient was diagnosed with an MPFL tear with an unusual intra-articular femoral condyle split fracture. The case had significant improvement in functional scores post-surgery. CONCLUSION: In physically active populations, twisting of the knee could result in an MPFL tear, leading to recurrent patellar dislocation. The treatment remains ligament reconstruction, open, or arthroscopic. Associated intra-articular fractures are very rare with such injuries and need to be addressed due to the high rate of non-union. |
format | Online Article Text |
id | pubmed-10465732 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-104657322023-08-31 Medial Patellofemoral Ligament Tear Associated with an Intra-articular Axial Spilt Osteochondral Fracture of the Lateral Femoral Condyle: a “Knee Trap-door” Fracture Bansal, Shivam Choudhury, Arghya Kundu Barman, Saptarshi Niraula, Bishwa Bandhu Raja, Balgovind S Kalia, Roop Bhushan J Orthop Case Rep Case Report INTRODUCTION: Medial patellofemoral ligament (MPFL) prevents lateral dislocation of the patella and acts as a major stabilizer. The tear could be associated with osteochondral avulsion fractures; however, intra-articular split fractures are not seen. Here, we present one unusual case of such a presentation. CASE REPORT: A 16-year-old male presented with a history of recurrent patellar dislocation and inability to bear weight following the last episode. The patient was diagnosed with an MPFL tear with an unusual intra-articular femoral condyle split fracture. The case had significant improvement in functional scores post-surgery. CONCLUSION: In physically active populations, twisting of the knee could result in an MPFL tear, leading to recurrent patellar dislocation. The treatment remains ligament reconstruction, open, or arthroscopic. Associated intra-articular fractures are very rare with such injuries and need to be addressed due to the high rate of non-union. Indian Orthopaedic Research Group 2023-08 2023-08 /pmc/articles/PMC10465732/ /pubmed/37654742 http://dx.doi.org/10.13107/jocr.2023.v13.i08.3814 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms |
spellingShingle | Case Report Bansal, Shivam Choudhury, Arghya Kundu Barman, Saptarshi Niraula, Bishwa Bandhu Raja, Balgovind S Kalia, Roop Bhushan Medial Patellofemoral Ligament Tear Associated with an Intra-articular Axial Spilt Osteochondral Fracture of the Lateral Femoral Condyle: a “Knee Trap-door” Fracture |
title | Medial Patellofemoral Ligament Tear Associated with an Intra-articular Axial Spilt Osteochondral Fracture of the Lateral Femoral Condyle: a “Knee Trap-door” Fracture |
title_full | Medial Patellofemoral Ligament Tear Associated with an Intra-articular Axial Spilt Osteochondral Fracture of the Lateral Femoral Condyle: a “Knee Trap-door” Fracture |
title_fullStr | Medial Patellofemoral Ligament Tear Associated with an Intra-articular Axial Spilt Osteochondral Fracture of the Lateral Femoral Condyle: a “Knee Trap-door” Fracture |
title_full_unstemmed | Medial Patellofemoral Ligament Tear Associated with an Intra-articular Axial Spilt Osteochondral Fracture of the Lateral Femoral Condyle: a “Knee Trap-door” Fracture |
title_short | Medial Patellofemoral Ligament Tear Associated with an Intra-articular Axial Spilt Osteochondral Fracture of the Lateral Femoral Condyle: a “Knee Trap-door” Fracture |
title_sort | medial patellofemoral ligament tear associated with an intra-articular axial spilt osteochondral fracture of the lateral femoral condyle: a “knee trap-door” fracture |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465732/ https://www.ncbi.nlm.nih.gov/pubmed/37654742 http://dx.doi.org/10.13107/jocr.2023.v13.i08.3814 |
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