A Case Report of Adolescent Bicondylar Conjoint Hoffa Fracture with Patellar Fracture and Dislocation: A Rare Combination

INTRODUCTION: Bicondylar Conjoint Hoffa fractures, where both the fractured femoral condyles joined by the bony bridge at intercondylar notch, are extremely rare with only 7 cases reported so far in the literature. We present a first case of such fracture along with patellar fracture dislocation where a fractured fragment was incarcerated between the femoral condyles. CASE PRESENTATION: 18 years old boy after road side accident presented with knee swelling and pain. Computed tomography revealed this rare combination of the fractures and was appropriately managed. CONCLUSION: High index of suspicion in trauma victims with described mechanism of injury like in this report is needed to not miss the Hoffa fracture and to differentiate conjoint variety from bicondylar unconjoint and deciding appropriate surgical. Non- contrast computed tomography NCCT is a must to look for fracture geometry and associated fractures.