Anterior cruciate ligament avulsion fracture

Case contributed by Mansi S
Diagnosis certain

Presentation

Twisting of the knee while playing sport

Patient Data

Age: 15 years
Gender: Male

Avulsion of the tibial bony attachment of the anterior cruciate ligament with PDFS hyperintense signal is noted in the ACL. The displaced fracture fragment measures 10.5 x 4.6 mm in size and displaced by approx. 2.8 mm from the tibial prominence. No evidence of tibial translation.

Mild buckling of PCL.

Marrow edema is noted in tibial intercondylar eminence, both tibial plateaus and lateral femoral condyle.

Moderate joint effusion.

Diffuse soft tissue edema

Case Discussion

According to Meyers and McKeever classification, this case is considered type 2 as there is anterior elevation of the avulsed bone fragment. 

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