Neglected Hoffa fracture in a child

被引:11
作者
Tripathy, Sujit Kumar [1 ,3 ]
Aggarwal, Aditya [3 ]
Patel, Sandeep [3 ]
Goyal, Tarun [2 ,3 ]
Priya, Nitesh [1 ]
机构
[1] Friarage Hosp, Dept Orthopaed, Northallerton, England
[2] Freeman Rd Hosp, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England
[3] Postgrad Inst Med Educ & Res, Chandigarh 160012, India
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2013年 / 22卷 / 04期
关键词
distal femoral epiphysis; Hoffa fracture; knee joint; neglected injury; osteochondral fracture; paediatric fracture; LATERAL FEMORAL CONDYLE; CORONAL FRACTURES; MECHANISM; KNEE;
D O I
10.1097/BPB.0b013e328354f6e2
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The clinical presentations and surgical outcome of a 4-month-old Hoffa fracture in a 12-year-old child are reported. The child presented with chronic pain, swelling and instability in the right knee joint. Lateral radiograph showed a small bone fragment on the posterior condyle, which raised the possibility of a fracture. Computed tomographic scan and MRI clearly delineated the coronal plane fracture of the lateral femoral condyle that had spared the physeal cartilage. The fracture was accessed through the posterolateral approach to the knee; the fragment was anatomically reduced and fixed with two partially threaded cancellous screws. Radiographic union was observed after 3 months, and after 2 years of follow-up, the child had excellent functional outcome.
引用
收藏
页码:339 / 343
页数:5
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