Avulsion fracture of the tibial insertion of the PCL in child – case report

Abstract

the posterior cruciate ligament (PcL) plays a relevant role in maintaining proper mechanical stability of the knee joint. Avulsion fracture of the tibial insertion of the PcL is a very rare injury in children. Despite of clinical signs, radiologic studies are fundamental for its correct diagnosis and treatment. Its might be treated either conservative or operative. In children population there are not too many scientific studies which circumscribed such injury. therefore, we still do not know what is the most effective treatment for avulsion fracture of tibial insertion of the PcL. the case we describe is a classical avulsion fracture of the tibial insertion of the PcL with accurate diagnosis and the surgical treatment followed by short follow-up control. the lesion was fixed with the screw through an open posterior approach with anatomic reduction. the patient has been closed followed for 6 months with extreme good results such as: stable painless knee and excellent functional outcome.

Avulsion fractures of the pelvis in the pediatric population. A review of the literature and case report

“…As a usual interview, a physical examination, followed by imaging tests, is necessary [7,16,17] (Fig. 2).…”