Posterior Cruciate Ligament Injury and Posterolateral Instability in a 6-Year-Old Child

MacDonald, Peter B.; Black, Brian; Old, Jason; Dyck, Myrna; Davidson, Michael J.

doi:10.1177/03635465030310010701

Cited by 32 publications

(24 citation statements)

References 11 publications

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“…Up to the present, practical experience in the treatment of femoral avulsion fractures of the PCL for children is limited due to the low incidence of such injuries. Although some similar cases were reported in the literature, a “gold standard” is not yet available. To sum up, an osteochondral fragment may be treated by the traditional open surgery or arthroscopy, which involves procedures using screws, cerclage, non‐absorbable stitches, or K‐wires.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear

Zhao

Kuang

et al. 2020

Orthopaedic Surgery

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Background: Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. Case presentation:In this paper, we present a case of a 9-year-old boy treated by an arthroscopic repair technique using two transfemoral tunnels sparing the epiphyseal plate for 8-shaped suture fixation of femoral avulsion fracture of the PCL and using the Fastfix repair system for a meniscus tear. At 3-month postoperative, the boy showed satisfactory recovery with a full range of motion of the right knee and normal muscular strength, and no complications were observed after operation. The patient had been followed up for 24 months and his final assessment demonstrated stable painless knee with excellent functional outcome. In view of this, we suggest that the "figure-of-eight" suture technique using two transfemoral tunnels sparing the epiphyseal plate can be considered a new choice for the treatment of the PCL femoral attachment avulsion, especially in skeletally immature patients. In addition, six similar cases were found in a comprehensive literature review targeting femoral avulsion fracture of the PCL. According to the relevant findings and cases studies, we proposed a new classification named "Xiangya" which might facilitate future clinical decision making.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear

Zhao

Kuang

et al. 2020

Orthopaedic Surgery

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“…PCL injuries in children consist of avulsion patterns in the femur,5 6 tears at the tibial insertion7 and mid-substance tears 8 9. In paediatric literature, it is shown in paediatric patients, non-operative treatment can be successful,2 10 but it may result in PCL insufficiency3 4 9 or long-term instability 1. Adult studies have shown that a long-term PCL deficiency can lead to degeneration of the patellofemoral and medial compartments of the knee 11–13.…”

Section: Introductionmentioning

confidence: 99%

Avoiding tibia physeal injury during double-bundle posterior cruciate ligament reconstruction

et al. 2018

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“…Furthermore, femoral PCL avulsions are more common than tibial insertion avulsions in children [7][8][9]. There is also the risk of combined injuries with a PCL avulsion or tear [2,8,[10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

PCL tibial avulsion with an associated medial meniscal tear in a child

Solayar

Kapoor

2012

Journal of Pediatric Orthopaedics B

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Posterior cruciate ligament (PCL) injuries from tibial avulsions are rare in the paediatric setting. One would need a high index of suspicion as clinical examination may be difficult, especially in the early period. Magnetic resonance imaging is an excellent diagnostic modality for this condition and other associated injuries within the knee. We report a rare case in which the patient had a PCL avulsion off the tibial insertion site with an associated posterior horn medial meniscal tear off the posterior capsule. He was treated through open reduction and internal fixation of the avulsed fragment with suture repair of the meniscal tear. We emphasize the importance of diagnosing and managing associated intra-articular injuries when dealing with the rare condition of PCL tibial avulsion in the paediatric setting.

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Posterior Cruciate Ligament Injury and Posterolateral Instability in a 6-Year-Old Child

Cited by 32 publications

References 11 publications

Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear

Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear

Avoiding tibia physeal injury during double-bundle posterior cruciate ligament reconstruction

PCL tibial avulsion with an associated medial meniscal tear in a child

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