Misdiagnosed cartilaginous PCL avulsion in young children

Posterior Cruciate Ligaments injuries are rare in children and usually due to bony avulsion fractures or midsubstance tears. This study focused on cartilaginous avulsions initially misdiagnosed despite of MRI assessment. Two 6-year-old boys had cartilaginous avulsion fracture injury at the femoral a...

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Autores principales: Pacull Romain, Bourbotte-Salmon Florian, Buffe-Lidove Margaux, Cance Nicolas, Chotel Franck
Formato: article
Lenguaje:EN
Publicado: EDP Sciences 2021
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mri
Acceso en línea:https://doaj.org/article/98ed1594bb404260a98ab281279d9a87
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spelling oai:doaj.org-article:98ed1594bb404260a98ab281279d9a872021-12-02T17:16:11ZMisdiagnosed cartilaginous PCL avulsion in young children2426-888710.1051/sicotj/2021052https://doaj.org/article/98ed1594bb404260a98ab281279d9a872021-01-01T00:00:00Zhttps://www.sicot-j.org/articles/sicotj/full_html/2021/01/sicotj210060/sicotj210060.htmlhttps://doaj.org/toc/2426-8887Posterior Cruciate Ligaments injuries are rare in children and usually due to bony avulsion fractures or midsubstance tears. This study focused on cartilaginous avulsions initially misdiagnosed despite of MRI assessment. Two 6-year-old boys had cartilaginous avulsion fracture injury at the femoral attachment of the PCL. One had associated medial meniscal lesion and was reinserted. The other conducted to non-union. MRI second lecture reveals an original description with nail-biting sign on cartilage surface of anterior notch, and a close PCL angle without anterior tibial translation. No bone bruise was associated. Similarly, to ACL cartilaginous tibial avulsions, PCL cartilaginous femoral avulsions are underdiagnosed. When knee hemarthrosis occurs under the age of nine, clinician and radiologist should be aware that cartilaginous avulsion of ACL and PCL also could be the main pattern of lesion.Pacull RomainBourbotte-Salmon FlorianBuffe-Lidove MargauxCance NicolasChotel FranckEDP Sciencesarticleposterior cruciate ligamentcartilaginous femoral avulsionchildrenmribonymisdiagnosisOrthopedic surgeryRD701-811ENSICOT-J, Vol 7, p 57 (2021)
institution DOAJ
collection DOAJ
language EN
topic posterior cruciate ligament
cartilaginous femoral avulsion
children
mri
bony
misdiagnosis
Orthopedic surgery
RD701-811
spellingShingle posterior cruciate ligament
cartilaginous femoral avulsion
children
mri
bony
misdiagnosis
Orthopedic surgery
RD701-811
Pacull Romain
Bourbotte-Salmon Florian
Buffe-Lidove Margaux
Cance Nicolas
Chotel Franck
Misdiagnosed cartilaginous PCL avulsion in young children
description Posterior Cruciate Ligaments injuries are rare in children and usually due to bony avulsion fractures or midsubstance tears. This study focused on cartilaginous avulsions initially misdiagnosed despite of MRI assessment. Two 6-year-old boys had cartilaginous avulsion fracture injury at the femoral attachment of the PCL. One had associated medial meniscal lesion and was reinserted. The other conducted to non-union. MRI second lecture reveals an original description with nail-biting sign on cartilage surface of anterior notch, and a close PCL angle without anterior tibial translation. No bone bruise was associated. Similarly, to ACL cartilaginous tibial avulsions, PCL cartilaginous femoral avulsions are underdiagnosed. When knee hemarthrosis occurs under the age of nine, clinician and radiologist should be aware that cartilaginous avulsion of ACL and PCL also could be the main pattern of lesion.
format article
author Pacull Romain
Bourbotte-Salmon Florian
Buffe-Lidove Margaux
Cance Nicolas
Chotel Franck
author_facet Pacull Romain
Bourbotte-Salmon Florian
Buffe-Lidove Margaux
Cance Nicolas
Chotel Franck
author_sort Pacull Romain
title Misdiagnosed cartilaginous PCL avulsion in young children
title_short Misdiagnosed cartilaginous PCL avulsion in young children
title_full Misdiagnosed cartilaginous PCL avulsion in young children
title_fullStr Misdiagnosed cartilaginous PCL avulsion in young children
title_full_unstemmed Misdiagnosed cartilaginous PCL avulsion in young children
title_sort misdiagnosed cartilaginous pcl avulsion in young children
publisher EDP Sciences
publishDate 2021
url https://doaj.org/article/98ed1594bb404260a98ab281279d9a87
work_keys_str_mv AT pacullromain misdiagnosedcartilaginouspclavulsioninyoungchildren
AT bourbottesalmonflorian misdiagnosedcartilaginouspclavulsioninyoungchildren
AT buffelidovemargaux misdiagnosedcartilaginouspclavulsioninyoungchildren
AT cancenicolas misdiagnosedcartilaginouspclavulsioninyoungchildren
AT chotelfranck misdiagnosedcartilaginouspclavulsioninyoungchildren
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