Avulsion of the Femoral Attachment of Anterior Cruciate Ligament Associated with Ipsilateral Femoral Shaft Fracture in Skeletally Mature Patient: A Case Report

Seong-Eun Byun; Taesup Kim; Bang-Hyun Kim; Jae-Hwa Kim; Soo-Hong Han; Wonchul Choi

doi:10.12671/jkfs.2016.29.3.200

Journal List > J Korean Fract Soc > v.29(3) > 1038069

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Byun, Kim, Kim, Kim, Han, and Choi: Avulsion of the Femoral Attachment of Anterior Cruciate Ligament Associated with Ipsilateral Femoral Shaft Fracture in Skeletally Mature Patient: A Case Report

Case Report

Journal of the Korean Fracture Society 2016; 29(3): 200-205.

Published online: 21 July 2016

DOI: https://doi.org/10.12671/jkfs.2016.29.3.200

Avulsion of the Femoral Attachment of Anterior Cruciate Ligament Associated with Ipsilateral Femoral Shaft Fracture in Skeletally Mature Patient: A Case Report

Seong-Eun Byun, M.D., Taesup Kim, M.D., Bang-Hyun Kim, M.D., Jae-Hwa Kim, M.D., Ph.D, Soo-Hong Han, M.D., Ph.D, Wonchul Choi, M.D., Ph.D

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Address reprint requests to: Wonchul Choi, M.D., Ph.D. Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea. Tel: 82-31-780-5289, Fax: 82-31-708-3578, wcchoios@chamc.co.kr

Received 24 February 2016 Revised 13 April 2016 Accepted 12 May 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Avulsion fracture at the femoral attachment of the anterior cruciate ligament (ACL) is very rare and has been reported mostly in skeletally immature patients. Authors experienced a case of avulsion fracture at the femoral attachment of ACL in a skeletally mature, a 21-year-old male associated with ipsilateral femoral shaft fracture. Here, authors report on the case with a literature review. Care should be taken because an avulsion fracture at the femoral attachment of ACL can be accompanied by ipsilateral femoral shaft fracture in skeletally mature patients.

Keywords: Anterior cruciate ligament, Femoral attachment, Avulsion, Femoral shaft fracture

Figures and Tables

Fig. 1

Initial femur anteroposterior (A) and lateral (B) image show a right femoral shaft fracture. And initial knee anteroposterior (C) and lateral (D) image without a sign of fracture.

Fig. 2

Postoperative anteroposterior (A) and lateral (B) image show a fixed state of fracture with antegrade intramedullary nail.

Fig. 3

Axial (A) and coronal (B) image of computed tomography demonstrate a small bony fragment on the medial aspect of the lateral femoral condyle. And coronal (C), sagittal (D), axial (E), and oblique coronal (F) images show avulsion fracture at the femoral attachment of the anterior cruciate ligament (white arrows).

Fig. 4

Arthroscopic images show a grossly normal looking anterior cruciate ligament (A) and an intact anterior cruciate ligament with applied tension using probe (B) (black arrows).

Fig. 5

Postoperative 6 months femur anteroposterior (A) and lateral (B) image show healed femoral shaft fracture after the internal fixation. And postoperative 6 months knee anteroposterior (C) and lateral (D) image show no abnormal findings.

Notes

^{Financial support} None.

^{Conflict of interest} None.

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