Meniscus posterior horn avulsion fracture was misdiagnosed as posterior cruciate ligament avulsion fracture in 1.docVIP
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Meniscus posterior horn avulsion fracture was misdiagnosed as posterior cruciate ligament avulsion fracture in 1
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Meniscus posterior horn avulsion fracture was misdiagnosed as posterior cruciate ligament avulsion fracture in 1
[Abstract] traffic accident in 1 case, the outer court for the right diagnosis of posterior cruciate ligament avulsion fracture, right tibia and fibula fractures, tibial intramedullary nailing line fixation 5 days after referral. The inspection confirmed dead meniscus posterior horn avulsion fracture.
[Keywords:] meniscus; fracture; cruciate ligament; Misdiagnosis
Clinical data
1 General information male, 31 years old, right leg deformities caused by traffic accidents, abnormal events, right knee pain and swelling. Outside the hospital diagnosis: right posterior cruciate ligament avulsion fracture of the right tibia and fibula fracture. OK tibial intramedullary nailing fixation transferred to our hospital 5 days. examination: right knee is slightly swollen, and the leg below the knee patella see the surgery scar, suspicious positive posterior drawer test, knee-bit stripes midpoint of popliteal tenderness, foot feels good, tibialis anterior, tibialis muscle strength after ~ grade. right knee X-ray film, anteroposterior film showed condylar bone avulsion, avulsion of bone in the lateral film shows posterior tibial, right knee CT showed right posterior tibial plateau, see avulsion of bone.
2 transferred to our hospital after treatment for spinal anesthesia in the posterior approach through exploratory knee surgery. Cruciate ligament surgery see below form a complete, tension is good, no dead posterior cruciate ligament avulsion bone, see the front of the posterior cruciate ligament meniscus posterior horn attachment avulsion fracture, bone crushing, removal of bone fragments to piece, meniscal posterior horn in 2 Ai Xi State (Ethiband) suture fixation. extensor after care-bit fixed brace for 6 weeks after 6 weeks of functional exercise of knee extension and flexion.
3 results were followed up for 6 months, pati
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