Abstract
The authors report a case of separation involving the posterior aspect of the lateral femoral condyle in a 13-year-old boy. The patient presented with a 2-year history of vague knee discomfort and recurrent knee effusions in the absence of a single acute traumatic event. A large mobile osteochondral fragment involving most of the posterior aspect of the lateral condyle was refixed surgically with two screws via a posterolateral arthrotomy. The knee has recovered full function and the lesion is radiologically stable.
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Linden B (1977) Osteochondritis dissecans of the femoral condyles: a long-term follow-up study. J Bone Joint Surg Am 59:769–776
Aichroth P (1971) Osteochondritis dissecans of the knee. A clinical survey. J Bone Joint Surg Br 53:440–447
Kocher MS, Tucker R, Ganley TJ, Flynn JM (2006) Management of osteochondritis dissecans of the knee. Am J Sports Med 34:1181–1191. doi:10.1177/0363546506290127
Hefti F, Beguiristain J, Krauspe R, Moller-Madsen B, Riccio V, Tschauner C et al (1999) Osteochondritis dissecans: a multicenter study of the European Pediatric Orthopedic Society. J Pediatr Orthop B 84:231–245
Yoshida S, Ikata T, Takai H, Kashiwaguchi S, Katoh S, Takeda Y (1998) Osteochondritis dissecans of the femoral condyle in the growth stage. Clin Orthop Relat Res 346:162–170. doi:10.1097/00003086-199801000-00023
Mitsuoka T, Shino K, Hamada M, Horibe S (1999) Osteochondritis dissecans of the lateral femoral condyle of the knee joint. Arthroscopy 15:20–26. doi:10.1053/ar.1999.v15.015002
Biau DJM, Schranz PJ (2005) Transverse Hoffa’s or deep osteochondral fracture? An unusual fracture of the lateral femoral condyle in a child. Injury 36:862–865. doi:10.1016/j.injury.2004.11.028
McDough PW, Bernstein RM (2000) Non union of a Hoffa fracture in a child. J Orthop Trauma 14:519–521. doi:10.1097/00005131-200009000-00013
Rosenberg NJ (1964) Osteochondral fractures of the lateral femoral condyle. J Bone Joint Surg Am 46-A:1013–1025
Kennedy JC, Grainger W, McGraw RW (1966) Osteochondral fractures of the femoral condyles. J Bone Joint Surg 48-B:436–440
Bradley J, Dandy DJ (1989) Osteochondritis dissecans and other lesions of the femoral condyles. J Bone Joint Surg Br 71-B:518–522
Outerbridge RE (1983) Osteochondritis dissecans of the posterior femoral condyle. Clin Orthop Relat Res 175:121–129
Trickey EL (1980) Injuries to the posterior cruciate ligament. Diagnosis and treatment of early injuries and reconstruction of late instability. Clin Orthop Relat Res 147:76–81
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Theis, JC., Louahem, D. & Dimeglio, A. Total posterior condylar separation in a juvenile knee: open fixation through a posterior arthrotomy. Arch Orthop Trauma Surg 129, 221–224 (2009). https://doi.org/10.1007/s00402-008-0788-2
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DOI: https://doi.org/10.1007/s00402-008-0788-2