Painful Fibrous Nonunion of a Posterior Oblique Ligament Bony Avulsion Fracture Associated with Anterior Cruciate Ligament Tear: A Case Report

John Rudolph H. Smith; Lauren E. Dittman; Christopher L. Camp; Bruce A. Levy

doi:10.2106/JBJS.CC.22.00547

Painful Fibrous Nonunion of a Posterior Oblique Ligament Bony Avulsion Fracture Associated with Anterior Cruciate Ligament Tear: A Case Report

John Rudolph H. Smith, Lauren E. Dittman, Christopher L. Camp, Bruce A. Levy

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Case:This report describes a case of a posterior oblique ligament (POL) bony avulsion fracture associated with an anterior cruciate ligament (ACL) tear in a 16-year-old female gymnast. The avulsion fracture was discovered on repeat radiographs and magnetic resonance imaging after the patient developed increased pain after ACL reconstruction. After excising the bony avulsion and repairing the POL, she reported complete resolution of her preoperative pain.Conclusion:Bony avulsion fractures of the POL are rare and challenging to diagnose. Awareness of this injury and the subtle imaging findings will help clinicians appropriately diagnose and treat these lesions.

Original language	English (US)
Article number	e2200547
Journal	JBJS case connector
Volume	12
Issue number	4
DOIs	https://doi.org/10.2106/JBJS.CC.22.00547
State	Published - Dec 15 2022

Keywords

ACL tear
adolescent
anterior cruciate ligament
avulsion fracture
female
gymnastics
pain
POL
posterior oblique ligament
posteromedial corner

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.22.00547

Cite this

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abstract = "Case:This report describes a case of a posterior oblique ligament (POL) bony avulsion fracture associated with an anterior cruciate ligament (ACL) tear in a 16-year-old female gymnast. The avulsion fracture was discovered on repeat radiographs and magnetic resonance imaging after the patient developed increased pain after ACL reconstruction. After excising the bony avulsion and repairing the POL, she reported complete resolution of her preoperative pain.Conclusion:Bony avulsion fractures of the POL are rare and challenging to diagnose. Awareness of this injury and the subtle imaging findings will help clinicians appropriately diagnose and treat these lesions.",

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AU - Camp, Christopher L.

AU - Levy, Bruce A.

PY - 2022/12/15

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AB - Case:This report describes a case of a posterior oblique ligament (POL) bony avulsion fracture associated with an anterior cruciate ligament (ACL) tear in a 16-year-old female gymnast. The avulsion fracture was discovered on repeat radiographs and magnetic resonance imaging after the patient developed increased pain after ACL reconstruction. After excising the bony avulsion and repairing the POL, she reported complete resolution of her preoperative pain.Conclusion:Bony avulsion fractures of the POL are rare and challenging to diagnose. Awareness of this injury and the subtle imaging findings will help clinicians appropriately diagnose and treat these lesions.

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KW - adolescent

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Painful Fibrous Nonunion of a Posterior Oblique Ligament Bony Avulsion Fracture Associated with Anterior Cruciate Ligament Tear: A Case Report

Abstract

Keywords

ASJC Scopus subject areas

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