Presentation
Left knee trauma.
Patient Data
Age: 40 years
Gender: Male
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A split (vertical) fracture of the lateral tibial plateau with probable articular depression.
Deep lateral femoral notch, 1.5 mm. Probable osteochondral fracture of the lateral femoral condyle.
Moderate knee joint effusion.
Case Discussion
The lateral femoral notch sign is a depression on the lateral femoral condyle, in the context of knee trauma or twisting injury, suggestive of anterior cruciate ligament (ACL) tear. It is due to the impaction of the lateral femoral condyle and the posterior tibial plateau during twisting injury of the knee.