Osteochondral knee injury and ACL rupture

Case contributed by Bálint Botz
Diagnosis certain

Presentation

Multiple prior injuries, right-sided knee pain. ?ACL rupture

Patient Data

Age: 40 years
Gender: Male
  • about 20 mm fragmented osteochondral injury of the medial femoral condylar surface; the fragments are only minimally displaced though there is considerable fluid seeping in between them putting the injury between stage III and IV
  • more discrete chondral delamination injury of the medial tibial condyle with subchondral edema
  • discontinuity of the anterior cruciate ligament (ACL) with a shallow angle
  • moderate knee joint effusion and synovial proliferation

Case Discussion

Extensive, likely subacute/chronic osteochondral injury and status post anterior cruciate ligament (ACL) rupture with resultant joint effusion. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.