Posterior cruciate ligament avulsion fracture

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Knee pain with history of a car accident

Patient Data

Age: 60 years
Gender: Female

Avulsion of the posterior tibial insertion of posterior cruciate ligament, with upward displacement of the bone fragment,

Hyperintensity signal in the midpart of anterior cruciate ligament and at its tibial insertion, likely sprain.

Also noted degenerative changes of menisci and degenerative tear of posterior horn medial meniscus and joint effusion.

Mild periligamentous edema on the medial side of medial collateral ligament, likely sprain.

Case Discussion

Separation of posterior cruciate ligament insertion in tibial bone with displaced bone fragment suggestive avulsion fracture.

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