Stieda fracture

Case contributed by Alborz Jahangiri
Diagnosis certain

Presentation

Tackled at soccer. Pain and tenderness at distal femur medially.

Patient Data

Age: 16 years
Gender: Male
x-ray

There is a small bony fragment at the medial femoral epicondyle with the adjacent soft tissue swelling. The appearance is in keeping with a small undisplaced avulsion injury associated with the medial collateral ligament known as Stieda fracture. A minimal joint effusion is evident.

Case Discussion

Stieda fracture refers to avulsion injury of the medial femoral condyle at the site where the medial collateral ligament attaches. 

Pellegrini-Stieda lesions are post traumatic ossified lesions at the same site which happen some weeks after the initial trauma with the same mechanism as the Stieda fracture.

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