Stress view of knee

Case contributed by Maulik S Patel
Diagnosis not applicable

Presentation

Road traffic accident 1 week back. Left knee injury.

Patient Data

Age: 55 years
Gender: Male
x-ray

There is a fracture of the fibular head. There is no dislocation/ bone lesion. The femorotibial compartment joint space is maintained in a non-stress view. However, stress views show abnormal joint space opening.

Case Discussion

A patient presented with knee injury. Non-stress radiographs show an avulsion fracture of the fibular head. There is a significant opening of the medial and lateral compartments of the femorotibial joint in valgus and varus stress views respectively.

Findings favor multi-ligament injury/laxity.

Later MRI was done which revealed a complete tear of the anterior cruciate ligament, intra-substance tear of the posterior cruciate ligament, grade II injury of the medial collateral ligament, and lateral collateral ligament avulsion.

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