Open lateral condyle Hoffa's fracture with intra-articular patella dislocation, quadriceps tendon rupture and PCL avulsion

BMJ Case Rep. 2024 Jan 10;17(1):e258433. doi: 10.1136/bcr-2023-258433.

Abstract

We present a rare case of open lateral condyle Hoffa's fracture with concurrent patellar intra-articular dislocation, quadriceps rupture and posterior cruciate ligament (PCL) avulsion. The early adolescent male sustained these injuries in a road traffic accident. Diagnostic evaluation and a multidisciplinary approach guided treatment decisions. The patient underwent single-stage open reduction and internal fixation for the lateral condyle Hoffa's fracture and quadriceps tendon repair, while conservative management was chosen for the PCL avulsion. At the 1-year follow-up, the patient exhibited improved knee function.This case underscores the management of complex knee injuries and contributes to understanding unique injury patterns, enhancing patient care.

Keywords: Knee injuries; Tendon rupture.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Fractures, Open*
  • Humans
  • Male
  • Patella
  • Patellar Dislocation* / diagnostic imaging
  • Patellar Dislocation* / surgery
  • Posterior Cruciate Ligament*
  • Tendon Injuries* / diagnostic imaging
  • Tendon Injuries* / surgery
  • Tendons