Isolated avulsion fracture of the fibular head
Introduction. Rupture of lateral collateral ligament of the knee is most often joined with other ligament ruptures. Isolated rupture of this ligament is rare and there are few papers about treatment options and results. Here we reported a case of isolated lateral collateral ligament rupture and the...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2020-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800103H.pdf |
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| author | Harhaji Vladimir Lalić Ivica Vranješ Miodrag Mikić Milena Đan Vladimir |
| author_facet | Harhaji Vladimir Lalić Ivica Vranješ Miodrag Mikić Milena Đan Vladimir |
| author_sort | Harhaji Vladimir |
| collection | DOAJ |
| description | Introduction. Rupture of lateral collateral ligament of the knee is most often joined with other ligament ruptures. Isolated rupture of this ligament is rare and there are few papers about treatment options and results. Here we reported a case of isolated lateral collateral ligament rupture and the treatment outcome. Case report. A patient, 22 years old male, injured his left knee while playing American football. While landing on the outstretched left leg, he felt a sudden pain in his knee. The patient could not continue the competition. Initial orthopedic examination revealed lateral opening and further diagnostic procedure (magnetic resonance imaging) revealed isolated grade III rupture of lateral collateral ligament with avulsion fracture of the fibular head, and distension of anterior and posterior cruciate ligaments. Patient was surgically treated with metal sutures passed through conjoined tendon and proximal fibula. Postoperatively patient worn above knee cast for 6 weeks and after that he was included in rehabilitation. Three and six years after this injury, the patient has still been professional football player with no symptoms and no clinical instability of the knee despite radiological and computed tomography verified pseudoarthrosis of the fractured fibular head fragment. Conclusion. Early diagnostic and absence of additional injuries of the knee leads to a faster and full functional recovery of patients with isolated avulsion fracture of the fibular head, while surgical treatment provides knee stability with no residual ligament instability during sports activities. |
| format | Article |
| id | doaj-art-8c24312cd4c2401a93148cd6a5a5ce2c |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-8c24312cd4c2401a93148cd6a5a5ce2c2025-08-20T01:58:22ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202020-01-0177554554810.2298/VSP171024103H0042-84501800103HIsolated avulsion fracture of the fibular headHarhaji Vladimir0Lalić Ivica1Vranješ Miodrag2Mikić Milena3Đan Vladimir4University of Novi Sad, Faculty of Medicine, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, SerbiaIntroduction. Rupture of lateral collateral ligament of the knee is most often joined with other ligament ruptures. Isolated rupture of this ligament is rare and there are few papers about treatment options and results. Here we reported a case of isolated lateral collateral ligament rupture and the treatment outcome. Case report. A patient, 22 years old male, injured his left knee while playing American football. While landing on the outstretched left leg, he felt a sudden pain in his knee. The patient could not continue the competition. Initial orthopedic examination revealed lateral opening and further diagnostic procedure (magnetic resonance imaging) revealed isolated grade III rupture of lateral collateral ligament with avulsion fracture of the fibular head, and distension of anterior and posterior cruciate ligaments. Patient was surgically treated with metal sutures passed through conjoined tendon and proximal fibula. Postoperatively patient worn above knee cast for 6 weeks and after that he was included in rehabilitation. Three and six years after this injury, the patient has still been professional football player with no symptoms and no clinical instability of the knee despite radiological and computed tomography verified pseudoarthrosis of the fractured fibular head fragment. Conclusion. Early diagnostic and absence of additional injuries of the knee leads to a faster and full functional recovery of patients with isolated avulsion fracture of the fibular head, while surgical treatment provides knee stability with no residual ligament instability during sports activities.http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800103H.pdfknee injuriesligamentsfibulafractures, avulsionorthopedic proceduresathletic injuries |
| spellingShingle | Harhaji Vladimir Lalić Ivica Vranješ Miodrag Mikić Milena Đan Vladimir Isolated avulsion fracture of the fibular head Vojnosanitetski Pregled knee injuries ligaments fibula fractures, avulsion orthopedic procedures athletic injuries |
| title | Isolated avulsion fracture of the fibular head |
| title_full | Isolated avulsion fracture of the fibular head |
| title_fullStr | Isolated avulsion fracture of the fibular head |
| title_full_unstemmed | Isolated avulsion fracture of the fibular head |
| title_short | Isolated avulsion fracture of the fibular head |
| title_sort | isolated avulsion fracture of the fibular head |
| topic | knee injuries ligaments fibula fractures, avulsion orthopedic procedures athletic injuries |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800103H.pdf |
| work_keys_str_mv | AT harhajivladimir isolatedavulsionfractureofthefibularhead AT lalicivica isolatedavulsionfractureofthefibularhead AT vranjesmiodrag isolatedavulsionfractureofthefibularhead AT mikicmilena isolatedavulsionfractureofthefibularhead AT đanvladimir isolatedavulsionfractureofthefibularhead |