Guimarães Tales M, Helito Paulo V P, Angelini Fabio J, Demange Marco K, Pécora José R, Helito Camilo P
Institute of Orthopedics and Traumatology, University of Sao Paulo, São Paulo, Brazil.
J Pediatr Orthop B. 2017 Sep;26(5):477-481. doi: 10.1097/BPB.0000000000000432.
Posterior cruciate ligament avulsion fracture from its tibial insertion is a rare pathology in children. It is usually caused by high-energy traumas and its diagnosis is not always easy. Late diagnosis leads to late treatment, which can result in suboptimal results. We present a case of a 13-year-old boy hit by a car, who had a delay in diagnosis and treatment because of severe head trauma. The patient was treated 4 months after the trauma with open reduction and internal fixation of the avulsion fracture. After 4 years of follow-up, he has no complaints and has achieved good functional outcome.
