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腓肠豆骨折作为潜在前交叉韧带撕裂的哨兵征：一种罕见的临床关联

Fabella Fracture as a Sentinel Sign of Underlying Anterior Cruciate Ligament Tear: A Rare Clinical Association.

作者信息

Intekhab Syeda Shabistan, Al-Taie Alaa, Alam Syed, Ibrahem Adam Renan

机构信息

Radiology, Hamad Medical Corporation, Doha, QAT.

Radiology, Hamad General Hospital, Doha, QAT.

出版信息

Cureus. 2025 Aug 17;17(8):e90340. doi: 10.7759/cureus.90340. eCollection 2025 Aug.

DOI:10.7759/cureus.90340
PMID:40969991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12441469/
Abstract

The fabella is a sesamoid bone located in the posterolateral aspect of the knee. Fabella fractures are rare and may be overlooked in patients presenting with posterolateral knee pain. The identification of a fabella fracture on radiographs may suggest underlying soft tissue injury requiring further evaluation. We report the case of a 28-year-old male patient who sustained a fabella fracture following a twisting sports-related knee injury, with magnetic resonance imaging (MRI) revealing an associated complete anterior cruciate ligament (ACL) tear. The patient was managed conservatively with physiotherapy and planned for ACL reconstruction. This case highlights the importance of fabella fractures as a potential indicator for underlying knee injuries. Early identification and advanced imaging are essential for accurate diagnosis and proper management.

摘要

腘豆骨是位于膝关节后外侧的籽骨。腘豆骨骨折很少见，在表现为膝关节后外侧疼痛的患者中可能会被忽视。X线片上发现腘豆骨骨折可能提示存在需要进一步评估的潜在软组织损伤。我们报告一例28岁男性患者，在一次与运动相关的膝关节扭伤后发生腘豆骨骨折，磁共振成像（MRI）显示伴有前交叉韧带（ACL）完全撕裂。该患者接受了保守的物理治疗，并计划进行ACL重建。本病例强调了腘豆骨骨折作为潜在膝关节损伤指标的重要性。早期识别和先进的影像学检查对于准确诊断和恰当处理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/55cb3f401870/cureus-0017-00000090340-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/12e14c4c4207/cureus-0017-00000090340-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/3c4b296c5da2/cureus-0017-00000090340-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/6ca5aca1f951/cureus-0017-00000090340-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/578e7bc9bf4f/cureus-0017-00000090340-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/c418ba454310/cureus-0017-00000090340-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/55cb3f401870/cureus-0017-00000090340-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/12e14c4c4207/cureus-0017-00000090340-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/3c4b296c5da2/cureus-0017-00000090340-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/6ca5aca1f951/cureus-0017-00000090340-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/578e7bc9bf4f/cureus-0017-00000090340-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/c418ba454310/cureus-0017-00000090340-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e10b/12441469/55cb3f401870/cureus-0017-00000090340-i06.jpg

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