Ozkan I, Nakata K, Nakagawa S, Toritsuka Y, Natsu-ume T, Shino K
Department of Orthopaedic Surgery, Osaka University Medical School, Japan.
Arthroscopy. 1997 Dec;13(6):767-9. doi: 10.1016/s0749-8063(97)90017-7.
The avulsion fracture of the tibial attachment site of the anterior cruciate ligament is relatively rare among adults. Although partial avulsion fracture of this site is very rare, complex forces exerted on the knee joint could produce this type of fracture. We report on an adult patient with an avulsion fracture of the attachment site of anteromedial bundle of the anterior cruciate ligament associated with injuries of lateral and medial collateral ligament and fibular fracture. We speculate varus stress in a flexed knee coupled with rotation between the femur and tibia caused this type of injury.
前交叉韧带胫骨附着点撕脱骨折在成年人中相对少见。虽然该部位的部分撕脱骨折极为罕见，但膝关节受到的复杂外力可导致此类骨折。我们报告一例成年患者，其前交叉韧带前内侧束附着点撕脱骨折，合并内外侧副韧带损伤及腓骨骨折。我们推测，屈膝时的内翻应力以及股骨与胫骨之间的旋转导致了此类损伤。
