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Avulsion fracture of the tibial eminence associated with Stener-like lesion of the medial collateral ligament in an adult: a case report and review of the literature
Arthrosc Orthop Sports Med 2021;8:15-19
Published online May 1, 2021;  https://doi.org/10.14517/aosm20010
© 2021 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Du-Han Kim, Ki-Cheor Bae, Beom-Soo Kim, Kyung-Hwan Lim

Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
Correspondence to: Kyung-Hwan Lim, https://orcid.org/0000-0002-4010-2867
Department of Orthopedic Surgery, Keimyung University School of Medicine, 1035 Dalgubul-daero, Dalseo-gu, Daegu 42601, Korea. Tel: +82-53-258-4771, Fax: +82-53-258-4773, E-mail: osmdlkh@gmail.com
Received August 7, 2020; Revised February 22, 2021; Accepted March 21, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Avulsion fractures of tibial eminence are not infrequent in the pediatric population but rare in the adult population. Moreover, displaced distal medial collateral ligament, known as Stener-like lesion, was also reported as rare. Each entity is well-documented when occurring in isolation. However, avulsion fracture of tibial eminence and displaced distal medial collateral ligament rupture in the same patient is rare. This paper reports a case of a 20-year-old female with such an injury. Moreover, avulsion fractures of tibial eminence were treated with arthroscopic pullout technique and suture tie. The medial collateral ligament was treated as an anatomical repair using suture anchors. A 4.1-mm side-to-side difference in valgus stress test was noted 6 months after surgery, and the clinical outcome was satisfactory and showed an uneventful magnetic resonance imaging scan at 1-year follow-up.
Keywords : Anterior cruciate lligament; Fractures, avulsion; Medial collateral ligament, knee
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