Delayed detection of clinically significant posterior cruciate ligament injury after peri-articular fracture around the knee of 448 patients

Jae Gyoon Kim, Hong Chul Lim, Hak Jun Kim, Myung Hoi Hwang, Yong Cheol Yoon, Jong-Keon Oh

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background The purpose of this study was to report the frequency with which posterior cruciate ligament (PCL) injuries occurred in combination with peri-articular fractures around the knee, and to determine the frequency with which the detection of these PCL injuries was delayed (i.e., detected in an outpatient clinic after fracture treatment). Methods This retrospective study included 448 subjects with peri-articular fractures around the knee, including femoral shaft fractures, distal femoral fractures, patellar fractures, tibial plateau fractures, and tibial shaft fractures. The PCL injuries were detected through clinical examination, magnetic resonance imaging, and stress X-rays. We determined both the frequency of PCL injuries that occurred in combination with peri-articular fractures around the knee, and the frequency with which the detection of these PCL injuries was delayed. We also compared the frequency with which PCL injuries were associated with either isolated or combined fractures for different fracture types. Results We identified concomitant PCL injury and periarticular fracture of the knee in 7.8 % of patients. In 22 of the 35 patients with concomitant PCL injury, the detection of the PCL injury was delayed. There were significant differences in the frequency with which PCL injuries were associated with isolated or combined fractures of the femoral shaft (P = 0.04), patella (P = 0.03), and distal femur (P = 0.03). Conclusion The delayed detection frequency was high for PCL injury after peri-articular fracture around the knee.

Original languageEnglish
Pages (from-to)1741-1746
Number of pages6
JournalArchives of Orthopaedic and Trauma Surgery
Volume132
Issue number12
DOIs
Publication statusPublished - 2012 Dec 1

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Posterior Cruciate Ligament
Knee
Joints
Wounds and Injuries
Femoral Fractures
Tibial Fractures
Patella
Ambulatory Care Facilities
Femur
Retrospective Studies

Keywords

  • Knee
  • Peri-articular fracture
  • Posterior cruciate ligament injury

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Delayed detection of clinically significant posterior cruciate ligament injury after peri-articular fracture around the knee of 448 patients. / Kim, Jae Gyoon; Lim, Hong Chul; Kim, Hak Jun; Hwang, Myung Hoi; Yoon, Yong Cheol; Oh, Jong-Keon.

In: Archives of Orthopaedic and Trauma Surgery, Vol. 132, No. 12, 01.12.2012, p. 1741-1746.

Research output: Contribution to journalArticle

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AB - Background The purpose of this study was to report the frequency with which posterior cruciate ligament (PCL) injuries occurred in combination with peri-articular fractures around the knee, and to determine the frequency with which the detection of these PCL injuries was delayed (i.e., detected in an outpatient clinic after fracture treatment). Methods This retrospective study included 448 subjects with peri-articular fractures around the knee, including femoral shaft fractures, distal femoral fractures, patellar fractures, tibial plateau fractures, and tibial shaft fractures. The PCL injuries were detected through clinical examination, magnetic resonance imaging, and stress X-rays. We determined both the frequency of PCL injuries that occurred in combination with peri-articular fractures around the knee, and the frequency with which the detection of these PCL injuries was delayed. We also compared the frequency with which PCL injuries were associated with either isolated or combined fractures for different fracture types. Results We identified concomitant PCL injury and periarticular fracture of the knee in 7.8 % of patients. In 22 of the 35 patients with concomitant PCL injury, the detection of the PCL injury was delayed. There were significant differences in the frequency with which PCL injuries were associated with isolated or combined fractures of the femoral shaft (P = 0.04), patella (P = 0.03), and distal femur (P = 0.03). Conclusion The delayed detection frequency was high for PCL injury after peri-articular fracture around the knee.

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