Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Oct 29;48(5):438-440.
doi: 10.1016/j.rboe.2012.11.003. eCollection 2013 Sep-Oct.

Injury of the knee ligaments associated with ipsilateral femoral shaft fractures

Marco Tulio Lopes Caldas  1 , Dorotea Starling Malheiros  2 , Angelo Paulo Lazzaroni  3 , Eduardo Axer Avelino  4 , Anderson José Santos  4
Affiliations

Injury of the knee ligaments associated with ipsilateral femoral shaft fractures

Marco Tulio Lopes Caldas et al. Rev Bras Ortop. .

Abstract
in English, Portuguese

Objective: With the objective of identifying the incidence of ipsilateral knee ligament injury, thirty-six patients with femoral shaft fractures were evaluated.

Methods: During the osteosynthesis procedure to repair the femur while under anesthesia, all patients underwent a physical examination and X-ray examination.

Results: The most common mechanism of injury observed was motorcycle accidents. Of the thirty-six patients that were studied, eleven patients (30.5%) had a knee ligament injury. Of the eleven patients, 64% had a cruciate ligament injury. The ligament injury was not treated at the time of the osteosynthesis procedure.

Conclusion: We highlight the difficulty of diagnosis at the time of admission and the need for systematic physical examination before and after surgical treatment of femoral fracture.

Objetivo: Determinar a incidência de lesão ligamentar do joelho em pacientes com fratura diafisária de fêmur ipsilateral.

Métodos: Foram avaliados 36 pacientes. Todos foram submetidos a exame físico e radiológico sob anestesia no momento da osteossíntese do fêmur.

Resultados: O mecanismo de trauma mais comum foi o acidente com motociclistas. Apresentaram lesão ligamentar do joelho 11 (30,5%) pacientes e foram encontradas lesões centrais (64%) e periféricas (36%). Nenhuma das lesões foi tratada no momento da fixação da fratura.

Conclusão: Ressalta-se a dificuldade do diagnóstico no ato da admissão e a necessidade de exame físico sistematizado antes e após o tratamento cirúrgico da fratura femoral.

Keywords: Femur; Fractures; Knee; Ligaments.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Representation of the incidence of trauma mechanisms.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Walker D.M., Kennedy J.C. Occult knee ligament injuries associated with femoral shaft fractures. Am J Sports Med. 1980;8:172–174. - PubMed
    1. De Campos J., Vangsness C.T., Jr., Merritt P.O., Sher J. Ipsilateral knee injury with femoral fracture. Examination under anesthesia and arthroscopic evaluation. Clin Orthop Relat Res. 1994:178–182. - PubMed
    1. Esmaeilijah A.A., Heidary H., Shakiba M. Association of knee ligament injury with ipsilateral femoral shaft fractures. Ir J Orthop Surg. 2004;2:37–39.
    1. Trickey E.L. Rupture of the posterior cruciate ligament of the knee. J Bone Joint Surg Br. 1968;50:334–341. - PubMed
    1. Braga G.F., Cunha F.M., Lazaroni A.P. Instabilidade do joelho associada à fratura do fêmur. Rev Bras Ortop. 1999;34:329–332.

LinkOut - more resources