OCAD MSK

History

Football injury. Varus valgus instability. Minimal pain

Figure 1 for case Displaced tibial avulsion superficial and meniscotibial deep MCL and MPFL tear — Figure 1

Figure 2 for case Displaced tibial avulsion superficial and meniscotibial deep MCL and MPFL tear — Figure 2

Figure 3 for case Displaced tibial avulsion superficial and meniscotibial deep MCL and MPFL tear — Figure 3

Figure 4 for case Displaced tibial avulsion superficial and meniscotibial deep MCL and MPFL tear — Figure 4

Figure 5 for case Displaced tibial avulsion superficial and meniscotibial deep MCL and MPFL tear — Figure 5

Figure 6 for case Displaced tibial avulsion superficial and meniscotibial deep MCL and MPFL tear — Figure 6

Discussion

Anterior and superficial displacement superficial MCL in relation to pes tendons (Stener equivalent) limiting satisfactory healing potential. Tibial avulsion meniscotibial deep MCL extended longitudinally over 2 cm and unlikely to heal with conservative Rx. Pt also sustained patellar dislocation with femoral side MPFL tear.

Diagnosis

Displaced tibial avulsion superficial and meniscotibial deep MCL and MPFL tear

James Linklater, MD

Courtesy

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