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✅ Knee MRI Mastery/Chap 2.ACL and PCL

(Fig 2-E.19) PCL Bony Avulsion At Tibial Insertion

by MSK MRI 2024. 3. 17.

https://youtu.be/l1j_Prh5nTQ

 

https://youtu.be/UgiSgNcqguA

PCL bony avulsion at the tibial insertion

  • PCL bony avulsion at the tibial insertion occurs in about 10% of cases. It's important to differentiate ligamentous injuries of the PCL from osseous avulsions because osseous avulsions can be treated with primary fixation.

Radiology. 2016 Oct;281(1):23-40

Main points:

  • In bony avulsion cases, the focus is on fixing the bone without reconstructing the PCL.
  • Diagnosing avulsion fractures at the tibial insertion is straightforward, but identifying complete soft-tissue disruptions at the PCL's femoral attachment, like peel-off tears, is challenging due to minimal displacement. These cases require repair, not reconstruction.

 

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