Two Years of Follow-up Magnetic Resonance Imaging for Osteochondral Injury of the Lateral Femoral Condyle in an Adolescent Basketball Player

Toshiyuki Iwame; Tetsuya Matsuura; Joji Iwase; Shoichiro Takao; Hiroshi Egawa; Koichi Sairyo

doi:10.2152/jmi.66.213

Toshiyuki Iwame, Tetsuya Matsuura, Joji Iwase, Shoichiro Takao, Hiroshi Egawa, Koichi Sairyo

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Keywords: Osteochondral injury, Lateral femoral condyle, Magnetic resonance imaging, Sport, Adolescent player

JOURNAL FREE ACCESS

2019 Volume 66 Issue 1.2 Pages 213-217

DOI https://doi.org/10.2152/jmi.66.213

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Abstract

Chondral and osteochondral injuries of the femoral condyle are rare, and relatively few cases have been reported. Therefore, the mechanism, treatment, and findings on follow-up of these injuries are not well described. Here, we report the case of an adolescent basketball player who sustained a sports-related traumatic osteochondral injury of the lateral femoral condyle. He was treated with open reduction and internal fixation with the pull-out suture technique. Two years later, he was able to resume sporting activities at his pre-injury level with no symptoms. Magnetic resonance imaging (MRI) confirmed survival of the fixed osteochondral fragment and restoration of the congruity of the articular cartilage with no sign of delamination. This report describes the clinical outcome of this osteochondral injury of the lateral femoral condyle as seen on MRI at the 2-year follow-up and discuss the mechanism and treatment of this injury. J. Med. Invest. 66 : 213-217, February, 2019

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