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J Bone Joint Surg Br. 1978 May;60(2):199-202. doi: 10.1302/0301-620X.60B2.659464.

Osteochondral fractures of the lateral femoral condyle: a result of indirect violence to the knee.

The Journal of bone and joint surgery. British volume

M H Matthewson, D J Dandy

PMID: 659464 DOI: 10.1302/0301-620X.60B2.659464

Abstract

Twenty patients with an average age of eighteen and a half years sustained osteochondral fractures of the lateral femoral condyle as the result of a sudden twist and valgus strain to the straight or almost straight knee. All the patients felt sudden pain at the moment of injury, all had a haemarthrosis, and yet the fracture escaped early diagnosis in one-third of the cases. Internal fixation of the fragment with early mobilisation is recommended if the diagnosis is made within two weeks of injury, and excision of the fragment if it is only later identified.

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