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Operative Treatment for a Painful Nonunion Avulsion Fracture of the Femoral Attachment of the Medial Collateral Ligament in a Teenager

A Case Report

Calcei, Jacob G. MD1; Henry, Jensen K. MD1; Suryavanshi, Joash R. BA1; Schachne, Jonathan M. BA1; Fabricant, Peter D. MD, MPH1

doi: 10.2106/JBJS.CC.17.00281
Case Reports

Case: A 13-year-old female gymnast presented with medial knee pain despite several months of nonoperative management for a valgus hyperextension injury resulting in a bony avulsion fracture of the medial collateral ligament (MCL) origin at the medial femoral condyle. The MCL was repaired via open reduction and internal fixation (ORIF) with a single 4.0 mm cannulated screw and washer.

Conclusions: ORIF is a successful treatment option for extra-articular bony MCL origin avulsion fractures that fail conservative treatment. Following surgical intervention and structured physical therapy, our patient had full return to sports at 10 months.

1Department of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, New York

E-mail address for J.G. Calcei:

Investigation performed at the Hospital for Special Surgery, New York, New York

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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