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Ipsilateral Posterior Cruciate Ligament Insertion Avulsion and Femoral Head Fracture Without Dislocation: A Rarest of Rare Dashboard Injury and Principles of Management

A Case Report

Kumar, Prasoon MBBS, MS (Ortho)1; Agarwal, Saurabh MBBS, MS (Ortho)1; Rajnish, Rajesh Kumar MBBS, MS (Ortho)1; Aggarwal, Sameer MBBS, MS (Ortho)1; Kumar, Vishal MBBS, MS (Ortho)1; Jindal, Karan MBBS, MS (Ortho)1

doi: 10.2106/JBJS.CC.18.00245
Case Reports

Case: A 25-year-old man presented with posterior cruciate ligament (PCL) avulsion and ipsilateral fracture of the femoral head after sustaining a dashboard injury. The hip was not dislocated on presentation, and there were no other injuries; he was managed operatively for both. His hip and knee healed well, with good functioning at 15 months of follow-up.

Conclusions: Dashboard injuries can cause simultaneous knee and hip injuries, usually PCL and posterior hip dislocation. This case report identifies a specific pattern of tibial avulsion fracture of the PCL combined with femoral head fracture with no dislocation at presentation. The good outcome achieved at 15 months indicates that standard treatment of open reduction and internal fixation for both fractures can provide good clinical results in this severe combination injury pattern.

1Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India

E-mail address for P. Kumar:

Investigation performed at Postgraduate Institute of Medical Education and Research, Chandigarh, India

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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