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Neglected Hoffa fracture in a child

Tripathy, Sujit Kumara,c; Aggarwal, Adityac; Patel, Sandeepc; Goyal, Tarunb,c; Priya, Nitesha

Journal of Pediatric Orthopaedics B: July 2013 - Volume 22 - Issue 4 - p 339–343
doi: 10.1097/BPB.0b013e328354f6e2

The clinical presentations and surgical outcome of a 4-month-old Hoffa fracture in a 12-year-old child are reported. The child presented with chronic pain, swelling and instability in the right knee joint. Lateral radiograph showed a small bone fragment on the posterior condyle, which raised the possibility of a fracture. Computed tomographic scan and MRI clearly delineated the coronal plane fracture of the lateral femoral condyle that had spared the physeal cartilage. The fracture was accessed through the posterolateral approach to the knee; the fragment was anatomically reduced and fixed with two partially threaded cancellous screws. Radiographic union was observed after 3 months, and after 2 years of follow-up, the child had excellent functional outcome.

aDepartment of Orthopaedics, Friarage Hospital, Northallerton

bFreeman Hospital, Newcastle upon Tyne, UK

cPostgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence to Sujit Kumar Tripathy, MS, DNB, MNAMS, Dip SICOT, Department of Orthopaedics, Friarage Hospital (South Tees Hospital NHS Trust), Northallerton DL6 1JG, UK Tel: +44 91 935 799 4004; fax: +44 91 160 977 9911; e-mail:

© 2013 by Lippincott Williams & Wilkins, Inc.