The Challenging Diagnosis and Management of a Pediatric Bicondylar Hoffa Fracture: A Case Report

IntroductionHoffa fractures are uncommon fractures in adults and less common in children. They are defined as fractures of the femoral condyles that occur in the coronal planes. To this day, Hoffa fractures in children comprise only of case reports.Case ReportOur case report is focused on a 12-year-...

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Bibliographic Details
Published in:Journal of orthopaedic case reports 2024, Vol.14 (5), p.136-140
Main Authors: Khassoui, Amine El, Touraif, Mariem, Tahiri, Driss, Salama, Tarik, Aghoutane, El Mouhtadi, Fezzazi, Redouane El
Format: Report
Language:English
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Summary:IntroductionHoffa fractures are uncommon fractures in adults and less common in children. They are defined as fractures of the femoral condyles that occur in the coronal planes. To this day, Hoffa fractures in children comprise only of case reports.Case ReportOur case report is focused on a 12-year-old patient victim of a high-impact trauma causing a bicondylar Hoffa fracture. The diagnosis was based on an X-ray in front and lateral views and confirmed by a computed tomography scan and 3D reconstructions. A screw fixation truth open reduction with a lateral approach. We report the satisfactory results of our case after a 24-month follow-up with a good range of motion.ConclusionTo avoid necrosis of the fragment, pain and stiffness at long-term follow-up make the management of this fracture a serious challenge, and in the pediatric population, the prevention of growth cartilage injuries is crucial to accurate management.
ISSN:2250-0685
DOI:10.13107/jocr.2024.v14.i05.4462