Sagittal FS T2-weighted MRI and lateral radiograph (prior po | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Sagittal FS T2-weighted MRI and lateral radiograph (prior post) show a displaced fracture of the tibial spine/intercondylar eminence (black arrows) with a large joint effusion (white arrows). The tibial fragment has been avulsed by the ACL (orange arrow), which is intact. Note the open growth plates of the femur and tibia. As opposed to the classic midsubstance ACL tears seen in older children/adults, this pattern of ACL injury is more frequently found in skeletally immature patients.
#FridayQuizDay

More about this case

Resolved Common presentation

Why you should join Figure 1

Similar cases



30m 18 months post ACL repair](https://app.figure1.com/case-detail/165ff78f-2213-4f9a-b0da-9c4e9b6f5a91)



A1 - Image 7 demonstrates an acute ACL tear (blue arrow).](https://app.figure1.com/case-detail/1b975ce6-fc03-4b38-a8e2-c3ead75b236b)



Sagittal T2-W MRI shows the avulsion fracture (arrow) of the tibial spine and a large lipohemarthrosis (arrowhead).](https://app.figure1.com/case-detail/2b6863d3-50d3-44a1-889d-055553ac3d04)



Sagittal T2 weighted MR of the knee in an adolescent shows disruption of the anterior cruciate ligament (arrow).](https://app.figure1.com/case-detail/3fa4a49c-f51d-403b-b194-94939213f74a)



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain.](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)