Distal femur fractures account for less than 1% of all fractures and about 3 to 6% of all femoral fractures. Several classifications have been described but some types of distal femur fractures escape them such as the cleavage intercondylar fracture of the femur. To our knowledge, there have been only four cases reported in the literature. The authors report a case of a 32-year-old woman who presented at the emergency department with a cleavage intercondylar fracture of the left femur. The patient was treated with a long leg cast for 6 weeks, followed by physiotherapy and full weight-bearing. After 4 months, the evolution was favorable: the patient was asymptomatic and regained full knee range of motion. After 10 years of follow-up, there was no clinical or radiological evidence of knee osteoarthritis.
Giant cell tumour is a benign lesion classified as a fibrocystic tumour whose localization in Hoffa's fat pad is very rare. Clinical symptoms are insidious and non-specific causing a frequent confusion and delay in diagnosis therefore it should be distinguished radiologically from other similar conditions such as Hoffa´s disease and lipomas. We report a case of a 37-year-old patient, with no relevant history, who complained of a right knee pain for 5 years. Magnetic resonance imaging showed a small nodular mass in Hoffa's pad which was excised through a direct approach. Histologic examination of the specimen revealed a giant cell tenosynovial tumour. One year after surgery, the patient was asymptomatic with no local recurrence. The surgical removal of the tumour is the ideal treatment. The choice between open surgery and endoscopy depends on the site, size, and extent of the tumour.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.