Hoffa's fracture – Lateral meniscus obstructing the fracture reduction – A case report

Jain, Siddharth; Jadaan, Mutaz; E, Rahall

doi:10.1016/j.injury.2014.12.007

Cited by 9 publications

(8 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Hoffa fracture of the lateral femoral condyle is more common than the medial side -rarely the patient present with bicondylar fracture [5,7,8]. Do not present, so far, a pseudoarthrosis percentage [2].…”

Section: Discussionmentioning

confidence: 99%

“…Often missed on plain radiographs but easily found on a CT scan, helping the preoperative planning [1,[4][5][6][7][8]. Up to 25-30% of coronal plane fractures can be missed on plain radiographs [5,7].…”

Section: Discussionmentioning

confidence: 99%

“…Non-operative treatment of Hoffa fractures leads to malunion, nonunion, displacement of the fracture fragment and stiff knee [4,5]. Literature review reveals that there is no consensus on the surgical approach and the implants to be used for treatment of Hoffa´s fracture [8]. Problems of this surgical approach are infectious hazards, devascularization also fragment necrosis.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Isolated Hoffa Fracture - An Unusual and Commonly Forgotten Fracture

Duarte¹,

Silva²,

Fern³

et al. 2018

MOJOR

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Isolated Hoffa Fracture - An Unusual and Commonly Forgotten Fracture

Duarte¹,

Silva²,

Fern³

et al. 2018

MOJOR

View full text Add to dashboard Cite

“…More rarely, this injury is seen in combination with patellar dislocation [3] . Beside dislocation of the patella, the Hoffa fracture is also described with knee dislocation [4] , femoral shaft fracture [5] , meniscal tear [6] , bicondylar fracture [3] , or incarceration of the patella into the fracture [7] . Therefore, we recommend a CT scan for analysis of the fracture pattern and an MRI, if there is any hint for combined injuries.…”

Section: Discussionmentioning

confidence: 99%

A rare case of Hoffa fracture combined with lateral patellar dislocation

Jordan

Bittrich

Fehske

et al. 2017

Trauma Case Reports

View full text Add to dashboard Cite

The coronal unicondylar fracture of the distal femur (AO 33-B3) is a rare intraarticular injury within the weight bearing area of the knee, initially described by Albert Hoffa in 1904. We report an unusual combination of a Hoffa fracture with lateral patellar dislocation in a young adult. Our patient sustained the injury by a sudden twist of his leg during sports. He presented clinically with knee swelling, dislocation of the patella, and localized tenderness; unable to bare weight. After plane radiograph confirmed the injury, manual reduction of the patella was done by hyperextension of the knee and medialward pressure. Afterwards, a CT scan and MRI were conducted. The injury was surgically treated with lag-screws, locking-plate and MPFL-reconstruction.

show abstract

“…[92] Moreover, if soft tissue embedded within the fracture line prevents reduction, arthroscopy can distinguish the tissues and the degree of damage to assist restoration. [93] The biggest challenge in the treatment of Hoffa fractures under arthroscopy due to the patella is dissecting the fragments for reduction [94] and placing screws perpendicularly into the fracture line. [95] Because Hoffa fractures are intra-articular, the success of anatomical reduction and firm internal fixation is closely related to postoperative complications like traumatic arthritis.…”

Section: Treatmentmentioning

confidence: 99%

Hoffa fracture of the femoral condyle

et al. 2019

View full text Add to dashboard Cite

Background: Hoffa fractures are coronal-plane fractures of the femoral condyle, which are rarer than sagittal-plane condylar fractures. This study aimed to systematically review the clinical knowledge base of Hoffa fractures to facilitate the diagnosis and management of such injuries. Methods: We searched Medline, Embase, Cochrane Library, Google Scholar, China National Knowledge Infrastructure, and China Biology Medicine disc, using the terms “Hoffa fracture” and “coronal fracture of femoral condyle.” Results: One hundred five articles on Hoffa fractures were reviewed, and the clinical knowledge base was summarized. High-energy trauma is a common cause of a Hoffa fracture, although low-energy trauma and iatrogenic injury can also lead to these fractures. Commonly used classifications include the Letenneur classification, a computed tomography (CT) classification, the AO classification, and modified AO classification. Radiography can reveal fracture lines. If radiographic findings are negative in questionable cases, CT and magnetic resonance imaging (MRI) should be performed. Nondisplaced fractures can be managed conservatively; however, they involve a high risk of redisplacement. Open reduction and internal fixation are preferred. For young patients with good compliance, simple medial or lateral condylar fractures can be treated via a medial or lateral parapatellar approach. After fracture exposure, headless compression screws can be inserted perpendicularly to the fracture line from posterior to anterior. For bicondylar fractures, a median parapatellar incision can be used. For complex fractures in patients with osteoporosis or a high body mass index, cannulated screws with antigliding plate fixation should be used. Conclusion: Here, we summarized the injury mechanism, diagnosis, classification, and treatment options of Hoffa fractures.

show abstract

Hoffa's fracture – Lateral meniscus obstructing the fracture reduction – A case report

Cited by 9 publications

References 2 publications

Isolated Hoffa Fracture - An Unusual and Commonly Forgotten Fracture

Isolated Hoffa Fracture - An Unusual and Commonly Forgotten Fracture

A rare case of Hoffa fracture combined with lateral patellar dislocation

Hoffa fracture of the femoral condyle

Contact Info

Product

Resources

About