ArticleClinics in orthopedic surgery2023
Impaction Fractures of the Lateral Femoral Condyle Related to Anterior Cruciate Ligament Injury: A Scoping Review Concerning Diagnosis, Prevalence, Clinical Importance, and Management.
Article in Clinics in orthopedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Open Reduction of Lateral Femoral Condyle Impaction Fracture Using Autologous Bone Graft in the Setting of Anterior Cruciate Ligament Reconstruction With Bone-Patellar Tendon-Bone Autograft.Arthroscopy techniques · 2025Article
- The deep lateral femoral notch sign (DLFNS) is associated with concomitant knee injuries in skeletally immature patients with anterior cruciate ligament injuries.Journal of experimental orthopaedics · 2025Article
- Simultaneous ACL Reconstruction and Osteochondral Allograft Transplantation for Lateral Femoral Condyle Impaction Fractures: A Case Report.JBJS case connector · 2025Article
- Lateral Condyle Impaction Fracture Reduction With Anterior Cruciate Ligament Reconstruction, Medial Collateral Ligament Reconstruction, and Repair of Lateral Meniscus Radial Tear After a High-Grade Pivot-Shift Injury.Arthroscopy techniques · 2025Article
- Patient-Specific Implant for Anatomic Restoration of Lateral Femoral Condyle Contour After Impaction Fracture Associated With an Anterior Cruciate Ligament Tear.Arthroscopy techniques · 2025Article
- High prevalence of associated injuries in anterior cruciate ligament tears: A detailed magnetic resonance imaging analysis of 254 patients.Skeletal radiology · 2024Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: During pivot-shift anterior cruciate ligament (ACL) injury, bone bruises or impaction fractures of the lateral femoral condyle (LFC-IF) may occur due to impaction between the posterior part of the lateral tibial plateau and anterocentral part of the LFC. The purpose of the study was to systematically review the literature concerning the diagnosis, prevalence, clinical importance, and management of LFC-IF occurring during ACL injuries. Methods: Included were studies concerning impaction fractures of the anterocentral part of the LFC occurring during ACL injuries. Studies concerning only bone bruises or cartilage lesions, without subchondral bone impaction, were not included. A search was performed in Medline and Scopus databases, with final search in May 2022. A secondary search was conducted within the bibliographies of included articles and using "Cited In" option. Two authors independently extracted data in three domains: study design, LFC-IF characteristics, and LFC-IF importance and management. Results: A total of 35 studies were included for review with several studies reporting on multiple domains. Summarily, 31 studies were on the diagnosis and prevalence, 19 studies reported on the clinical importance, and 4 studies reported on the management of LFC-IF. Conclusions: A LFC-IF occurs due to the pivot-shift mechanism of ACL injury. Its radiological feature is defined as an impaction of terminal sulcus deeper than 1 mm and is present in up to 52% of patients with a torn ACL. An LFC-IF causes injury to the cartilage, probably leads to its progressive degeneration, and is significantly associated with an increased risk of a lateral meniscus injury. A large LFC-IF might be associated with greater rotational knee instability. Although several techniques of LFC-IF treatment were proposed, none of them has been evaluated on a large cohort of patients to date.
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