Chondral fracture

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Sports injury

Patient Data

Age: 35 years
Gender: Male
mri

Focal chondral fracture of the medial trochlear facet with underlying subchondral bone marrow edema. The detached fragment appears hyperintense, well-visualized in the medial synovial recess. Normal chondral thickness of the lateral trochlear facet as well as the the patellar facets and femoral condyles. Mild joint effusion.

Case Discussion

Chondral fracture of the medial trochlear facet grade IV.

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