Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2022; 10(36): 13458-13466
Published online Dec 26, 2022. doi: 10.12998/wjcc.v10.i36.13458
Hoffa's fracture in a five-year-old child diagnosed and treated with the assistance of arthroscopy: A case report
Zhi-Hao Chen, Hai-Fan Wang, Hao-Yu Wang, Fei Li, Xue-Feng Bai, Jian-Long Ni, Zhi-Bin Shi
Zhi-Hao Chen, Hai-Fan Wang, Hao-Yu Wang, Fei Li, Jian-Long Ni, Zhi-Bin Shi, The First Department of Orthopaedics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong University, Xi'an 710004, Shaanxi Province, China
Xue-Feng Bai, Department of Orthopaedics, Xi’an Daxing Hospital, Xi'an 710016, Shaanxi Province, China
Author contributions: Shi ZB provided this case and provided the relevant fund; Chen ZH and Wang HF drafted the majority of the manuscript; Wang HY, Li F, Bai XF and Ni JL collected all the materials; All authors have read and approved the final version.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Bin Shi, MD, Professor, The First Department of Orthopaedics, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong University, No. 157 Xiwu Road, Xi'an 710004, Shaanxi Province, China. zbshixjtu@163.com
Received: October 17, 2022
Peer-review started: October 17, 2022
First decision: October 27, 2022
Revised: November 5, 2022
Accepted: November 22, 2022
Article in press: November 22, 2022
Published online: December 26, 2022
Processing time: 70 Days and 8.1 Hours
Core Tip

Core Tip: Hoffa’s fracture is a rare fracture pattern of femoral condyle, it has special coronal fracture slice. When it happens in children, this fracture is very easy to be missed. The medial condyle Hoffa’s fractures are especially uncommon. We report Hoffa’s fracture of the medial condyle in a 5-year-old child, the youngest patient ever reported, who was misdiagnosed in the first place. Eventually, we diagnosed the disease with arthroscopy and completed the operation with its assistance, successfully avoiding the radiation damage caused by computed tomography scans to toddler. Meanwhile, a clear and concise review of literature is also included in our study.