case_images: PMC5299179_01
case_images: Plain radiology of right knee (25th of May 2016 @ 13:03).
case_images: CRIS2017-5346457.001.jpg
case_images: PMC5299179_01_CRIS2017-5346457.001.jpg
case_images: fig1
case_images: Plain radiography of the right knee (Figure 1) identified a small quantity of fluid in the suprapatellar recess with lateral joint space increase and medial tibial plateau irregularity, in keeping with a relocated lateral fracture dislocation of the patellofemoral joint with avulsion fracturing of the anteromedial tibial plateau.
case_images: CT peripheral angiogram (25th of May 2016 @ 15:37), 3D reconstruction, posterior view displaying normal vasculature on left, and occlusion to right popliteal artery.
case_images: CRIS2017-5346457.002.jpg
case_images: PMC5299179_01_CRIS2017-5346457.002.jpg
case_images: fig2
case_images: Following administration of an intravenous heparin bolus (5000 international units), a CT angiogram [CTA] as shown in Figure 2 was performed to delineate the arterial vascular pathology and confirm deep venous patency in addition to bony injuries.
case_images: Intraoperative image of right popliteal artery demonstrating thrombus burden (a) and intimal distraction injury (b).
case_images: CRIS2017-5346457.003.jpg
case_images: PMC5299179_01_CRIS2017-5346457.003.jpg
case_images: fig3
case_images: A longitudinal arteriotomy was performed over the area and extended into healthy vessel in both directions (2 cm each).  Figure 3 demonstrates the intraoperative finding of an intimal distraction injury over 1.5 cm length with a central thrombus burden.
case_images: Postoperative MRI assessing multiligamentous disruption showing popliteal vessel patency and patch repair.
case_images: CRIS2017-5346457.004.jpg
case_images: PMC5299179_01_CRIS2017-5346457.004.jpg
case_images: fig4
case_images: Subsequent MRI of the knees (Figure 4) identified on the left a complete ACL tear and medial collateral ligament.