{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:35:07Z","timestamp":1785425707612,"version":"3.56.0"},"reference-count":27,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Introduction<\/jats:title>\n Busch-Hoffa fractures are rare, particularly in the pediatric population, with limited available literature. As it is an inherently unstable fracture and as the posterior femoral condyle is prone to non-union, correct and adequate treatment of the fracture is critical but challenging.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aims to (1) systematically review the literature on pediatric Busch-Hoffa fractures, and (2) present a rare case of a lateral Busch-Hoffa fracture with a bucket-handle lateral meniscus tear and popliteus tendon incarceration in a pediatric patient.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A systematic review was performed in February 2025 using PubMed\/MEDLINE, identifying English-language articles on Busch-Hoffa fractures in patients aged \u226416 years. PRISMA guidelines and quality assessment tools were applied.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A literature search identified 20 cases, predominantly occurring in males (66.7%) with an average age of 11.35 years. Falls and motor vehicle accidents were the most common mechanisms of injury. Open reduction and internal fixation was performed in 85% of cases, with generally favorable outcomes. Three cases presented with a concomitant osseous injury and two were associated with a soft tissue injury.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Although rare, pediatric Busch-Hoffa fractures must not be overlooked. Existing literature is sparse and consists primarily of case reports. Given the high risk of instability and non-union, surgical fixation remains the preferred treatment. Our case contributes to existing literature by presenting a unique combination of Busch-Hoffa fracture with significant soft tissue involvement, underscoring the role of arthroscopy in assessing and managing concomitant injuries.<\/jats:p>\n <\/jats:sec>","DOI":"10.52965\/001c.145865","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T17:19:17Z","timestamp":1762190357000},"source":"Crossref","is-referenced-by-count":0,"title":["Pediatric lateral Busch-Hoffa fracture associated with lateral meniscus tear and incarcerated popliteus tendon: systematic review of literature and case report"],"prefix":"10.52965","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2341-4757","authenticated-orcid":true,"given":"Tine","family":"De Mulder","sequence":"first","affiliation":[{"name":"CHI Crumlin","department":["Pediatric Orthopaedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adanna","family":"Welch-Phillips","sequence":"additional","affiliation":[{"name":"CHI Crumlin","department":["Pediatric Orthopaedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad","family":"Mosri","sequence":"additional","affiliation":[{"name":"CHI Crumlin","department":["Pediatric Orthopaedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim","family":"Kennedy","sequence":"additional","affiliation":[{"name":"CHI Crumlin","department":["Pediatric Orthopaedics"]},{"id":[{"id":"https:\/\/ror.org\/019dhar59","id-type":"ROR","asserted-by":"publisher"}],"name":"Trinity College","department":["School of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9783-2609","authenticated-orcid":false,"given":"Patrick","family":"O'Toole","sequence":"additional","affiliation":[{"name":"CHI Crumlin","department":["Pediatric Orthopaedics"]},{"id":[{"id":"https:\/\/ror.org\/05m7pjf47","id-type":"ROR","asserted-by":"publisher"}],"name":"University College Dublin","department":["School of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"issue":"4","key":"ref1","first-page":"335","article-title":"Isolated Hoffa fracture of the medial femoral condyle in a skeletally immature patient: a case report","volume":"69","author":"K. 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