DOI: https://doi.org/10.36347/sjmcr.2026.v14i06.008

Pages: 1358-1362

We present the case of a 28-year-old motorcyclist who suffered a direct impact to the anterior tibia during a collision, with the knee flexed at 90° [1]. Clinical findings included abundant intra-articular effusion, posterior tenderness on palpation, frank posterior drawer, and a positive posterior sag sign [2]. Standard radiographs showed a retro-tibial triangular bone fragment, confirmed by CT scan as a type III Meyers and McKeever fracture (8 mm displacement) [3]. Osteosynthesis via the posterior Trickey approach was performed. Rehabilitation began on day 1 with passive mobilization under a locked extension brace, and at 6 weeks healing was achieved with flexion of 90°.