Fractures of the intercondylar eminence are a significant injury primarily affecting children aged 8 to 14 years. These fractures occur due to trauma such as hyperextension or forced flexion combined with external tibial rotation. In pediatric cases, the anterior cruciate ligament remains intact while the bony eminence fractures, given the ligament's strength relative to the immature bone. The intercondylar eminence is critical for knee stability, acting as the ACL's attachment site. Diagnosing fractures involves clinical examination and imaging. Symptoms include pain, swelling, restricted movement, and instability. Radiographic techniques, such as X-rays, CT, and MRI, are essential. The Meyers-McKeever classification, based on X-rays, categorizes fractures from minor displacement (Type I) to comminution (Type IV). MRI-based systems, like the Green classification, provide detailed insight into soft tissue damage and fracture displacement. Treatment depends on severity. Nonoperative approaches, including immobilization and rehabilitation, are suitable for minimally displaced fractures (Types I and some Type II). Conversely, more severe cases (Types III and IV) require surgical intervention. Arthroscopic reduction and internal fixation (ARIF) is the preferred method, offering precise fracture alignment with minimal soft tissue damage. Fixation uses sutures or screws, tailored to patient age and fracture complexity. Post-treatment complications include residual instability, joint stiffness (arthrofibrosis) and, rarely, growth plate damage or malunion. In conclusion, fractures of the intercondylar eminence demand timely and precise management to restore knee stability and prevent long-term disability.