Unique simultaneous avulsion fracture of both the proximal and distal insertion sites of the anterior cruciate ligament

BMJ Case Rep. 2018 Mar 1:2018:bcr2017222265. doi: 10.1136/bcr-2017-222265.

Abstract

February is a busy month for the ambulance skiing patrol at the skiing resorts in Norway and on this day, a call regarding an 11-year-old boy on one of the hills reached the team. What no one knew at that moment was that this boy had suffered a unique injury and that his X-rays would reveal something that, prior to this, had never been described in the history of mankind. This patient had suffered a simultaneous avulsion fracture of both the femoral and tibial insertion sites of the anterior cruciate ligament without suffering any other injuries to the knee. The injury was treated conservatively and at 1-year follow-up, the patient was completely recovered.

Keywords: knee injuries; knee laxity; ligament rupture; orthopaedics; paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Anterior Cruciate Ligament / diagnostic imaging*
  • Braces
  • Child
  • Femoral Fractures / diet therapy*
  • Femoral Fractures / etiology
  • Femoral Fractures / therapy
  • Fractures, Avulsion / diagnostic imaging*
  • Fractures, Avulsion / etiology
  • Fractures, Avulsion / therapy
  • Humans
  • Knee Injuries / diagnostic imaging*
  • Knee Injuries / etiology
  • Knee Injuries / therapy
  • Knee Joint / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Skiing / injuries*
  • Tibial Fractures / diagnostic imaging*
  • Tibial Fractures / etiology
  • Tibial Fractures / therapy
  • Tomography, X-Ray Computed