Combined anterior and posterior cruciate ligaments avulsion from the tibial side in adult patient: case report

Leão, Marcos George de Souza; Santoro, Erika Santos; Avelino, Rafael Lima; Granjeiro, Ronan Campos; Junior, Nilton Orlando

doi:10.1016/j.rboe.2013.12.007

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…They are primarily documented in adults after high-energy impacts, such as two-wheeler vehicle accidents and falls from a height. [1][2][3][4][5] Hyperextension of the knee from such injuries places strain on both the ACL insertion in the tibial spine and the PCL insertion in the posterior aspect of the tibial plateau and is a common mechanism of injury for adult ACL and PCL avulsion fractures. 6 Similar to stand-alone cruciate ligament tibial avulsion fractures, BTAFs present with knee pain with weight bearing, antalgic gait, painful range of motion, and instability.…”

Section: Introductionmentioning

confidence: 99%

“…They are primarily documented in adults after high-energy impacts, such as two-wheeler vehicle accidents and falls from a height. 1 , 2 , 3 , 4 , 5 Hyperextension of the knee from such injuries places strain on both the ACL insertion in the tibial spine and the PCL insertion in the posterior aspect of the tibial plateau and is a common mechanism of injury for adult ACL and PCL avulsion fractures. 6 …”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic Reduction of Bicruciate Tibial Avulsion Fractures: Lever Push Technique

Wu¹,

Fong²,

Jenkins³

et al. 2022

Arthroscopy Techniques

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Arthroscopic Reduction of Bicruciate Tibial Avulsion Fractures: Lever Push Technique

Wu¹,

Fong²,

Jenkins³

et al. 2022

Arthroscopy Techniques

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“…At present, the treatment of PCL injury mainly includes conservative treatment and reconstruction treatment [3]. In patients who need reconstruction therapy, how to select appropriate materials has been one of the hot topics [4].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effect of the graft with double strands peroneus longus tendon and with the four strands hamstring tendon on reconstruction of the posterior cruciate ligament injury

Lü

Zhou

et al. 2020

Preprint

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Background This prospective study was to analyze the clinical effect of double-stranded long peroneal tendon and the four strands hamstring tendon in reconstruction of posterior cruciate ligament (PCL), and to investigate the effectiveness and safety of the two surgical approaches in reconstruction of PCL, so as to provide guidance for clinical treatment of PCL injury. Methods Total 48 patients with complete rupture of PCL treated in our hospital from July 2015 to February 2017 were selected and divided into the Group A (reconstructed with double strands peroneus longus tendon, 25 cases) and the Group B (four strands hamstring tendon, 23 cases) according to the different grafts. Results The intraoperative time for tendon extraction in the Group A (20.87 ± 2.07 min) was significantly shorter than that in the Group B (26.79 ± 2.32 min). Compared with pre-operation, the tibial posterior displacement of the two groups decreased significantly 24 months after operation, and IKDC score, Lysholm score and Tegner score increased significantly. Nevertheless, the IKDC score, Lysholm score, Tegner score, AOFAS score and Maryland score between the two groups before and after operation were no significant differences. Compared with the quadrupled hamstring tendon, the double-stranded peroneal longus tendon has the advantages of simple and safe tendon extraction. Conclusions Both surgical methods are effective for the treatment of PCL injury. When the four strands hamstring tendon is accidental (tendon rupture or tendon variation) or ineffective, the peroneal longus tendon will be a good choice.

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“…Displaced fractures in younger active patients are typically treated with surgical stabilization, either by open or arthroscopic techniques, to minimize the risk of malunion or nonunion with subsequent stiffness, instability, and impingement [1][2][3][4]6,7 . Combined avulsion fractures of the ACL and PCL are extremely rare and have been rarely reported 8 . In this study, we present a case of a young healthy male patient who sustained displaced tibial avulsion fractures of both the ACL and PCL after falling off a bicycle.…”

mentioning

confidence: 99%

Simultaneous Displaced Anterior and Posterior Cruciate Ligament Avulsion Fractures After Fall From a Bicycle

Berrian

Lee

Issack

2022

JBJS Case Connector

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Case:We present the case of a 31-year-old man who sustained simultaneous displaced anterior and posterior cruciate ligament (PCL) tibial avulsion fractures after falling from a bicycle.Conclusion:Combined avulsion fractures of the anterior and PCLs is an extremely unusual event and has rarely been reported. The displaced fragments pulled proximally by their respective cruciate ligaments required open reduction and internal fixation to prevent impingement and instability. The patient had excellent clinical and radiographic results after open reduction internal fixation of both fractures.

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Combined anterior and posterior cruciate ligaments avulsion from the tibial side in adult patient: case report

Cited by 5 publications

References 14 publications

Arthroscopic Reduction of Bicruciate Tibial Avulsion Fractures: Lever Push Technique

Arthroscopic Reduction of Bicruciate Tibial Avulsion Fractures: Lever Push Technique

Comparison of the effect of the graft with double strands peroneus longus tendon and with the four strands hamstring tendon on reconstruction of the posterior cruciate ligament injury

Simultaneous Displaced Anterior and Posterior Cruciate Ligament Avulsion Fractures After Fall From a Bicycle

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