Absence congénitale du ligament croisé antérieur

Frikha, R; Dahmene, J.; Hamida, Ridha Ben Hadj; Chaieb, Z; Janhaoui, N; Ayèche, Mohamed Laziz Ben

doi:10.1016/s0035-1040(05)84468-x

Cited by 22 publications

(17 citation statements)

References 9 publications

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“…Additionally, the lateral femoral intercondylar notch is widely covered with cartilage9), which was confirmed by MRI preoperatively and by arthroscopy during the operation in our case. There have been reports in the literature of increases in the posterior slope angle, hypoplasia of the lateral femoral condyle, and abnormally rounded posterior curvature of the femoral condyle 3). The latter was not observed in our case but hypoplasia of the medial condyle was.…”

Section: Discussioncontrasting

confidence: 55%

“…Patients often adjust to their congenital knee condition and mostly do not complain of subjective instability or pathologic instability despite showing positive results on objective instability tests (e.g., Lachman test, anterior/posterior drawer test, pivot shift test)7). It has been known that patients most often complain of pain due to arthritis of the medial femorotibial joint or the patellofemoral joint, which progresses more slowly than the arthritis caused by traumatic ACL rupture3).…”

Section: Discussionmentioning

confidence: 99%

“…There are several radiographic signs that could be clues to a diagnosis of congenital absence of the ACL and the most widely known and easily observed of these is hypoplasia of the tibial spine 3,8). The second important clue is the shortening of the height and width of the intercondylar notch, which can be confirmed on a tunnel view radiographs or MRI8,9).…”

Section: Discussionmentioning

confidence: 99%

“…Congenital absence of the anterior cruciate ligament (ACL) may present as an independent defect2,3) or as part of a complex syndrome4,5).…”

mentioning

confidence: 99%

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Ligament Reconstruction in Congenital Absence of the Anterior Cruciate Ligament: A Case Report

Lee

Shin

et al. 2011

Knee Surg Relat Res

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Congenital absence of the cruciate ligament is an extremely rare condition that was first reported in Giorgi's radiographic study in 1956. The authors report on a case of anterior cruciate ligament reconstruction performed on a 21-year-old female patient with congenital anterior cruciate ligament absence. We also discuss radiographic evidence that could provide clues to the congenital absence and possible difficulties that may be encountered during surgery with a review of the relevant literature.

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Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Congenital absence of the anterior cruciate ligament (ACL) may present as an independent defect2,3) or as part of a complex syndrome4,5).…”

mentioning

confidence: 99%

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Ligament Reconstruction in Congenital Absence of the Anterior Cruciate Ligament: A Case Report

Lee

Shin

et al. 2011

Knee Surg Relat Res

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“…Malformations of the cruciate ligaments can either affect the anterior cruciate ligament (ACL) only or both cruciate ligaments [11-15]. The deficiency can occur unilaterally [4,5,7,9,16-20] or affect both knee joints [6,13,14,17]. We report on a patient with unilateral aplasia of both cruciate ligaments and point out the diagnostic pitfalls that possibly lead to therapeutic mistakes.…”

Section: Introductionmentioning

confidence: 99%

Unilateral aplasia of both cruciate ligaments

et al. 2010

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Aplasia of both cruciate ligaments is a rare congenital disorder. A 28-year-old male presented with pain and the feeling of instability of his right knee after trauma. The provided MRI and previous arthroscopy reports did not indicate any abnormalities except cruciate ligament tears. He was referred to us for reconstruction of both cruciate ligaments. The patient again underwent arthroscopy which revealed a hypoplasia of the medial trochlea and an extremely narrow intercondylar notch. The tibia revealed a missing anterior cruciate ligament (ACL) footprint and a single bump with a complete coverage with articular cartilage. There was no room for an ACL graft. A posterior cruciate ligament could not be identified. The procedure was ended since a ligament reconstruction did not appear reasonable. A significant notch plasty if not a partial resection of the condyles would have been necessary to implant a ligament graft. It is most likely that this would not lead to good knee stability. If the surgeon would have retrieved the contralateral hamstrings at the beginning of the planned ligament reconstruction a significant damage would have occurred to the patient. Even in seemingly clear diagnostic findings the arthroscopic surgeon should take this rare abdnormality into consideration and be familiar with the respective radiological findings. We refer the abnormal finding of only one tibial spine to as the "dromedar-sign" as opposed to the two (medial and a lateral) tibial spines in a normal knee. This may be used as a hint for aplasia of the cruciate ligaments.

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Knee Joint

Benninger¹

2016

Bergman's Comprehensive Encyclopedia of Human Anatomic Variation

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Absence congénitale du ligament croisé antérieur

Cited by 22 publications

References 9 publications

Ligament Reconstruction in Congenital Absence of the Anterior Cruciate Ligament: A Case Report

Ligament Reconstruction in Congenital Absence of the Anterior Cruciate Ligament: A Case Report

Unilateral aplasia of both cruciate ligaments

Knee Joint

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