Proximal anterior cruciate ligament avulsion fracture in a skeletally immature athlete: A case report and method of physeal sparing repair

  • Edwards M
  • Terry J
  • Gibbs J
 et al. 
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Traumatic rupture of the anterior cruciate ligament (ACL) in adulthood is relatively common and surgical reconstruction is frequently required to allow return to high-level activities. There is growing evidence to suggest that ACL rupture in children is more common than previously thought and a poor outcome is associated with conservative management. The site of rupture in childhood is predominantly tibial avulsion, but mid-substance tears have also been reported. We report a case of a proximal ACL avulsion in an 11-year-old athlete and discuss a method of extra-physeal repair. There are very few previous reports of proximal avulsion fractures in skeletally immature patients.

Author-supplied keywords

  • ACL
  • Athlete
  • Rupture
  • Skeletally immature

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  • M. R. Edwards

  • J. Terry

  • J. Gibbs

  • S. Bridle

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