BMJ Case Reports 2014; doi:10.1136/bcr-2013-202650

Twin athlete brothers with open physes operated for ACL reconstruction on the same day, but with different elapsed times after injury: a 5-year follow-up

  1. Moises Cohen2
  1. 1CETE—Centro de Traumatologia do Esporte, Universidade Federal de São Paulo, São Paulo, Brazil
  2. 2Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo/Escola Paulista de Medicina, São Paulo, Brazil
  3. 3Instituto Cohen, São Paulo, Brazil
  1. Correspondence to Dr Benno Ejnisman, bennoale{at}


We present the case of twin brothers with open physes who practiced judo to a high level and were operated on the same day for anterior cruciate ligament reconstruction. One of them was injured a year before surgery, and the other was injured a month before the procedure. The brother who chose to undergo a conservative treatment sustained meniscus injury afterwards and showed lower objective results when evaluated 5 years after surgery.

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