Anterior cruciate ligament (ACL) avulsion fracture is rare and mostly occur in tibial attachment. Avulsion fracture of femoral attachment of ACL was uncommon and mostly reported in skeletally immature patient. This article aims to report an interesting case of femoral attachment–ACL avulsion fracture in skeletally mature patient with arthroscopic suture loop fixation.
A 32-year-old man, with no significant medical-surgical history, sustained a right non-contact pivoting knee injury during soccer competition. Plain radiographs of knee joint demonstrated intra-articular bone fragment in the intercondylar notch space. The MRI confirmed femoral attachment–ACL avulsion fracture. Then, we planned to perform fixation of femoral attachment–ACL avulsion fracture with arthroscopy suture loop technique. At 5 months after surgery, patient had no pain and swelling knee. The physical examination demonstrated negative Lachman test, anterior drawer test, pivot shift test and patient can return to preinjury daily activity and sport activities.
- sports and exercise medicine
- knee injuries
- ligament rupture
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Contributors ST contributed to perform the operation, to collect, to analyse data, to revise the manuscript and to approve for publishing. RP contributed to collect, to analyse data, to draft manuscript, to create illustration and to approve for publishing. BC contributed to collect, to analyse data, to revise the manuscript and to approve for publishing.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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