title: Proximal anterior cruciate ligament avulsion fracture in a skeletally immature athlete: a case report and method of physeal sparing repair.
abstract: 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.
authors.affiliation: Department of Trauma and Orthopaedics, South East Thames Rotation, London, UK. drmaxedwards@hotmail.com
authors.forename: M R
authors.initials: MR
authors.lastname: Edwards
authors.forename: J
authors.initials: J
authors.lastname: Terry
authors.forename: J
authors.initials: J
authors.lastname: Gibbs
authors.forename: S
authors.initials: S
authors.lastname: Bridle
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D002648:Child; D005538:Football / Q000293:injuries; D006132:Growth Plate; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009985:Orthopedics / Q000379:methods*; D012421:Rupture; D013978:Tibial Fractures / Q000175:diagnosis / Q000601:surgery*