ACL reconstruction in a teenage athlete with fibular hemimelia.
Fibular hemimelia exists as a rare cause of ACL insufficiency. This case report concerns the diagnosis and treatment of anterior cruciate ligament insufficiency in a teenage football player with fibular hemimelia. While ACL reconstruction has been described to allow activities of daily living in this patient population, this is the first report in the literature of anterior cruciate ligament reconstruction in an athlete with fibular hemimelia. We believe that ACL reconstruction is a viable and beneficial treatment option in the care of a symptomatic patient with congenital absence of the ACL and can allow athletes with this condition to return not only to their previous functional level, but also to their previous level of play.
Section of Orthopaedic Surgery, University of Manitoba, AD4-820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9, Canada. Electronic address: mascarer@hotmail.com.
Randy
R
Mascarenhas
Pan Am Clinic, University of Manitoba, 75 Poseidon Bay, Winnipeg, Manitoba R3M 3K3, Canada. Electronic address: david_simon37@hotmail.com.
David
D
Simon
Department of Orthopaedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Chicago, IL 60612, United States. Electronic address: brian.forsythe@gmail.com.
Brian
B
Forsythe
UPMC Center for Sports Medicine, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3200 South Water Street, Pittsburgh, PA 15203, United States. Electronic address: harnercd@upmc.edu.
Christopher D
CD
Harner
D000293:Adolescent; D064591:Allografts; D016118:Anterior Cruciate Ligament / Q000002:abnormalities*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D001178:Arthroplasty; D004480:Ectromelia / Q000150:complications*; D005360:Fibula / Q000002:abnormalities*; D005538:Football / Q000293:injuries; D006801:Humans; D008297:Male; D013710:Tendons / Q000637:transplantation
ACL reconstruction; Fibular hemimelia; Return to play; Teenage athlete