Unusual case of a surgically treated ACL tear in a 4-year-old patient.
Anterior cruciate ligament injury in children is an increasingly common disease. We report a rare case of surgical treatment of a 4-year-old patient who presented with an anterior cruciate ligament tear after a high-energy trauma followed by chronic spontaneous subluxation during knee flexion and extension. An extra-articular ligamental reconstruction technique was performed and the child is clinically well 4 years after surgery. Historically, non-surgical treatment has been the main treatment option, however, the indication for surgical reconstruction is increasing as we better understand the histological characteristics of the immature skeleton.
Departamento de Ortopedia e Traumatologia de UNIFESP/EPM, Universidade Federal de São Paulo, CETE-Centro de Traumatologia do Esporte, São Paulo, Brazil.
Diego Costa
DC
Astur
Instituto Cohen de Ortopedia, São Paulo, Brazil.
Saulo
S
Castro
Instituto Cohen de Ortopedia, São Paulo, Brazil.
Adilio
A
Bernardes
Departamento de Ortopedia e Traumatologia de UNIFESP/EPM, Universidade Federal de São Paulo, CETE-Centro de Traumatologia do Esporte, São Paulo, Brazil.
Moises
M
Cohen
D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D012421:Rupture / Q000601:surgery; D016896:Treatment Outcome