title: Femoral avulsion fracture of ACL proximal attachment in male scuba diver: case report and review of the literature.
abstract: Femoral ACL avulsion fractures were not well described in the literature, and there were only several reports describing mostly immature patients. A case of 50-year-old man with ACL femoral attachment avulsion fracture after pivoting knee injury during skiing was presented. The bony attachment was reduced and fixed arthroscopically with screws. Four months after surgery, patient was allowed to return to full sport activity with full range of motion. He was able to perform a one-leg-hop test without limitation, and the strength of quadriceps muscle was comparable to contralateral side. Lachman and pivot shift tests were normal. Level of evidence IV.
authors.affiliation: Orthopedic and Trauma Department, Veteran's Memorial Teaching Hospital in Lodz, Medical University of Lodz, Zeromskiego 113, 90-549, Lodz, Poland.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Zabierek
authors.affiliation: Orthopedic and Trauma Department, Veteran's Memorial Teaching Hospital in Lodz, Medical University of Lodz, Zeromskiego 113, 90-549, Lodz, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Nowak
authors.affiliation: Orthopedic and Trauma Department, Veteran's Memorial Teaching Hospital in Lodz, Medical University of Lodz, Zeromskiego 113, 90-549, Lodz, Poland. marcin.domzalski@umed.lodz.pl.
authors.forename: Marcin
authors.initials: M
authors.lastname: Domzalski
mesh_terms: D000070598:Anterior Cruciate Ligament Injuries / Q000601:surgery; D059549:Anterior Cruciate Ligament Reconstruction; D001182:Arthroscopy; D004242:Diving; D005264:Femoral Fractures / Q000209:etiology* / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods; D000071562:Fractures, Avulsion / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007717:Knee / Q000502:physiology; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D016059:Range of Motion, Articular; D000068958:Return to Sport; D012865:Skiing / Q000293:injuries*
keywords: ACL; Femoral avulsion; Fixation