Anterior cruciate ligament agenesia associated with hypermobile lateral meniscus, bilateral prominent L5 transverse process, and ipsilateral femoral shortening: A case report
Introduction: Anterior cruciate ligament agenesia is a very rare condition for which the treatment remains controversial. Most of the information that we have comes from case reports, and to our knowledge, this is the first case associated with both vertebral and meniscal malformation. Furthermore,...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Orthopaedic Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X23000887 |
| _version_ | 1797398403232038912 |
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| author | Gonzalo Arteaga Pablo Ramos Medardo Vargas Armando Sánchez Maria Fernanda Ramírez |
| author_facet | Gonzalo Arteaga Pablo Ramos Medardo Vargas Armando Sánchez Maria Fernanda Ramírez |
| author_sort | Gonzalo Arteaga |
| collection | DOAJ |
| description | Introduction: Anterior cruciate ligament agenesia is a very rare condition for which the treatment remains controversial. Most of the information that we have comes from case reports, and to our knowledge, this is the first case associated with both vertebral and meniscal malformation. Furthermore, surgical treatment was effective in this patient. Case report: We present a case of a 30-year-old Hispanic female patient with pain and instability following a direct trauma to the knee. She underwent an MRI, which showed absence of the anterior cruciate ligament. During the interview, she referred left limb shortening noticed first at 4 months old and lumbar scoliosis with bilateral prominent L5 transverse process diagnosed one year ago. Due to these findings, the diagnosis of agenesia of anterior cruciate ligament associated with vertebral malformation and ipsilateral femoral shortening was made. The patient was managed with arthroscopic autologous reconstruction of the anterior cruciate ligament and meniscal suture for the treatment of meniscus hypermobility that was diagnosed during the arthroscopic repair. At one-month follow-up, she was walking without assistance with a complete range of motion and no more complaints of instability and pain, and at for-months follow up she returned to her normal previous activity. Conclusion: Although anterior cruciate ligament agenesia is extremely rare, there are some conditions associated that may rise the suspicious of this, as in this case. And even though still controversial, this case shows the effectiveness of surgical treatment when the patient starts with symptoms of anterior knee instability, despite the absence of previous complaints before the triggering event. |
| first_indexed | 2024-03-09T01:25:09Z |
| format | Article |
| id | doaj.art-2af79add23fe4d9db8cfc9c8da959f9a |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2024-03-09T01:25:09Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-2af79add23fe4d9db8cfc9c8da959f9a2023-12-10T06:19:34ZengElsevierJournal of Orthopaedic Reports2773-157X2023-12-0124100216Anterior cruciate ligament agenesia associated with hypermobile lateral meniscus, bilateral prominent L5 transverse process, and ipsilateral femoral shortening: A case reportGonzalo Arteaga0Pablo Ramos1Medardo Vargas2Armando Sánchez3Maria Fernanda Ramírez4Hospital Metropolitano, Quito, Ecuador; Hospital Vozandes, Quito, Ecuador; Centro de Especialidades Ortopédicas, Quito, EcuadorHospital Metropolitano, Quito, Ecuador; International University of Ecuador Faculty of Medical Health and Life Sciences, Quito, EcuadorHospital Metropolitano, Quito, Ecuador; International University of Ecuador Faculty of Medical Health and Life Sciences, Quito, EcuadorHospital Metropolitano, Quito, Ecuador; International University of Ecuador Faculty of Medical Health and Life Sciences, Quito, Ecuador; Corresponding author. International University of Ecuador Faculty of Medical Health and Life Sciences, Quito, Ecuador.Hospital Metropolitano, Quito, Ecuador; Pontifical Catholic University of Ecuador, Quito, EcuadorIntroduction: Anterior cruciate ligament agenesia is a very rare condition for which the treatment remains controversial. Most of the information that we have comes from case reports, and to our knowledge, this is the first case associated with both vertebral and meniscal malformation. Furthermore, surgical treatment was effective in this patient. Case report: We present a case of a 30-year-old Hispanic female patient with pain and instability following a direct trauma to the knee. She underwent an MRI, which showed absence of the anterior cruciate ligament. During the interview, she referred left limb shortening noticed first at 4 months old and lumbar scoliosis with bilateral prominent L5 transverse process diagnosed one year ago. Due to these findings, the diagnosis of agenesia of anterior cruciate ligament associated with vertebral malformation and ipsilateral femoral shortening was made. The patient was managed with arthroscopic autologous reconstruction of the anterior cruciate ligament and meniscal suture for the treatment of meniscus hypermobility that was diagnosed during the arthroscopic repair. At one-month follow-up, she was walking without assistance with a complete range of motion and no more complaints of instability and pain, and at for-months follow up she returned to her normal previous activity. Conclusion: Although anterior cruciate ligament agenesia is extremely rare, there are some conditions associated that may rise the suspicious of this, as in this case. And even though still controversial, this case shows the effectiveness of surgical treatment when the patient starts with symptoms of anterior knee instability, despite the absence of previous complaints before the triggering event.http://www.sciencedirect.com/science/article/pii/S2773157X23000887Anterior cruciate ligament agenesia autologous reconstruction |
| spellingShingle | Gonzalo Arteaga Pablo Ramos Medardo Vargas Armando Sánchez Maria Fernanda Ramírez Anterior cruciate ligament agenesia associated with hypermobile lateral meniscus, bilateral prominent L5 transverse process, and ipsilateral femoral shortening: A case report Journal of Orthopaedic Reports Anterior cruciate ligament agenesia autologous reconstruction |
| title | Anterior cruciate ligament agenesia associated with hypermobile lateral meniscus, bilateral prominent L5 transverse process, and ipsilateral femoral shortening: A case report |
| title_full | Anterior cruciate ligament agenesia associated with hypermobile lateral meniscus, bilateral prominent L5 transverse process, and ipsilateral femoral shortening: A case report |
| title_fullStr | Anterior cruciate ligament agenesia associated with hypermobile lateral meniscus, bilateral prominent L5 transverse process, and ipsilateral femoral shortening: A case report |
| title_full_unstemmed | Anterior cruciate ligament agenesia associated with hypermobile lateral meniscus, bilateral prominent L5 transverse process, and ipsilateral femoral shortening: A case report |
| title_short | Anterior cruciate ligament agenesia associated with hypermobile lateral meniscus, bilateral prominent L5 transverse process, and ipsilateral femoral shortening: A case report |
| title_sort | anterior cruciate ligament agenesia associated with hypermobile lateral meniscus bilateral prominent l5 transverse process and ipsilateral femoral shortening a case report |
| topic | Anterior cruciate ligament agenesia autologous reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X23000887 |
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