Ön çapraz bağ agenezisini de içeren çoklu doğuştan anomalili bir olgu

Ön çapraz bağın (ÖÇB) doğuştan agenezisi nadir rastlanan bir durumdur. Tanısı genellikle artroskopi sırasında fark edilerek konmaktadır. Bu yazıda, tanısı fizik muayene ve manyetik rezonans görüntüleme ile konan 15 yaşında bir erkek hasta sunuldu. Hastada doğuştan ÖÇB agenezisine ek olarak, femur boyunda kısalık, tibial interkondiler eminenste displazi, dizde valgus ve omurgada kompansatuvar skolyoz vardı. Hastanın diziyle ilgili hiçbir instabilite şikayetinin bulunmaması, pivot-shift testinin negatif olması ve çoklu doğuştan anomaliler bulunması nedeniyle ameliyat düşünülmedi.

A case of multiple congenital anomalies including agenesis of the anterior cruciate ligament

Congenital absence of the anterior cruciate ligament (ACL) is a very rare anomaly. It is usually diagnosed during arthroscopic intervention. We presented a 15-year old male patient whose diagnosis was based on findings of physical examination and magnetic resonance imaging. Congenital absence of the ACL was associated with femoral shortening, dysplasia of the tibial intercondylar eminence, valgus knee, and compensatory scoliosis. Since the patient had no instability symptoms, and due to the presence of a negative pivot-shift test and multiple congenital anomalies, surgical treatment was not considered.

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  • 1. Johansson E, Aparisi T. Missing cruciate ligament in congenital short femur. J Bone Joint Surg [Am] 1983;65:1109-15.
  • 2. Steckel H, Klinger HM, Baums MH, Schultz W. Cruciate ligament reconstruction in knees with congenital cruciate ligament aplasia. Sportverletz Sportschaden 2005;19:130-3. [Abstract
  • 3. Barrett GR, Tomasin JD. Bilateral congenital absence of the anterior cruciate ligament. Orthopedics 1988;11:431-4.
  • 4. Johansson E, Aparisi T. Congenital absence of the cruciate ligaments: a case report and review of the literature. Clin Orthop Relat Res 1982;(162):108-11.
  • 5. Kaelin A, Hulin PH, Carlioz H. Congenital aplasia of the cruciate ligaments. A report of six cases. J Bone Joint Surg [Br] 1986;68:827-8.
  • 6. Noble J. Congenital absence of the anterior cruciate ligament associated with a ring meniscus. J Bone Joint Surg [Am] 1975; 57:1165-6.
  • 7. Thomas NP, Jackson AM, Aichroth PM. Congenital absence of the anterior cruciate ligament. A common component of knee dysplasia. J Bone Joint Surg [Br] 1985;67:572-5.
  • 8. Tolo VT. Congenital absence of the menisci and cruciate ligaments of the knee. A case report. J Bone Joint Surg [Am] 1981;63:1022-4.
  • 9. Frikha R, Dahmene J, Ben Hamida R, Chaieb Z, Janhaoui N, Laziz Ben Ayeche M. Congenital absence of the anterior cruciate ligament: eight cases in the same family. Rev Chir Orthop Reparatrice Appar Mot 2005;91:642-8. [Abstract]
  • 10. De Ponti A, Sansone V, de Gama Malcher M. Bilateral absence of the anterior cruciate ligament. Arthroscopy 2001;17:E26.
  • 11. Gabos PG, El Rassi G, Pahys J. Knee reconstruction in syndromes with congenital absence of the anterior cruciate ligament. J Pediatr Orthop 2005;25:210-4.
  • 12. Ratajczak W. Early development of the cruciate ligaments in staged human embryos. Folia Morphol 2000;59:285-90.
  • 13. O’Neill DF, James SL. Valgus osteotomy with anterior cruciate ligament laxity. Clin Orthop Relat Res 1992;(278):153-9.
  • 14. Boss A, Stutz G, Oursin C, Gachter A. Anterior cruciate ligament reconstruction combined with valgus tibial osteotomy (combined procedure). Knee Surg Sports Traumatol Arthrosc 1995;3:187-91.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği