30 yo M presents four days after L ACL tear and possible pat | Figure 1

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Case Report

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Patient Case

30 yo M presents four days after L ACL tear and possible patellar tendon rupture. Positive drawer sign. Severe swelling, ecchymoses both anteriorly and posteriorly, and inability to flex and extend knee. Reports past history of b/l ACL tears.

Further Case Information

Case Summary:

43 yo female with a complete ACL tear confirmed on MRI and exam after jumping over an object. Patient prefers non-surgical management. Sports orthopedist recommends ACL repair. Patient 3 weeks s/p injury and enrolled in PT with mild pain on ambulation. Normal BMI, an avid dog walker, no other sports.

Main Concern:

Potential long-term complications if left unrepaired. Willing to continue with PT. Rarely requiring NSAIDs for pain control.

Report:

Femorotibial contusions with subchondral fracture in internal femoral condyle and posterolateral aspect of the tibia and cortical tear in medial femoral condyle. Tearing of the ACL and posterior horn of both menisci.