REPORT – abstract
after total ACL
rupture in top athletes
Diaconu1, F. Raducan1, R.
Emergency Hospital Craiova, Romania, Department of Sports Medicine
University of Medicine and Pharmacy of Craiova, Romania
The knee joint is the largest
complex joint in the human
body. The joint capsule and ligaments are particularly vulnerable to
injury. The primary function of the knee ligaments is to stabilize
the knee, to control normal kinematics, and to prevent abnormal
displacements and rotations that may damage articular surfaces.
are presenting the case of an 18 yrs old female top handballer
admitted to our hospital for left knee trauma. The clinical findings
suggested knee sprain so we performed a magnetic resonance imaging
(MRI) which showed an anterior cruciate ligament (ACL) total rupture
associated with lateral meniscus lesion ( third degree Stoller). The
diagnosis was later confirmed using arthroscopy – the
was completed with partial meniscectomy. The patient was included
into a recovery program. After eight weeks, the follow up showed
complete clinical recovery, so the patient rejoined the sportive
training and was even selected to play into national handball league.
The patient regained the preinjury level, without any knee
disability, so a second intervention (ACL reconstruction) was
considered futile. The case showed that the musculary stabilizing
elements of the joint may entirely compensate a complete ACL lesion.
It seems that the top athletes (this is the third case in our 10 yrs
experience) may not always require ACL reconstruction after complete
rupture (even this approach is still considered compulsory in sports
rupture, athletes, knee