Evidence map›Paper›PMID 42131024›Full record

ArticleJournal of orthopaedic case reports2026

Simultaneous Anterior Cruciate Ligament Avulsion Fracture with Bilateral Posterior Meniscal Root Tears of the Knee: A Case Report.

Deem Alsedais, Bader Majed Aljadaan, Hamad H Aldakhil Allah, Abdullah Adel AlNasser, Ibrahim Ababtain

Abstract readCase Reports
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Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Deem AlsedaisDepartment of Orthopedic, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Bader Majed AljadaanDepartment of Orthopedic, Sport Medicine and Arthroscopy, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Hamad H Aldakhil AllahDepartment of Orthopedic, Sport Medicine and Arthroscopy, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Abdullah Adel AlNasserDepartment of Orthopedic, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Ibrahim AbabtainDepartment of Orthopedic, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Anterior cruciate ligament (ACL) avulsion fractures are uncommon injuries in adults and are frequently associated with concomitant intra-articular pathology. Posterior meniscal root tears, particularly of the lateral meniscus, may coexist with ACL injuries; however, simultaneous involvement of both medial and lateral posterior meniscal roots in the setting of an ACL avulsion fracture is exceedingly rare. Case Report: A 29-year-old male presented with acute knee pain and swelling following a pivot-shift injury sustained during a low-velocity scooter accident. Radiographs and computed tomography demonstrated a displaced tibial spine avulsion fracture. Diagnostic arthroscopy revealed an ACL avulsion fracture combined with complete posterior root tears of both the medial and lateral menisci. The patient underwent single-stage arthroscopic fixation of the ACL avulsion and simultaneous transtibial pull-out repair of both meniscal roots using independent tibial tunnels. Post-operatively, a structured rehabilitation protocol was followed, resulting in restoration of the knee range of motion and stability. Conclusion: This case highlights a rare but clinically significant injury pattern that may be overlooked without careful imaging and arthroscopic evaluation. Failure to recognize associated bilateral meniscal root tears in ACL avulsion injuries may result in persistent instability, meniscal extrusion, and early degenerative changes. Simultaneous anatomic repair can restore knee biomechanics and avoid the need for staged procedures. Clinicians managing ACL avulsion fractures should maintain a high index of suspicion for concomitant posterior meniscal root tears. Early diagnosis and single stage anatomic repair may optimize knee stability and functional outcomes in active patients.

Indexed as

anterior cruciate ligament avulsionArthroscopykneelateral meniscus root tearmedial meniscus root tearmeniscus root tear

Identifiers

PMID42131024
PMCPMC13161975

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