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BMJ Case Rep. 2019 Mar 15;12(3). pii: e227735. doi: 10.1136/bcr-2018-227735.

ACL rupture in the immediate build-up to the Olympic Games: return to elite alpine ski competition 5 months after injury and ACL repair.

Author information

1
Chirurgie Orthopédique, Centre Orthopédique Santy, Hôpital privé Jean Mermoz, Lyon, France.
2
Medical Technologies and Advanced Materials, Nottingham Trent University - Clifton Campus, Nottingham, UK.
3
Renacres Hospital, Ormskirk, UK.

Abstract

Anterior cruciate ligament (ACL) rupture in the immediate build-up to a major international competition can preclude an athletes' participation due to the prolonged period of rehabilitation that is typically required after ACL reconstruction. ACL repair is an alternative strategy that has been postulated to confer the advantage of rapid rehabilitation and earlier return to sport. A 33-year-old professional alpine skier sustained a right knee ACL rupture in September 2017. The athlete indicated that she wanted to participate in the 2018 Olympics. Arthroscopic ACL repair and reconstruction of the anterolateral ligament was undertaken. At 3 months, Lachman's test revealed a hard end point, a negative pivot shift and no side-to-side laxity difference. MRI at 6 and 12 weeks demonstrated a continuous ACL with no intraligament signal change. At 20 weeks postoperatively, she successfully participated in the slalom at the 2018 Olympic Games.

KEYWORDS:

knee injuries; ligament rupture; orthopaedic and trauma surgery

PMID:
30878956
DOI:
10.1136/bcr-2018-227735
[Indexed for MEDLINE]

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