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Case Reports in Orthopedics
Volume 2014, Article ID 809701, 7 pages
http://dx.doi.org/10.1155/2014/809701
Case Report

Surgical Treatment of a Rare Isolated Bilateral Agenesis of Anterior and Posterior Cruciate Ligaments

1Istituto di Ricerca Traslazionale per l’Apparato Locomotore, Nicola Cerulli, LPMRI, Arezzo, Italy
2Catholic University of Sacred Heart, Policlinico Gemelli, Rome, Italy

Received 6 February 2014; Accepted 4 July 2014; Published 13 August 2014

Academic Editor: Hitesh N. Modi

Copyright © 2014 G. Cerulli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The isolated bilateral agenesis of both cruciate ligaments is a rare congenital disorder. A 17-year-old male came to our attention due to an alteration in gait pattern, pain, and tendency to walk on the forefoot with his knee flexed. The patient did not recall previous injuries. Upon physical examination anterior and posterior chronic instability were observed. Radiographic examination of both knees showed hypoplasia of the tibial eminence, a hypoplastic lateral femoral condyle, and a narrow intercondylar notch. MRI brought to light a bilateral agenesis of both posterior cruciate ligaments. Arthroscopic evaluation confirmed bilateral isolated agenesis of both cruciate ligaments. We recommended a rehabilitation program to prepare the patient for the arthroscopic construction of both cruciate ligaments.