Reconstruction of a Neglected Patellar Tendon Rupture in an Adolescent: A Case Report.

We present a case of a neglected patellar tendon rupture, misdiagnosed as an anterior cruciate ligament tear, in a 12-year-old child with open physis without an avulsion fracture. The patient was treated with an ipsilateral hamstring tendon autograft with preserved distal insertions, a transpatellar tunnel, and a transtibial fixation. At the final follow-up, the patient had a full range of motion and a fully functional knee. The described technique results in complete muscle strength, full range of motion, and pain-free gait. It can be used in chronic patellar tendon ruptures and is a valuable addition to the therapeutic quiver for this type of injury.

Double Fixation Technique for Acute Acromioclavicular Joint Dislocation Using the Two-Button Technique and Gracilis Autograft Reinforcement: A Case Report of an Elite Athlete Seeking a Rapid Return to Sports Activity.

Acromioclavicular joint dislocation is a relatively common injury in the general population, especially in younger ages. Although acromioclavicular injuries are a well-studied topic, there are many controversies concerning not only the best way to treat them by operative or conservative methods but also determining the most effective fixation methods, providing better functional outcomes, faster rehabilitation protocols, fewer complications, and lower recurrence rates. In this case report, we present a case of type III acromioclavicular dislocation in a young athlete who was treated operatively using a double fixation technique, aiming to address these controversies and offer insights into the optimal management of such injuries.