{"id":"https://openalex.org/W7201952686","doi":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","title":"Bicruciate Ligament Avulsions, Lateral Meniscus Dual Root Avulsions \u2013 \u201cTibial Avulsion Tetrad\u201d \u2013 with Menisco-capsular Injury \u2013 Floating Meniscus in Innocuous Looking Proximal Tibia Fracture","display_name":"Bicruciate Ligament Avulsions, Lateral Meniscus Dual Root Avulsions \u2013 \u201cTibial Avulsion Tetrad\u201d \u2013 with Menisco-capsular Injury \u2013 Floating Meniscus in Innocuous Looking Proximal Tibia Fracture","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7201952686","doi":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","pmid":"https://pubmed.ncbi.nlm.nih.gov/42598129","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13470362"},"language":"en","primary_location":{"id":"doi:10.13107/jocr.2026.v16.i08.7886","doi":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5084625497","display_name":"Raghavendra S Kembhavi","orcid":"https://orcid.org/0000-0002-0189-1576","observed_orcids":["https://orcid.org/0000-0002-0189-1576"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Raghavendra Kembhavi","raw_affiliation_strings":["Department of Orthopedics, Sakra IKOC Multispeciality Hospital, Bengaluru, Karnataka, India,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Sakra IKOC Multispeciality Hospital, Bengaluru, Karnataka, India,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024626270","display_name":"Jojin Jose Chitten","orcid":"https://orcid.org/0000-0001-5478-7580","observed_orcids":["https://orcid.org/0000-0001-5478-7580"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jojin Jose Chitten","raw_affiliation_strings":["Department of Orthopedics, Holy Family Hospital, Thodupuzha, Kerala, India,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Holy Family Hospital, Thodupuzha, Kerala, India,","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5032414098","display_name":"Siddharath Sharanappa Parmeshwar","orcid":"https://orcid.org/0000-0002-2163-3419","observed_orcids":["https://orcid.org/0000-0002-2163-3419"]},"institutions":[{"id":"https://openalex.org/I4401200305","display_name":"All India Institute of Medical Sciences, Nagpur","ror":"https://ror.org/01w4gn737","country_code":"IN","type":"government","lineage":["https://openalex.org/I4401200305"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Siddharath S Parmeshwar","raw_affiliation_strings":["Department of Trauma and Emergency (Orthopedics), All India Institute of Medical Sciences, Nagpur India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Trauma and Emergency (Orthopedics), All India Institute of Medical Sciences, Nagpur India","institution_ids":["https://openalex.org/I4401200305"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5084625497"],"corresponding_institution_ids":[],"apc_list":{"value":250,"currency":"USD","value_usd":250},"apc_paid":{"value":250,"currency":"USD","value_usd":250},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"8","first_page":"323","last_page":"328"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9672999978065491,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9672999978065491,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.029100000858306885,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anterior-cruciate-ligament-avulsion","display_name":"anterior cruciate ligament avulsion","score":0.7910000085830688},{"id":"https://openalex.org/keywords/lateral-tibial-plateau-fracture","display_name":"lateral tibial plateau fracture","score":0.8429999947547913},{"id":"https://openalex.org/keywords/lysholm-score","display_name":"Lysholm score","score":0.796999990940094}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9236999750137329},{"id":"https://openalex.org/C37754001","wikidata":"https://www.wikidata.org/wiki/Q1815472","display_name":"Avulsion","level":2,"score":0.8465999960899353},{"id":"https://openalex.org/C2781304689","wikidata":"https://www.wikidata.org/wiki/Q6495635","display_name":"Lateral meniscus","level":3,"score":0.6741999983787537},{"id":"https://openalex.org/C2780345532","wikidata":"https://www.wikidata.org/wiki/Q735353","display_name":"Posterior cruciate ligament","level":3,"score":0.661300003528595},{"id":"https://openalex.org/C2779339964","wikidata":"https://www.wikidata.org/wiki/Q1939887","display_name":"Avulsion fracture","level":3,"score":0.6528000235557556},{"id":"https://openalex.org/C2780423099","wikidata":"https://www.wikidata.org/wiki/Q6806071","display_name":"Medial meniscus","level":4,"score":0.5582000017166138},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5325999855995178},{"id":"https://openalex.org/C2910010224","wikidata":"https://www.wikidata.org/wiki/Q4771349","display_name":"Anterior horn","level":3,"score":0.47440001368522644},{"id":"https://openalex.org/C2777327002","wikidata":"https://www.wikidata.org/wiki/Q2865760","display_name":"Fibrous joint","level":2,"score":0.46880000829696655},{"id":"https://openalex.org/C2778434673","wikidata":"https://www.wikidata.org/wiki/Q611127","display_name":"Anterior cruciate ligament","level":2,"score":0.4494999945163727},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.4262999892234802},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.4212000072002411},{"id":"https://openalex.org/C2778096516","wikidata":"https://www.wikidata.org/wiki/Q3241072","display_name":"Medial collateral ligament","level":3,"score":0.4142000079154968},{"id":"https://openalex.org/C189178095","wikidata":"https://www.wikidata.org/wiki/Q15834833","display_name":"Meniscus","level":3,"score":0.384799987077713},{"id":"https://openalex.org/C2779162959","wikidata":"https://www.wikidata.org/wiki/Q708232","display_name":"Arthroscopy","level":2,"score":0.3531000018119812},{"id":"https://openalex.org/C2908736133","wikidata":"https://www.wikidata.org/wiki/Q37425","display_name":"Knee Joint","level":2,"score":0.31150001287460327},{"id":"https://openalex.org/C2776224337","wikidata":"https://www.wikidata.org/wiki/Q7800447","display_name":"Tibial plateau fracture","level":3,"score":0.2881999909877777},{"id":"https://openalex.org/C2780695755","wikidata":"https://www.wikidata.org/wiki/Q15138052","display_name":"Anterolateral ligament","level":4,"score":0.2833000123500824},{"id":"https://openalex.org/C2778275304","wikidata":"https://www.wikidata.org/wiki/Q76469","display_name":"Tears","level":2,"score":0.2777999937534332}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.13107/jocr.2026.v16.i08.7886","doi":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13470362","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13470362/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13470362/pdf/JOCR20261608.0.00062.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"},{"id":"pmid:42598129","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42598129","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:814f410dc43c4787a6396feabfefdb47","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/814f410dc43c4787a6396feabfefdb47","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Orthopaedic Case Reports, Vol 16, Iss 8, Pp 323-328 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.13107/jocr.2026.v16.i08.7886","doi":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2026.v16.i08.7886","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7201952686.pdf","grobid_xml":"https://content.openalex.org/works/W7201952686.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W2046711032","https://openalex.org/W2162904229","https://openalex.org/W2608986843","https://openalex.org/W2612792806","https://openalex.org/W2699143342","https://openalex.org/W2806369392","https://openalex.org/W2998820796","https://openalex.org/W3001271012","https://openalex.org/W4223449346","https://openalex.org/W4309271462","https://openalex.org/W4372335614","https://openalex.org/W4386768934","https://openalex.org/W4392028612","https://openalex.org/W4405903752","https://openalex.org/W7126116014"],"related_works":["https://openalex.org/W4393070946","https://openalex.org/W2272400997","https://openalex.org/W7208809937","https://openalex.org/W2342351965","https://openalex.org/W4309271462","https://openalex.org/W7134830161","https://openalex.org/W3006029524","https://openalex.org/W2325570147","https://openalex.org/W4282030706","https://openalex.org/W7100622943"],"abstract_inverted_index":{"Introduction:":[0],"Bicruciate":[1],"bony":[2],"avulsion":[3,118,126,219,324],"fracture":[4,28,339],"with":[5,14,39,120,144,157,174,186,199,209,223,226,284],"osseous":[6,302,322],"avulsions":[7,304],"of":[8,67,78,140,154,170,249,273,286,298,325],"dual":[9],"root":[10,125,168,303,323],"LM":[11,17,121,141,171,193],"in":[12,23,71,333],"combination":[13,310],"posterior":[15,124,138],"horn":[16,139,192],"meniscocapsular":[18,318],"injury":[19,34,156,309],"causing":[20],"floating":[21,313],"meniscus":[22,301,314],"lateral":[24,146],"tibial":[25,56,147,205],"plateau":[26,57,206,338],"depressed":[27,145,215],"is":[29,80],"a":[30,40,316],"very":[31],"rare":[32,308],"complex":[33],"which":[35,64,127,340],"was":[36,110,150,197,207,221,236,245,255,290],"managed":[37],"carefully":[38],"proper":[41],"work":[42],"up":[43,267],"and":[44,74,106,116,123,160,166,184,188,230,244,288,300],"surgical":[45],"planning":[46],"to":[47,99,292],"get":[48],"excellent":[49,282],"functional":[50],"outcome.":[51],"Few":[52],"times":[53],"innocuous":[54],"looking":[55,335],"fractures":[58,119],"can":[59,311,330],"reveal":[60],"severe":[61,100],"hidden":[62],"injuries":[63,329],"have":[65],"potentials":[66],"disastrous":[68],"complications":[69],"later":[70],"the":[72,155],"life":[73],"therefore":[75],"high":[76],"degree":[77],"suspicion":[79],"required":[81],"for":[82,241,260],"accurate":[83],"diagnosis.":[84],"Case":[85],"Report:":[86],"22":[87],"year":[88],"old":[89],"female":[90],"patient":[91],"injured":[92],"her":[93,293],"knee":[94,239,247,279],"while":[95],"playing":[96],"kabaddi":[97],"due":[98],"hyperextension":[101],"injury.":[102],"Based":[103],"on":[104,238,257],"clinicoradiological":[105],"intraoperative":[107],"findings,":[108],"she":[109,289],"diagnosed":[111],"as":[112,132,315],"having":[113],"both":[114,158,167],"ACL":[115,165],"PCL":[117,218],"anterior":[122],"we":[128],"coined":[129],"new":[130],"term":[131],"\"":[133],"Terrible":[134],"Avulsion":[135],"Tetrad\"":[136],"alongwith":[137,321],"menisco-capsular":[142,194],"tear":[143,169,196,320],"plateau.":[148],"Patient":[149,235,254],"operated":[151],"next":[152],"day":[153],"arthroscopic":[159],"open":[161,224],"procedures.":[162],"Arthroscopically":[163],",":[164,268],"were":[172],"fixed":[173,208,222],"tunnel":[175],"pull":[176],"out":[177],"suture":[178,189],"technique":[179],"using":[180,277],"No.":[181],"2":[182],"fibrewires":[183],"fixing":[185],"endobutton":[187],"disc.":[190],"Posterior":[191],"junction":[195,319],"repaired":[198],"two":[200,210,231],"all-inside":[201],"meniscal":[202],"sutures.":[203],"Lateral":[204],"CC":[211],"screws":[212],"after":[213],"elevating":[214],"fragments.":[216],"Posteriorly":[217],"fragment":[220],"procedure":[225],"inverted":[227],"L":[228],"incision":[229],"cannulated":[232],"cancellous":[233],"screws.":[234],"put":[237],"brace":[240],"6":[242],"weeks":[243],"allowed":[246],"range":[248],"movements":[250],"at":[251],"3":[252,261],"weeks.":[253],"kept":[256],"non-weight":[258],"bearing":[259],"months.":[262],"At":[263],"24":[264],"months":[265],"follow":[266],"radiology":[269],"showed":[270,281],"complete":[271],"union":[272],"fractures.":[274],"Functional":[275],"assessment":[276],"Lysholm":[278],"score":[280,285],"outcome":[283],"96":[287],"back":[291],"routine":[294],"activities.":[295],"Conclusion:":[296],"Combination":[297],"bicruciate":[299],"extremely":[305],"rare.":[306],"Further":[307],"include":[312],"result":[317],"meniscus.":[326],"All":[327],"these":[328],"be":[331,342],"accompanied":[332],"subtle":[334],"proximal":[336],"tibia":[337],"needs":[341],"properly":[343],"worked":[344],"up.":[345]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-09T00:00:00"}
