International Journal For Multidisciplinary Research

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Volume 8 Issue 5
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Post-Operative Rehabilitation and Return-to-Sport Following ACL Reconstruction with Trochlear Dysplasia and Medial Meniscal Tear: Case Report

Author(s) Dr. Brijesh Ramchandra Vishwakarma, Ms. Prapti Sabne
Country India
Abstract Anterior cruciate ligament reconstruction requires progressive rehabilitation and objective return-to-sport decision-making. This case report describes a 19-year-old male recreational cricketer who began physiotherapy four weeks after arthroscopic anterior cruciate ligament reconstruction with a bone-patellar tendon-bone autograft. Preoperative magnetic resonance imaging showed a near-complete anterior cruciate ligament tear, grade 2 medial meniscal signal change, lateral patellar tilt, and type C trochlear dysplasia. At presentation, activity-related pain was 8/10, active knee extension lag was 12 degrees, knee flexion was 125 degrees compared with 130 degrees on the uninvolved side, and quadriceps activation was impaired. A 30-week, three-phase rehabilitation programme progressed from pain management, range-of-motion restoration, and neuromuscular activation to resistance training, trunk conditioning, agility, plyometrics, and cricket-specific running. Objective testing at 18 weeks after surgery identified residual balance, strength, aerobic, and trunk-endurance deficits and informed the final return-to-sport phase. At 34 weeks after surgery, pain was 0/10, active extension was full, lower-limb manual muscle testing was 5/5, Y-Balance limb symmetry was 96%, and leg-press limb symmetry was 92%. The patient returned to recreational cricket without pain, effusion, instability, or post-activity symptoms. This case illustrates how criteria-based progression can identify residual deficits and guide sport-specific rehabilitation after anterior cruciate ligament reconstruction in the presence of patellofemoral anatomical variation.
Keywords ACL Reconstruction, Cricket, Criteria-Based Rehabilitation, Return to Sport, Trochlear Dysplasia
Field Medical / Pharmacy
Published In Volume 8, Issue 5, September-October 2026
Published On 2026-09-17
DOI https://doi.org/10.36948/ijfmr.2026.v08i05.87416
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