635 results match your criteria Medial Collateral and Lateral Collateral Ligament Injury


Ulnar Collateral Ligament Evaluation and Diagnostics.

Clin Sports Med 2020 Jul;39(3):503-522

Division of Sports Medicine, The Rothman Institute at Thomas Jefferson University, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA. Electronic address:

The overhead throwing motion subjects the elbow to a predictable pattern of forces, including medial tension, lateral compression, and posterior shear, that in turn result in a predictable pattern of injuries. Careful history taking, thorough physical examination, and judicious diagnostic imaging allow clinicians to correctly diagnose ulnar collateral ligament (UCL) injury. Athletes with UCL injury complain of acute or chronic medial elbow injury, resulting in decreased throwing effectiveness, with loss of control and/or velocity. Read More

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http://dx.doi.org/10.1016/j.csm.2020.02.002DOI Listing

Analysis of Risk Factors for Ramp Lesions Associated With Anterior Cruciate Ligament Injury.

Am J Sports Med 2020 May 8:363546520918207. Epub 2020 May 8.

Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.

Background: The incidence of meniscocapsular junction tears of the medial meniscus posterior horn, known as , is reported to be 9.3% to 23.9%. Read More

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http://dx.doi.org/10.1177/0363546520918207DOI Listing

Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture in an adult patient: a case report and review of literature.

BMC Surg 2020 Apr 15;20(1):71. Epub 2020 Apr 15.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 200233, Shanghai, People's Republic of China.

Background: Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture (Criss-Cross Injury) in an adult patient is rarely reported in previous studies. The pathological changes and injury patterns have not been clearly demonstrated.

Case Presentation: A 26-year-old woman presented with acute pain of the right wrist and elbow after a fall from cycling. Read More

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http://dx.doi.org/10.1186/s12893-020-00717-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160939PMC

In vivo changes in length of elbow collateral ligaments during pronation and supination on an outstretched arm.

Surg Radiol Anat 2020 Mar 14. Epub 2020 Mar 14.

Department of Hand Surgery, Hand Surgery Research Center, Affiliated Hospital of Nantong University, College of Medicine, University of Nantong, 20 West Temple Road, Nantong, 226001, Jiangsu, China.

Purpose: This study investigated the length changes of the anterior bundle of the medial collateral ligament (AMCL) and the lateral ulnar collateral ligament (LUCL) in forearm pronation and supination under axial load in vivo.

Methods: Six healthy volunteers (2 males and 4 females, the average age of 44.6 years) were included in the study. Read More

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http://dx.doi.org/10.1007/s00276-020-02451-5DOI Listing

Single-Stage Arthroscopic Anterior and Posterior Cruciate Ligament Repairs and Open Medial Collateral Ligament Repair for Acute Knee Dislocation.

Case Rep Orthop 2020 24;2020:7348201. Epub 2020 Feb 24.

Department of Sports Orthopedic Surgery, Kanto Rosai Hospital, 1-1 Kizukisumiyoshicho, Nakahara-ku, Kawasaki City, Kanagawa Prefecture, Japan.

Till date, there are no clear guidelines regarding the treatment of multiple ligament knee injuries. Ligament repair is advantageous as it preserves proprioception and does not involve grafting. Many studies have reported the use of open repair and reconstruction for multiple ligament knee injuries; however, reports on arthroscopic-combined single-stage anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) repairs are scarce. Read More

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http://dx.doi.org/10.1155/2020/7348201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060436PMC
February 2020

[Myofascial trigger point: an indicator of acupoint sensitization].

Zhen Ci Yan Jiu 2020 Jan;45(1):57-61

Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700.

Objective: The present study is to investigate the characteristic distribution of primary pain points and referred pain areas in patients with knee-joint pain diseases, therefore revealing the correlation between the myofascial trigger point and acupoint sensitization.

Methods: A total of 483 patients (320 men and 163 women, 36 to 72 years in age) with knee-joint pain recruited from 4 clinical centers were observed from July, 2017 to April, 2019 in the present study. The areas of primary and referred pain in these patients were detected by thumb-pressing and marked on human anatomic atlas. Read More

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http://dx.doi.org/10.13702/j.1000-0607.1906906DOI Listing
January 2020

MULTI-LIGAMENT KNEE RECONSTRUCTION AND NOVEL MENISCUS RADIAL REPAIR TECHNIQUE, WITH RETURN TO OLYMPIC LEVEL SKIING: A CASE REPORT.

Int J Sports Phys Ther 2020 Feb;15(1):139-147

Twin Cities Orthopedics, Edina, MN, USA.

Background And Purpose: Multi-ligament knee injuries (MLKI) can be debilitating and often career ending injuries for athletes. Current literature reports on outcomes following these injuries for return to activities of daily life; however, there is a paucity of evidence evaluating the return to sport following a MLKI. The purpose of this case report is to describe the treatment and outcome following a MLKI and novel meniscus radial repair technique in which the athlete returned to compete in the 2018 Winter Olympic Games 14 months postoperatively. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015028PMC
February 2020

Comprehensive Case-Based Review of Knee Ligament Injuries.

Instr Course Lect 2019 ;68:513-544

The management of knee ligament injuries continues to evolve, and much debate persists over the timing of surgery, repair versus reconstruction, surgical technique, postoperative rehabilitation, graft selection, and fixation. Surgeons should be aware of updates on the best management strategies of knee ligament injuries in 2018 and understand the important history and physical examination findings of the knee with ligamentous injury; the anterior cruciate ligament; the role of the anterolateral ligament and lateral extra-articular tenodesis; combined anterior cruciate ligament and medial collateral ligament injuries; the posterior cruciate ligament; medial collateral ligament repair versus reconstruction; posterolateral corner repair versus reconstruction; the role of coronal plane osteotomies, including high tibial osteotomy and distal femoral osteotomy; the role of sagittal plane osteotomies, including anterior closing wedge osteotomy and anterior opening wedge osteotomy; the initial management of the multiligament-injured knee; and five keys to avoiding complications in the multiligament-injured knee. The best available evidence and sample case presentations help guide surgical decision making and improve patient outcomes. Read More

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February 2020

Optimizing Anterior Cruciate Ligament (ACL) Outcomes: What Else Needs Fixing Besides the ACL?

Instr Course Lect 2020 ;69:653-660

This review focuses on the management of anterior cruciate ligament (ACL) reconstruction patients when other concomitant pathology may need to be addressed at the time of surgery. Given the role of the posterior horn of the medial meniscus in preventing osteoarthritis progression and contributing to knee stability, medial meniscus repair should always be considered when performing ACL reconstruction. Meniscal transplant may also be appropriate in select patients with normal knee alignment and absent of cartilage abnormalities in the compartment. Read More

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February 2020

The lateral ligament is injured preferentially in posterolateral dislocation of the elbow joint.

Bone Joint J 2020 Feb;102-B(2):227-231

Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, South Korea.

Aims: The purpose of this study was to evaluate the relationships between the degree of injury to the medial and lateral collateral ligaments (MCL and LCL) and associated fractures in patients with a posterolateral dislocation of the elbow, using CT and MRI.

Methods: We retrospectively reviewed 64 patients who presented between March 2009 and March 2018 with a posterolateral dislocation of the elbow and who underwent CT and MRI. CT revealed fractures of the radial head, coronoid process, and medial and lateral humeral epicondyles. Read More

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http://dx.doi.org/10.1302/0301-620X.102B2.BJJ-2019-0966.R1DOI Listing
February 2020

Risk factors for passive anterior tibial subluxation on MRI in complete ACL tear.

Orthop Traumatol Surg Res 2020 May 23;106(3):465-468. Epub 2020 Jan 23.

Université Paris Saclay, AP-HP, 92100 Boulogne-Billancourt, France.

Introduction: In anterior cruciate ligament (ACL) tear, passive spontaneous anterior tibial subluxation (ATS), with respect to the femur, is sometimes observed on MRI. In a case-control study, ATS>3.5mm showed 100% specificity (±3. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.10.025DOI Listing

Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury - A technical report.

Trauma Case Rep 2020 Feb 15;25:100279. Epub 2020 Jan 15.

Theresienkrankenhaus Mannheim, Dept. Unfallchirurgie und Sporttraumatologie, Bassermannstraße 1, 68165 Mannheim, Germany.

The optimum therapy of a torn PCL in multiligamental-injured knees is controversially discussed in literature. As conservative treatment and PCL reconstruction alone mostly lead to long-term immobilization, we performed a single stage PCL bracing with ACL reconstruction using ACL TightRopes® and Fiber-/TigerTapes® to accelerate back-to-sport after multiligamental knee injury with bicrucial tears. The brace consisted of two FiberTapes which were looped in an ACL TightRope and transosseously fixed with a Dog Bone-Button®. Read More

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http://dx.doi.org/10.1016/j.tcr.2020.100279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6962691PMC
February 2020

Collateral Ligament Knee Injuries in Pediatric and Adolescent Athletes.

J Pediatr Orthop 2020 Feb;40(2):71-77

Boston Childrens Hospital, Harvard Medical School, Boston, MA.

Background: The majority of research on medial (MCL) and lateral (LCL) collateral ligament injuries has focused on adults and combined collateral/cruciate injuries. The purpose of this study was to determine characteristics associated with isolated collateral ligament injuries in adolescents, and assess timing for return to sports.

Methods: Electronic medical records were queried to identify patients aged below 17 years who sustained a magnetic resonance imaging-confirmed isolated MCL or LCL injury over an 8-year period. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001112DOI Listing
February 2020

Ultrastructural Assessment of the Anterolateral Ligament.

Orthop J Sports Med 2019 Dec 18;7(12):2325967119887920. Epub 2019 Dec 18.

Department of Anatomy, Histology, Forensic Medicine and Orthopaedics, University of Rome Sapienza, Rome, Italy.

Background: The anterolateral ligament (ALL) has been identified as a structure on the lateral side of the knee, but debate exists regarding whether it is a capsular thickening or a ligament.

Hypothesis: A detailed ultrastructural characterization of the ALL and its ultrastructure collagen arrangement will reveal it more closely resembles ligamentous tissue than joint capsule.

Study Design: Descriptive laboratory study. Read More

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http://dx.doi.org/10.1177/2325967119887920DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6920591PMC
December 2019

Tears in the distal superficial medial collateral ligament: the wave sign and other associated MRI findings.

Skeletal Radiol 2020 May 9;49(5):747-756. Epub 2019 Dec 9.

Radiology and Imaging Sciences, CC-NIH, 10 Center Drive, Bethesda, MD, 20892, USA.

Objective: To analyze the MRI characteristics of distal superficial medial collateral ligament (sMCL) tears and to identify features of tears displaced superficial to the pes anserinus (Stener-like lesion (SLL)).

Materials And Methods: Knee MRI examinations at four institutions were selected which showed tears of the sMCL located distal to the joint line. MRIs were evaluated for a SLL, a wavy contour to the sMCL, and the location of the proximal sMCL stump. Read More

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http://dx.doi.org/10.1007/s00256-019-03352-4DOI Listing

Novel dynamic stabilization method for medial instability of the first metatarsophalangeal joint.

J Orthop Surg (Hong Kong) 2019 Sep-Dec;27(3):2309499019877687

Department of Orthopaedics, University of Szeged, Szeged, Hungary.

Medial collateral ligament injury of the first metatarsophalangeal (MTP) joint is rare. If it is missed, chronic instability and traumatic hallux valgus develop, requiring surgical treatment. Different methods have been reported in the limited available literature aiming to restore the balance between the lateral and medial stabilizers by tightening the medial joint capsule with or without additional tendon graft. Read More

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http://dx.doi.org/10.1177/2309499019877687DOI Listing
October 2019
2 Reads

Reverse Segond Fracture without Posterior Cruciate Ligament Injury - A report of Two Cases and Review of the Literature.

J Orthop Case Rep 2019 ;9(3):90-92

Department of Clinical Research Development Center, Firoozgar Hospital, Iran University of Medical Science, Tehran, Iran.

Introduction: Reverse Segond fracture is a cortical avulsion fracture off the medial tibial plateau of the knee, associated with tears of the posterior cruciate ligament (PCL), medial collateral ligament (MCL), medial meniscus, and probably the anterior cruciate ligament (ACL). Unlike Segond fracture, it is a very rare injury of the knee.

Case Report: Case one is a 24-year-old male with left tibial plateau and reverse Segond fracture with an magnetic resonance imaging (MRI) showing MCL avulsion, medial meniscus entrapped in fracture site and ACL tear but intact PCL. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6742883PMC
January 2019
5 Reads

Treatment of posteromedial and posterolateral dislocation of the acute unstable elbow joint: a strategic approach.

J Shoulder Elbow Surg 2019 Oct;28(10):2007-2016

Department of Orthopaedic Surgery, Upper Extremity and Microsurgery Center, Pohang Semyeong Christianity Hospital, Gyeongsangbuk-do, Republic of Korea. Electronic address:

Background: The purpose of this study was to evaluate the different treatment strategies for posterolateral and posteromedial elbow dislocation.

Methods: The study enrolled 21 patients with unstable simple elbow dislocation including 16 cases of posterolateral dislocation (PLDL) and 5 cases of posteromedial dislocation (PMDL). In patients with PLDL, the medial side was evaluated and repaired first, followed by the lateral side. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746193039
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http://dx.doi.org/10.1016/j.jse.2019.05.029DOI Listing
October 2019
2 Reads

[Arthroscopic anterior cruciate ligament reconstruction via tibial tunnel made by three-portal technique].

Authors:
Shiji Gao Ning Liu

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Sep;33(9):1083-1087

Department of Sports Medicine, Zhengzhou Orthopedics Hospital, Zhengzhou Henan, 450052,

Objective: To evaluate the effectiveness of arthroscopic anterior cruciate ligament (ACL) reconstruction via tibial tunnel made by three-portal technique.

Methods: Between July 2015 and December 2016, 45 patients with ACL ruptures were treated. There were 29 males and 16 females with an average age of 27. Read More

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http://dx.doi.org/10.7507/1002-1892.201905055DOI Listing
September 2019
1 Read

MRI comparison of injury mechanism and anatomical factors between sexes in non-contact anterior cruciate ligament injuries.

PLoS One 2019 1;14(8):e0219586. Epub 2019 Aug 1.

Department of Orthopaedic Surgery, Hanyang University Seoul Hospital, Seongdong-gu, Seoul, Korea.

Non-contact anterior cruciate ligament (ACL) rupture is mostly caused by a pivot shift mechanism including valgus collapse and internal tibial rotation. In female athletes, the incidence of ACL rupture has been reported to be significantly higher than in their male counterparts. However, to date, there have been limited reports and controversy regarding sex differences underlying injury mechanisms of ACL and severity of injury. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0219586PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6675514PMC
March 2020
4 Reads
3.234 Impact Factor

Magnetic Resonance Imaging Evaluation of the Anterolateral Ligament in Acute Anterior Cruciate Ligament Injuries in an Adolescent Population.

Arthroscopy 2019 07;35(7):2136-2142

University of Miami, Florida, U.S.A.

Purpose: To evaluate the frequency of anterolateral ligament (ALL) injuries in acute anterior cruciate ligament (ACL) injuries in adolescent patients using magnetic resonance imaging (MRI) and characterize other potential intra- and extra-articular knee injuries that are associated with ALL injuries.

Methods: Patients between 14 and 17 years of age with acute ACL injuries (trauma for <3 weeks before examination) were retrospectively evaluated with MRI over 24 months (January 2016-December 2017). Among this population, ALL was classified as not visible, normal, or injured. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.02.034DOI Listing
July 2019
5 Reads

Sports Medicine: Fractures, Sprains, and Other Musculoskeletal Injuries.

Authors:
Jeffrey C Leggit

FP Essent 2019 Jul;482:23-26

Uniformed Services University Department of Family Medicine, 4301 Jones Bridge Road A1038, Bethesda, MD 20814-4799.

Family physicians commonly treat athletes with simple fractures and other musculoskeletal injuries that require temporary immobilization. Certain fractures (eg, intraarticular, multiple, open, associated with dislocations or tendon injury) typically are managed by orthopedic subspecialists. During the healing process, a custom-molded or prefabricated orthopedic support, known as an orthosis, may be used to support the injured area and prevent reinjury. Read More

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July 2019
6 Reads

Computed Tomography Analysis for Quantification of Displacement of the Distal Fibula in Different Foot Positions With Weightbearing and Sequentially Increased Instability: An Anatomic Cadaveric Study on Syndesmosis.

J Foot Ankle Surg 2019 Jul;58(4):734-738

Surgeon, Department of Foot and Ankle Surgery, Catholic Clinic Mainz, Mainz, Germany; Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany.

Syndesmotic injuries are quite common, but accurate diagnosis and treatment can be difficult, in part because of individual anatomic variation and complex movements of the fibula in the incisura. The current cadaveric study was designed to investigate changes in the position of the fibula in the incisura during simulated weightbearing in different foot positions and with sequential sectioning of syndesmotic and deltoid ligaments. Sixteen paired, fresh-frozen cadaveric limbs were embedded in polymethylmethacrylate mid-calf and placed in a weightbearing simulation frame. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.12.013DOI Listing
July 2019
5 Reads

Short-Term Outcome of Multi-Ligament Knee Injury among Sudanese Patients.

Open Access Maced J Med Sci 2019 May 15;7(9):1486-1493. Epub 2019 May 15.

National Ribat University, Khartoum, Sudan.

Background: Multi-ligament knee injury is the state of having two or more of the major knee ligaments, namely: the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), the lateral collateral ligament (LCL), the posteromedial corner (PMC), and the posterolateral corner (PLC). The knee is a hinge joint; this dictates two direction movements on the y-axis plane. The knee joints carry the weight load of the body uniquely. Read More

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https://www.id-press.eu/mjms/article/view/oamjms.2019.282
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http://dx.doi.org/10.3889/oamjms.2019.282DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542394PMC
May 2019
10 Reads

Good outcome using anatomically pre-formed buttress plates for anteromedial facet fractures of the coronoid-a retrospective study of twenty-four patients.

Int Orthop 2019 12 7;43(12):2817-2824. Epub 2019 Jun 7.

BG Unfallklinik, Frankfurt am Main, Germany.

Purpose: The aims of this retrospective study were to describe the characteristics of anteromedial facet fracture of the coronoid (AMFF) and to determine the outcome following surgery using anatomically pre-formed coronoid buttress plates.

Methods: Twenty-four patients underwent surgery for AMFF, using a pre-formed buttress plate, between 2011 and 2017 (20 men, four women), with a mean age of 47.7 years (range, 19-78 years) and a mean post-operative follow-up of 3. Read More

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http://link.springer.com/10.1007/s00264-019-04354-6
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http://dx.doi.org/10.1007/s00264-019-04354-6DOI Listing
December 2019
7 Reads

Protocolised surgical treatment of terrible triad of elbow. Results and complications.

Rev Esp Cir Ortop Traumatol 2019 Jul - Aug;63(4):281-288. Epub 2019 May 22.

Hospital 12 de Octubre, Madrid, España; Universidad Complutense de Madrid.

Background: Terrible triad of elbow is a complex lesion with a high rate of complications. Our goal is to analyse both clinical results and complications after performing protocolised surgery.

Material And Methods: The database of our hospital was used during 2005-2015, collecting characteristics of the patient, the fracture, the surgery and the associated complications, as well as functional results and range of mobility. Read More

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http://dx.doi.org/10.1016/j.recot.2019.02.003DOI Listing
January 2020
4 Reads

Humeral Avulsion of the Lateral Collateral Ligament of the Elbow Concomitant with the Medial Epicondyle Fracture of a Child with General Joint Laxity.

Case Rep Orthop 2019 4;2019:1965343. Epub 2019 Apr 4.

Department of Orthopaedic Surgery, Kochi University, Kochi Medical School, Kohasu, Oko-cho, Nankoku 783-8505, Japan.

Medial epicondyle fracture is a common elbow injury for children, and it was reported that 30-50% of this fracture was associated with elbow dislocation. However, dysfunction of the lateral collateral ligament (LCL) complex accompanied with the medial epicondyle fracture has rarely been reported. In this report, a 13-year-old girl who had a humeral avulsion of the LCL concomitant with a displaced medial epicondyle fracture was presented. Read More

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http://dx.doi.org/10.1155/2019/1965343DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476114PMC
April 2019
9 Reads

Primary Ligament Repair for Acute Elbow Dislocation.

Authors:
Adam C Watts

JBJS Essent Surg Tech 2019 Mar 27;9(1):e8. Epub 2019 Feb 27.

Wrightington Hospital, Wigan, United Kingdom.

The elbow is the second most common site for joint dislocation after the shoulder. Elbow dislocations are classified according to the direction of dislocation, with most (80%) being posterolateral. A spectrum of soft-tissue injury may also be present, depending on the direction of dislocation and the energy applied. Read More

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http://Insights.ovid.com/crossref?an=01709766-201909010-0000
Publisher Site
http://dx.doi.org/10.2106/JBJS.ST.16.00097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485767PMC
March 2019
24 Reads

The utility of dual-energy CT collagen material decomposition technique for the visualization of tendon grafts after knee ligament reconstruction.

Eur J Radiol 2019 Jul 22;116:225-230. Epub 2019 Mar 22.

Department of Radiology, Gil Medical Center, Gachon University College of Medicine, 21 Namdong-daero, 774beon-gil, Namdong-gu, Incheon 21565, Republic of Korea.

Objective: The purpose of this article is to assess whether dual-energy CT (DECT) collagen material decomposition technique could reliably depict graft integrity in patients with knee ligament reconstruction.

Methods: Seventy patients (mean age, 29.8 years; age range, 15-57 years; 61 men, 9 women) who underwent knee DECT, from June 2016 to January 2018, after knee ligament reconstruction were included in our study. Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.03.012DOI Listing
July 2019
9 Reads

Incidence of Knee Injuries on Artificial Turf Versus Natural Grass in National Collegiate Athletic Association American Football: 2004-2005 Through 2013-2014 Seasons.

Am J Sports Med 2019 05 17;47(6):1294-1301. Epub 2019 Apr 17.

School of Medicine, Georgetown University, Washington, DC, USA.

Background: The use of artificial turf in American football continues to grow in popularity, and the effect of these playing surfaces on athletic injuries remains controversial. Knee injuries account for a significant portion of injuries in the National Collegiate Athletic Association (NCAA) football league; however, the effect of artificial surfaces on knee injuries remains ill-defined.

Hypothesis: There is no difference in the rate or mechanism of knee ligament and meniscal injuries during NCAA football events on natural grass and artificial turf playing surfaces. Read More

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http://dx.doi.org/10.1177/0363546519833925DOI Listing
May 2019
34 Reads

Open Surgical Release of Posttraumatic Elbow Contracture in Children and Adolescents.

J Pediatr Orthop 2019 May/Jun;39(5):241-246

Department of Orthopaedic Surgery, Washington University, St. Louis, MO.

Background: Posttraumatic elbow contractures in children and adolescents are challenging to manage, and studies investigating surgical treatment are limited by the rarity of this condition. Small case series have shown variable gains in immediate and long-term elbow arc of motion after open surgical release. We reviewed our experience with open surgical release of posttraumatic elbow contracture in patients <21 years old at 2 institutions. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000923DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292736PMC
June 2019
9 Reads

The elbow: review of anatomy and common collateral ligament complex pathology using MRI.

Insights Imaging 2019 Apr 3;10(1):43. Epub 2019 Apr 3.

Radiology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo Km. 9,100, 28034, Madrid, Spain.

The elbow is a complex joint whose stability is imparted by osseous and soft-tissue constraints. Anatomical and biomechanical knowledge of the supporting structures that provide stability to the medial and lateral elbow is essential to correctly interpret the pathological findings. Conventional MRI and MR arthrography are the imaging modalities of choice in the evaluation of elbow ligament injuries. Read More

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http://dx.doi.org/10.1186/s13244-019-0725-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447645PMC
April 2019
25 Reads

Femoral Avulsion of the Anterior Cruciate Ligament in a Multiligament Setting: A Unique Case.

Knee Surg Relat Res 2019 Jun;31(2):137-142

Knee & Shoulder Clinic, New Delhi, India.

Anterior cruciate ligament (ACL) femoral avulsions are a rare entity mainly seen in children. We describe a unique case of a bony ACL avulsion with a medial collateral ligament (MCL) and lateral meniscus (LM) tear in a 37-year-old patient who sustained a two-wheeler accident. The ACL femoral avulsion was fixed arthroscopically using a Knee Scorpion and a FiberTape fixed over a suture disc on the lateral cortex. Read More

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http://dx.doi.org/10.5792/ksrr.18.065DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561668PMC
June 2019
7 Reads

Influence of Pitching Release Location on Ulnar Collateral Ligament Reconstruction Risk Among Major League Baseball Pitchers.

Orthop J Sports Med 2019 Feb 21;7(2):2325967119826540. Epub 2019 Feb 21.

Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Background: Medial ulnar collateral ligament (UCL) reconstruction is a common procedure performed among Major League Baseball (MLB) pitchers. The etiology of UCL injury is complex and is not entirely understood.

Hypothesis: To better understand risk factors for requiring UCL reconstruction, we hypothesized that pitchers who eventually undergo the procedure will exhibit different throwing mechanics as measured by pitch-tracking data points, such as velocity and release location. Read More

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http://dx.doi.org/10.1177/2325967119826540DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385331PMC
February 2019
27 Reads

Open knee dislocation with a patellar tendon rupture: Result of staged surgical repair.

SAGE Open Med Case Rep 2019 11;7:2050313X18823102. Epub 2019 Jan 11.

Department of Orthopedic Surgery, Jichi Medical University, Shimotsuke, Japan.

Knee dislocation with concomitant multiligament injury is a rare and devastating injury. We report the successful repair of a rare case of open knee dislocation with concomitant multiligament injury and patellar tendon rupture of an 18-year-old male due to a motorcycle accident. The patient presented with an open wound running parallel to the knee joint line and patellar tendon rupture with full exposure of the cartilage of the distal femur. Read More

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http://dx.doi.org/10.1177/2050313X18823102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349979PMC
January 2019
18 Reads

Alterations in Joint Angular Velocity Following Traumatic Knee Injury in Ovine Models.

Ann Biomed Eng 2019 Mar 17;47(3):790-801. Epub 2019 Jan 17.

McCaig Institute for Bone & Joint Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Little effort has been directed towards the consequence of an injury on joint angular velocity. We hypothesized that the magnitude of knee joint angular velocity would be decreased after injury. Four injury groups were investigated in an ovine model: (1) anterior cruciate ligament (ACL) and medial collateral ligament (MCL) transection (ACL/MCL Tx) (n = 5), (2) lateral meniscectomy (Mx) (n = 5), (3) partial ACL transection (p-ACL Tx) (n = 5), and (4) partial-ACL and MCL transection (p-ACL/MCL Tx) (n = 5). Read More

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http://dx.doi.org/10.1007/s10439-019-02203-6DOI Listing
March 2019
35 Reads

Ligaments injuries check-up and assessment of their healing potential in simple posterolateral elbow dislocation: about 25 cases.

Eur J Orthop Surg Traumatol 2019 May 16;29(4):785-792. Epub 2019 Jan 16.

Service de Chirurgie Orthopédique et Traumatologique, CHRU de Lille, Avenue du Professeur Emile Laine, Lille, France.

Introduction: Elbow dislocation can lead to instability and stiffness of the elbow. The main goal of this study was to list the initial elbow ligaments injuries caused by simple posterolateral elbow dislocations. The secondary goals were to assess ligament healing 2 months after the initial dislocation, to research a correlation between ligaments injuries and clinical course, and to search for predictive factors of instability. Read More

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http://dx.doi.org/10.1007/s00590-019-02374-xDOI Listing
May 2019
9 Reads

Posterolateral reconstruction combined with one-stage tibial valgus osteotomy: Technical considerations and functional results.

Knee 2019 Mar 8;26(2):500-507. Epub 2019 Jan 8.

Grupo de Joelho, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Background: To report the functional outcomes and complications from reconstructing the knee posterolateral complex (PLC), associated with one-stage opening-wedge tibial valgus osteotomy, and discuss the technical feasibility of this procedure.

Methods: Five patients with chronic PLC injuries and varus deviation of the mechanical axis, associated with central pivot injuries or not, underwent medial opening-wedge high tibial osteotomy combined with PLC reconstruction. The lateral collateral ligament, popliteal tendon, and popliteofibular ligament were reconstructed using a single femoral tunnel. Read More

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http://dx.doi.org/10.1016/j.knee.2018.12.001DOI Listing
March 2019
12 Reads

Occurrence of Lateral Ankle Ligament Disease With Stage 2 to 3 Adult-Acquired Flatfoot Deformity Confirmed via Magnetic Resonance Imaging: A Retrospective Study.

J Foot Ankle Surg 2019 Mar 21;58(2):243-247. Epub 2018 Dec 21.

Director of Residency Training, Division of Foot & Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Lateral hindfoot pain associated with stage 2 to 3 adult-acquired flatfoot is often attributed to subfibular impingement. Preoperative magnetic resonance imaging (MRI) is generally performed to assess the extent of degeneration within the posterior tibial tendon, attenuation of medial soft tissue constraints, and degeneration of hindfoot and/or ankle articulations. The purpose of this study is to determine the incidence of lateral collateral ligament disease/injury associated with stages 2 and 3 adult-acquired flatfoot. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183037
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http://dx.doi.org/10.1053/j.jfas.2018.08.030DOI Listing
March 2019
13 Reads

Availability of ultrasound screening for asymptomatic elbow injuries in judo athletes.

Biomed Mater Eng 2019 ;30(1):49-59

Department of Orthopedic Surgery, Kawakita General Hospital, 1-7-3 Asagaya-kita, Suginami, Tokyo, Japan.

Objective: We conducted ultrasonography (US) examination for asymptomatic elbow injuries in judo athletes to confirm availability of US screening for elbow.

Materials And Methods: One hundred and thirty-two black belts in judo (85 males and 47 females; mean age, 20.0 ± 1. Read More

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http://dx.doi.org/10.3233/BME-181032DOI Listing
November 2019
8 Reads

Posteromedial rotatory incongruity of the elbow: a computational kinematics study.

J Shoulder Elbow Surg 2019 Feb 12;28(2):371-380. Epub 2018 Dec 12.

Department of Orthopaedic Surgery, University of Missouri-Kansas City, Kansas City, MO, USA.

Background: Our objective was to analyze the effect of different anteromedial coronoid fracture patterns with different combinations of ligamentous repairs. We hypothesized that smaller fractures would be sufficiently treated with ligamentous repair alone but that larger fragments would require a combination of ligament and bony repair versus reconstruction.

Methods: Two multibody models were created from cadaveric specimens in the ADAMS program. Read More

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http://dx.doi.org/10.1016/j.jse.2018.07.030DOI Listing
February 2019
4 Reads

Posteromedial Elbow Dislocations without Relevant Osseous Lesions: Clinical Characteristics, Soft-Tissue Injury Patterns, Treatments, and Outcomes.

J Bone Joint Surg Am 2018 Dec;100(23):2066-2072

Department of Orthopedic Surgery, Gumi CHA University Hospital, Gumi, South Korea.

Background: Although simple posterolateral or posterior elbow dislocations are relatively common and usually stable after closed reduction, simple posteromedial dislocations are extremely rare and poorly characterized. We investigated the clinical characteristics, soft-tissue injury patterns, treatments, and outcomes of a series of posteromedial elbow dislocations without relevant osseous lesions.

Methods: We retrospectively reviewed 20 cases of simple posteromedial elbow dislocations without relevant osseous lesions that were treated at 7 fellowship training hospitals during a 10-year period. Read More

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http://dx.doi.org/10.2106/JBJS.18.00051DOI Listing
December 2018
39 Reads

Risk Factors for Concomitant Collateral Ligament Injuries in Children and Adolescents With Anterior Cruciate Ligament Tears.

Orthop J Sports Med 2018 Nov 21;6(11):2325967118810389. Epub 2018 Nov 21.

Investigation performed at the Division of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Background: Risk factors for concomitant ligament injuries (CLIs) of the lateral collateral ligament (LCL) and medial collateral ligament (MCL) in children and adolescents with anterior cruciate ligament (ACL) tears are unknown.

Purpose: To determine whether body mass index (BMI), sex, age, and injury mechanism are associated with CLIs in children and adolescents with ACL tears and whether CLIs are associated with meniscal and chondral injuries and a delay to surgery.

Study Design: Cohort study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/2325967118810389DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249661PMC
November 2018
10 Reads

Varus Posteromedial Rotatory Instability of the Elbow: Injury Pattern and Surgical Experience of 27 Acute Consecutive Surgical Patients.

J Orthop Trauma 2018 12;32(12):e469-e474

Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.

Objectives: To identify associated injuries that occur in varus posteromedial rotatory instability (VPMRI) of the elbow and present their surgical management.

Design: Level II retrospective study.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001313DOI Listing
December 2018
45 Reads
1.540 Impact Factor

Analysis of magnetic resonance imaging-confirmed soft tissue injury pattern in simple elbow dislocations.

J Shoulder Elbow Surg 2019 Feb 8;28(2):341-348. Epub 2018 Nov 8.

Wrightington Hospital Upper Limb Unit, Wrightington Hospital, Wrightington, Wigan and Leigh National Health Service Foundation Trust, Wigan, UK.

Background: The elbow is the second most commonly dislocated joint. Stability depends on the degree of soft tissue injury, with 2 proposed patterns, one starting laterally and the other medially. The purpose of this study was to describe the injured structures observed in magnetic resonance images (MRIs) in a prospective cohort of simple elbow dislocations. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.010DOI Listing
February 2019
11 Reads

[Osteosynthesis of bicondylar tibial plateau fracture in a prone position : Video article].

Authors:
M Krause K-H Frosch

Unfallchirurg 2018 Dec;121(12):1004-1010

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.

Objective: The aim of the surgical treatment of intra-articular bicondylar tibial plateau fractures is the anatomical reconstruction and direct biomechanical optimal fixation of the fractured articular surface and the leg axis, taking the frequently associated soft tissue damage into account.

Indications: This article presents a cadaver model of a simulated complex bicondylar tibial plateau fracture 41C3 according to the AO classification with fracture involvement of all 10 segments and indications for surgery due to a posteromedial shearing fracture and lateral articular destruction with posterolaterocentral impaction.

Contraindications: Pronounced soft tissue damage with acute or incompletely healed infections in the area of the surgical approach. Read More

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http://link.springer.com/10.1007/s00113-018-0574-8
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http://dx.doi.org/10.1007/s00113-018-0574-8DOI Listing
December 2018
17 Reads

Reporting of acute programme variables and exercise descriptors in rehabilitation strength training for tibiofemoral joint soft tissue injury: A systematic review.

Phys Ther Sport 2018 Nov 24;34:227-237. Epub 2018 Oct 24.

Faculty of Sport, Health and Applied Sciences, St Mary's University, Waldegrave Road, Twickenham, TW1 4SX, UK. Electronic address:

Objective: Strength training acute programme variables (APVs) can impact tibiofemoral joint injury outcomes. Exercise descriptors (EDs; e.g. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1466853X183014
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http://dx.doi.org/10.1016/j.ptsp.2018.10.012DOI Listing
November 2018
53 Reads