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J Pediatr Orthop 2020 Jul;40(6):e466-e472

Health and Care Foundation, Ahmedabad, Gujrat India.

Background: Shoulder imbalance secondary to residual brachial plexus birth palsy requires release of internal rotation contracture and tendon transfer. Subscapularis is considered as the prime element of internal rotation contracture and various methods have been described for subscapularis lengthening. It includes open subscapularis slide or lengthening and arthroscopic release. Read More

Curr Rev Musculoskelet Med 2020 Jun 3. Epub 2020 Jun 3.

Roth McFarlane Centre, London, ON, Canada.

Purpose Of The Review: Reverse shoulder arthroplasty (RSA) is commonly considered as one of the options for surgical management of the functionally irreparable rotator cuff tear (FIRCT). This article reviews tips and tricks to optimize the outcome of RSA when performed specifically for this indication.

Recent Findings: RSA has been reported to provide satisfactory outcomes in a large proportion of patients with FIRCTs. Read More

Facial Plast Surg Aesthet Med 2020 Jun 2. Epub 2020 Jun 2.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.

Facial nerve paralysis is an unfortunate, yet relatively common sequela in the treatment of head and neck cancer. Static options for reanimation of the paralyzed midface and oral commissure offer limited quality-of-life improvement and may stretch over time. Reinnervation offers a prolonged recovery and may not be possible among patients with advanced cancer or in salvage situations. Read More

SAGE Open Med Case Rep 2020 6;8:2050313X20921326. Epub 2020 May 6.

Orthopedics Section, Department of Medical Science of Basis, Neuroscience and Organs of Sense, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Bari, Italy.

Infection rates of arthroscopic procedures have been consistently reported at approximately 1% and are even less common in shoulder arthroscopy (0.3%). We are unaware of any prior reports of infection associated with an arthroscopic-assisted latissimus dorsi transfer and report on a 60-year-old male who experienced this event. Read More

Clin Podiatr Med Surg 2020 Jul 12;37(3):569-576. Epub 2020 May 12.

Department of Orthopedics, Catholic Health Initiatives (CHI Health), 16909 Lakeside Hills Court Suite 208, Omaha, NE 68130, USA. Electronic address:

Peroneal tendon tears that require revision are rare and often present a unique challenge for foot and ankle surgeons. Biomechanical issues that may be present or missed initially need to be addressed and evaluated thoroughly for an optimized outcome. Tendon degeneration is usually present, and planning for tendon transfer or tendon graft is necessary to improve mechanical strength. Read More

Clin Podiatr Med Surg 2020 Jul 12;37(3):553-568. Epub 2020 May 12.

Department of Podiatric Surgery, Advent Health East Orlando Podiatric Surgery Residency, 250 North Alafaya Trail Suite 1115, Orlando, FL 32828, USA.

Treatment of Achilles tendon ruptures may be surgical or nonsurgical depending on health, history, age, acuity, and severity of the injury. With chronic or revisional injuries, the best method often requires an open repair with reconstructive soft tissue procedures. Revision surgery can be challenging because of the complexity involving tendinous deficits with nonviable and friable tissue. Read More

J Pediatr Orthop B 2020 May 22. Epub 2020 May 22.

David Geffen School of Medicine.

Objectives: Previous investigators have suggested a role for generalized joint hypermobility (GJH) in the etiology of clubfoot deformity, while others have suggested its presence may influence treatment outcomes. We sought to determine if GJH was associated with the demographics, treatment, or propensity to relapse of patients whose clubfeet were managed using the Ponseti method.

Methods: Fifty-seven patients with Ponseti-treated clubfeet comprised the cohort; median age 61 months (range, 38-111 months). Read More

Injury 2020 May 8. Epub 2020 May 8.

Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU), Germany.

Purpose: Multiple trauma patients have a high risk of missed injuries. The main point of our study was to provide new epidemiological data on hand and forearm injuries in multiple trauma with a focus on those that were missed. Therefore, we used the database of the TraumaRegister DGU®. Read More

Front Neurosci 2020 5;14:412. Epub 2020 May 5.

Biomedical Technology Department, IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.

People with tetraplegia are often lacking grip strength, causing impairment in activities of daily living. For them, improving hand function is a priority because it is important for autonomy and participation in daily life. A tendon transfer surgery may be an option to improve the tenodesis grip, but it is an invasive procedure. Read More

J Foot Ankle Res 2020 May 19;13(1):25. Epub 2020 May 19.

Center for Anatomy and Cell Biology, Division of Anatomy, Medical University of Vienna, Vienna, Austria.

Background: The tibialis posterior tendon (TPT) is the main dynamic stabilizer of the medial longitudinal arch of the foot. Especially in adult acquired flatfoot deformity (AAFD) the TPT plays a detrimental role. The pathology and function of the tendon have been extensively investigated, but knowledge of its insertional anatomy is paramount for surgical procedures. Read More

Open Access Rheumatol 2020 28;12:47-54. Epub 2020 Apr 28.

Department of Special Surgery, Division of Orthopedics, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.

Background: Spontaneous rupture of extensor pollicis longus (EPL) tendon is a rare condition often found in patients actively having regular extensive use of hands and fingers especially the thumb. In this article, we report 7 cases of spontaneous rupture of EPL tendon and investigate the associated factors and treatment outcome.

Methods: Retrospectively, the databases for the 7 cases were retrieved and studied. Read More

Int J Low Extrem Wounds 2020 May 17:1534734620919611. Epub 2020 May 17.

Seoul National University, Seoul National University Hospital, Seoul, Korea.

Lower extremity ulcers are quite common in patients with autoimmune diseases. Due to chronic use of immunosuppressants, these wounds may develop into deeper wounds resulting in exposure of bone or tendon, which in turn may require free tissue transfers for coverage. The author reviewed perforator free flap transfers performed in this group of patients and analyzed the results. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):591-595

Department of Foot and Ankle Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To investigate the effectiveness of tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy.

Methods: The clinical data of 21 patients with unilateral foot drop secondary to peroneal nerve palsy between October 2009 and September 2016 was retrospectively analyzed. There were 12 males and 9 females with an average age of 32. Read More

J Clin Orthop Trauma 2020 May-Jun;11(3):457-461. Epub 2020 Mar 18.

Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India.

Background: Foot drop defined as a significant weakness of ankle and toe dorsiflexion. It leads to high stepping gait, functional impairment and deformity of the foot. Objective of this study was to assess the functional outcome of tibialis posterior (TP) transfer for patient with foot drop in a single center. Read More

Cureus 2020 May 4;12(5):e7952. Epub 2020 May 4.

Medical Affairs, PolarityTE, Inc., Salt Lake City, USA.

Extremity injuries are common in contemporary combat and have become more prevalent as fatality rates have dropped to historic lows. Traumatic extremity wounds, especially those sustained in theater, often present with exposed structures such as tendon, bone, and joint, preventing the use of split-thickness skin grafts (STSG) for coverage. Traditional reconstructive options for these complex wounds include skin substitute with delayed STSG, local flaps, debridement of tendons, pedicled distant flaps (such as cross-leg flap), free tissue transfer, and amputation. Read More

Hip Int 2020 May 13:1120700020924330. Epub 2020 May 13.

Orthopaedic Department, Gennimatas General Hospital, Cholargos, Athens, Greece.

Introduction: The treatment options of chronic abductor insufficiency in the setting of muscle degeneration, are limited and technically demanding. We present the outcomes of a salvage technique for unreconstructable, chronic abductor tears performed by a single surgeon.

Methods: We retrospectively evaluated 38 patients who were surgically managed for chronic abductor insufficiency. Read More

J Foot Ankle Surg 2020 May 7. Epub 2020 May 7.

Director of Industry Sponsored Research, International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, MD.

Given their severity and resultant loss of function, postpoliomyelitic foot and ankle deformities require a unique correction method. Correction with dynamic Ilizarov external fixation is one such modality, although it is technically demanding and requires precise preoperative planning. In our case study, a 40-year-old male with a severe postpoliomyelitic equinocavovarus right foot and ankle deformity was treated with gradual correction using dynamic, hinged Ilizarov external fixation. Read More

Plast Reconstr Surg 2020 May 4. Epub 2020 May 4.

Background: Shoulder release and tendon transfer is frequently performed to address persistent weakness from neonatal brachial plexus palsy. Although postoperative improvements in motion are well described, associated deficits are poorly documented and functional assessments are lacking. Loss of ability to reach midline can occur with surgery and may result in impairment. Read More

Arthrosc Tech 2020 Apr 23;9(4):e513-e519. Epub 2020 Apr 23.

Department of Orthopedic Surgery, Centre Osteo-Articulaire des Cedres, Echirolles, France.

The Trillat procedure is a surgical treatment for recurrent anterior shoulder instability in the setting of significant or irreparable rotator cuff tears in elderly patients. The procedure comprises an inferior closing wedge partial osteotomy of the coracoid process with fixation to the glenoid neck. This results in a lowered and medialized coracoid process that acts as a bone block and the conjoint tendon is brought closer to the glenohumeral joint, thus closing the subcoracoid space, which blocks humeral dislocation. Read More

JBJS Essent Surg Tech 2020 Jan-Mar;10(1):e0035. Epub 2020 Feb 21.

The Hughston Clinic, Columbus, Georgia.

Insertional Achilles tendinopathy causes posterior heel pain at the insertion of the Achilles tendon, often in combination with a calcaneal exostosis, or Haglund deformity. Insertional Achilles tendinopathy often presents with a posterior osseous prominence and leads to calcification of the Achilles tendon. Nonoperative treatment of these conditions includes activity modification, nonsteroidal anti-inflammatory agents, heel lifts, shoe modification, physical therapy focused on eccentric strengthening exercises, iontophoresis, and shock wave therapy. Read More

JBJS Essent Surg Tech 2020 Jan-Mar;10(1). Epub 2020 Mar 23.

Vienna Shoulder & Sports Clinic, Vienna, Austria.

Anterior shoulder instability is commonly associated with injuries to the labrocapsular structures of the glenohumeral joint and with osseous glenoid defects of varying degree. If the bone defect exceeds a clinically relevant threshold, mere soft-tissue repairs result in high rates of recurrent instability and the glenoid needs to be reconstructed with osseous augmentation. The most popular techniques for glenoid reconstruction include variations of coracoid transfer or bone-block procedures; however, these procedures are not free from risks and complications, which are often related to the method of fixation. Read More

JBJS Essent Surg Tech 2020 Jan-Mar;10(1). Epub 2020 Feb 13.

Shriners Hospital for Children-Twin Cities, Minneapolis, Minnesota.

Posterior elbow capsulotomy plus triceps lengthening facilitates passive elbow flexion in children with arthrogryposis multiplex congenita, allowing independent function for activities of daily living, such as feeding and self-care of the face and hair.

Description: The posterior aspect of the distal end of the humerus and the olecranon are identified by palpation and exposed via a curvilinear incision over the posterior aspect of the elbow. Identifying the osseous landmarks can be challenging in some patients. Read More

Indian J Plast Surg 2020 Mar 22;53(1):36-41. Epub 2020 Apr 22.

Department of Orthopedics, Aswan University, Aswan, Egypt.

Patients with lesions affecting C7 and C8 roots (in addition to C56) demonstrate loss of independent wrist dorsiflexion in addition to loss of shoulder abduction and elbow flexion. Traditionally, this deficit has been addressed using tendon transfers after useful function at the shoulder and elbow has been restored by primary nerve surgery. Confidence with nerve transfer techniques has prompted attempts to replace this method by incorporating procedures for wrist dorsiflexion in the primary operation itself. Read More

Injury 2020 Apr 21. Epub 2020 Apr 21.

Department of Plastic Surgery Nil Ratan Sircar Medical College, Kolkata, West Bengal, India.

Background: Poor awareness among the patients and lack of resources for proper management of nerve injuries leads to delayed presentation of most traumatic ulnar nerve injuries. When this injury is present in the proximal forearm it leads to poor outcomes as Ulnar nerve repair with grafts takes a prolonged time to restore function. Addition of a tendon transfer to this procedure can allow patients to return to work earlier. Read More

Foot Ankle Int 2020 May 1:1071100720917375. Epub 2020 May 1.

Trauma and Orthopaedic Department, University Hospital Aintree, Lower Lane, Liverpool, UK.

Background: Idiopathic flatfeet are usually caused by attenuation of the medial soft tissues rather than a lateral osseous deficiency. Debate continues on whether spring ligament attenuation or posterior tibial tendon (PTT) dysfunction is the initial driver for the deformity. Our comparative prospective study aimed to quantify the radiological and clinical outcomes of 2 techniques for spring ligament reconstruction using a hamstring graft or a synthetic ligament. Read More

Spinal Cord Ser Cases 2020 Apr 30;6(1):31. Epub 2020 Apr 30.

Department of Spinal Unit, Azienda Ospedaliero-Universitaria Careggi, Largo Palagi 1, 50100, Florence, Italy.

Introduction: In individuals with tetraplegia, elbow extension is critical for overhead activities, weight shifting, independent transfers, and to perform self-care tasks such as eating. At present, restoration of elbow extension in tetraplegic patients can be performed using either tendon or nerve transfers. Each procedure presents several advantages and limitations that must be discussed with the potential surgical candidate, based on remaining muscular functions and functional goals. Read More

Foot Ankle Int 2020 Apr 30:1071100720914605. Epub 2020 Apr 30.

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA.

Background: Achilles tendinopathy is a common clinical problem that can be either insertional or noninsertional. A variety of treatment methods have been described, although little consensus exists on an optimal method or methods. We sought to investigate the current evidence on different treatment methods for noninsertional Achilles tendinopathy, with a focus on functional outcomes. Read More

Tech Hand Up Extrem Surg 2020 Apr 28. Epub 2020 Apr 28.

Hand surgery Fellowship, University Foundation of Health Sciences, Bogotá, Colombia.

Wrist treatment in spastic cerebral palsy includes splints, botulinum toxin, tendon transfers, tendon lengthening, capsular liberations, and arthrodesis. A well-indicated wrist arthrodesis corrects deformity improving function and cosmetic appearance in patients with fixed deformities. It is indicated in patients with cerebral palsy, older than 12 years with a fixed deformity in wrist flexion. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Apr 28. Epub 2020 Apr 28.

Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.

Purpose: To biomechanically evaluate MPTL reconstruction and compare it with two techniques for MPFL reconstruction in regard to changes in patellofemoral contact pressures and restoration of patellar stability.

Methods: This is an experimental laboratory study in eight human cadaveric knees. None had patellofemoral cartilage lesions or trochlear dysplasia as evaluated by conventional radiographs and MRI examinations. Read More

Int J Rehabil Res 2020 May 22. Epub 2020 May 22.

Department of neurosciences, rehabilitation, ophthalmology, genetics and maternal/child sciences, University of Genova.

We report, to the best of our knowledge, the first case of a probable COVID-19 infection in a 28-year-old man with Charcot-Marie-Tooth disease. The diagnosis was established through a remote interaction with the patient after early discharge from outpatient therapy due to upcoming traveling restrictions. The COVID-19 disease appeared mild, without major respiratory problems, and no obvious neuromuscular deterioration was reported or observed. Read More

J Shoulder Elbow Surg 2020 May;29(5):874-881

OrthoCarolina Shoulder and Elbow Center, Charlotte, NC, USA. Electronic address:

Background: Latissimus dorsi (LD) and teres major (TM) tendon transfers have been performed concurrently with reverse shoulder arthroplasty (RSA) to address combined loss of elevation and external rotation (CLEER) at the shoulder. The purpose of this prospective, randomized study was to compare RSA with and without LD-TM tendon transfer in patients with rotator cuff tear arthropathy and CLEER.

Methods: Patients undergoing RSA for rotator cuff tear arthropathy who also had CLEER were randomized into the group undergoing RSA with tendon transfer or the group undergoing RSA without tendon transfer. Read More

Folia Morphol (Warsz) 2020 Apr 17. Epub 2020 Apr 17.

Department of Anatomy, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, 10330 Bangkok, Thailand.

Background: Length of flexor hallucis longus (FHL), localization of master knot of Henry (MKH) and relationship between MKH and neurovascular bundle are essential for the achievement of FHL tendon transfer. The purpose of this study is to define the localization of MKH in reference to bony landmarks of the foot, its relationship to plantar neurovascular bundle and to investigate in situ and ex vivo length of FHL tendon in single incision, double incision and minimally invasive techniques.

Materials And Methods: Foot length was examined in sixty-two feet of thirty-one soft cadavers (9 males, 22 females). Read More

EFORT Open Rev 2020 Mar 2;5(3):145-155. Epub 2020 Mar 2.

Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK.

Up to 18% of multiligament knee injuries (MLKI) have an associated vascular injury.All MLKI should be assessed using the ankle brachial pressure index (ABPI) with selective arteriography if ABPI is < 0.9. Read More

Malays Orthop J 2020 Mar;14(1):84-87

Department of Pathology, Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital, Bhubaneswar, India.

Giant cell tumour of tendon sheath is a benign soft tissue lesion most commonly found in the flexor aspect of hand and wrist. However, it is uncommon in foot and ankle and rare in bilateral achilles tendon. We report a case of 17-year-old female who presented with progressive enlargement of bilateral achilles tendon for six months. Read More

BMC Surg 2020 Apr 15;20(1):73. Epub 2020 Apr 15.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.

Background: The objective of the study was to investigate the association between obesity and the presence of secondary surgery following neurolysis, direct nerve repair, or nerve grafting in patients with traumatic brachial plexus injury.

Methods: In this retrospective chart review spanning two Level I medical centers in a single metropolitan area, 57 patients who underwent neurolysis, direct nerve repair, or nerve grafting for brachial plexus injuries between 2002 and 2015 were identified. Risk regression analysis was used to evaluate the association between obesity status and secondary surgery. Read More

J Hand Microsurg 2020 Apr 22;12(1):37-42. Epub 2019 Nov 22.

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York SUNY Downstate Medical Center, Brooklyn, New York, United States.

 Elbow flexion loss is a debilitating upper extremity injury. Surgical treatment options include nonfree muscle transfers (tendon transfers, nerve transfers, Steindler procedure, Oberlin transfers, and pedicled muscle transfers) or free muscle transfers. We sought to determine if free muscle transfers and nonfree muscle transfers have similar outcomes for elbow flexion reanimation. Read More

Hand Surg Rehabil 2020 Apr 7. Epub 2020 Apr 7.

Department of Orthopedic Surgery, Seoul St. Mary's hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero Seocho-gu, 06591 Seoul, Republic of Korea. Electronic address:

The purpose of this study was to investigate the outcomes of extensor tendon repair involving the original stump in atraumatic extensor tendon rupture of rheumatoid wrists. For this study, 16 cases were reviewed involving 14 patients with rheumatoid arthritis. A total of 52 ruptured tendons impacted 36 fingers; 51 tendons were repaired in 35 fingers. Read More

Cureus 2020 Mar 9;12(3):e7222. Epub 2020 Mar 9.

Orthopaedics, Royal Derby Hospital, Derby, GBR.

Numerous anomalous muscles of the forearm and hand have been reported in the literature. The majority were encountered in cadaver dissections and some were incidentally detected during tendon transfer surgery. Because of the limited number of motors available for transfer, it may be advantageous if an anomalous muscle with favorable anatomy can function as a potential donor in a suitable clinical environment. Read More

Acta Ortop Mex 2019 Sep-Oct;33(5):333-336

Centenario Hospital Miguel Hidalgo. Servicio de Traumatología y Ortopedia. Módulo de cirugía articular. Aguascalientes, Ags. México.

Introduction: Posterior shoulder dislocations are rare (2%) and are associated with seizures, electrocutions and high-energy trauma. They may be associated with a reverse Hill-Sachs lesion. One of the treatment principles consists of the subscapular tendon transfer to the injury area or McLaughlin procedure. Read More

J Foot Ankle Surg 2020 May - Jun;59(3):553-559. Epub 2020 Apr 3.

Director, Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD.

This case report describes posterior tibial tendon (PTT) tendinopathy, valgus deformity with tenosynovitis, and osteopenia at the medial malleolus as the primary symptoms of a young patient with celiac disease (CD) without gastrointestinal symptoms. CD is an autoimmune condition that is a chronic inflammatory disorder of the small intestine triggered by ingestion of gluten in individuals with a particular genetic background. Without typical gastrointestinal symptoms, CD patients are often misdiagnosed or undiagnosed. Read More

J Bone Joint Surg Am 2020 Apr 2. Epub 2020 Apr 2.

Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, Massachusetts.

Background: Soft-tissue contractures about the shoulder in patients with brachial plexus birth injury are common and can lead to progressive shoulder displacement and glenohumeral dysplasia. Open or arthroscopic reduction with musculotendinous lengthening and tendon transfers have become the standard of care. The clinical function and radiographic joint remodeling beyond the first 2 years after surgery are not well understood. Read More

J Foot Ankle Surg 2020 Apr 1. Epub 2020 Apr 1.

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

Surgical treatment for a stage II adult acquired flatfoot has consisted of reconstruction of the diseased posterior tibial tendon with flexor digitorum longus tendon transfer, combined with osteotomies to address the underlying deformity. This case series presents an alternative to tendon transfer using allograft tendon for posterior tibial tendon reconstruction. Four patients who underwent stage II flatfoot reconstruction with posterior tibial tendon allograft transplantation were included. Read More

JBJS Case Connect 2020 Jan-Mar;10(1):e0525

Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas.

Case: A 14-year-old boy presented with an 18-month history of progressive left wrist drop. Magnetic resonance imaging studies were concerning for mass infiltration of the posterior interosseous nerve (PIN). Surgical resection and pathology confirmed a variant of neuromuscular choristoma (NMC), infiltrated with and surrounded by proliferation of smooth muscle, rather than skeletal muscle. Read More

Radiol Med 2020 Mar 28. Epub 2020 Mar 28.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Purpose: Tendon transfers have become a common surgical procedure around the ankle. In this study, we sought to evaluate the existence of a correlation between specific anthropometric parameters and the size of some ankle tendons measured on MRI, in particular those mostly used as graft in ankle surgery.

Methods: We recorded gender, height, weight, and body mass index (BMI) of 113 patients (57 females; mean age: 42 ± 18) who underwent ankle MRI. Read More

Int Orthop 2020 May 28;44(5):905-910. Epub 2020 Mar 28.

Shoulder and Elbow Surgery Service, Hautepierre 2, CHRU Strasbourg, av. Molière, 6785, Strasbourg, France.

Purpose: The primary objective of this retrospective study was to validate electrophysiological results of latissimus dorsi tendon transfer (LDTT) to determine if this transfer is active for different daily living tasks, and the secondary objective was to correlate these clinical results.

Methods: With a mean follow-up of 4.7 years, 14 latissimus dorsi tendon transfers were retrospectively reviewed. Read More

J Exp Orthop 2020 Mar 24;7(1):16. Epub 2020 Mar 24.

IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Background: Soft-tissue sarcomas (STS) are rare in hand and foot. In this paper we present a case of reconstruction of Achilles tendon defect with peroneus brevis transfer reinforced with medial gastrocnemius fascia and plantaris tendon after excision of a local recurrence of epithelioid sarcoma.

Case Presentation: Fifty-five years-old female. Read More

J Hand Surg Am 2020 Mar 21. Epub 2020 Mar 21.

Wockhardt Hospital, The Umrao IMSR, Thane, Maharashtra, India.

Purpose: With nerve or tendon surgery, the results of thumb reconstruction to treat radial nerve paralysis are suboptimal. The goals of this study were to describe the anatomy of the deep branch of the posterior interosseous nerve (PIN) to the thumb extensor muscles (DBPIN), and to report the clinical results of transferring the distal anterior interosseous nerve (DAIN) to the DBPIN.

Methods: The PIN was dissected in 12 fresh upper limbs. Read More

Adv Orthop 2020 24;2020:7496492. Epub 2020 Jan 24.

Whipps Cross University Hospital, London, UK.

Traumatic anterior instability of the shoulder is commonly treated with the Latarjet procedure, which involves transfer of the coracoid process with a conjoint tendon to the anterior aspect of the glenoid. The two most common techniques of the Latarjet are the classical and congruent arc techniques. The aim of this study was to evaluate the difference in force required to dislocate the shoulder after classical and congruent arc Latarjet procedures were performed. Read More

J Pediatr Orthop 2020 Mar 20. Epub 2020 Mar 20.

Department of Paediatric Orthopaedics.

Background: We aimed to evaluate the effect of tibialis anterior tendon transfer (TATT) on foot motion in children with clubfoot recurrence after initial Ponseti treatment.

Methods: Children with dynamic clubfoot recurrence after initial Ponseti treatment who underwent TATT between 2014 and 2017 were considered for inclusion. Exclusion criteria were neurological disease, split transfer of the tendon, additional bone or joint invasive surgery, and initial treatment abroad. Read More

Injury 2020 Mar 19. Epub 2020 Mar 19.

OU Traumatology-Reconstructive Microsurgery, Department of Orthopaedics and Traumatology, CTO Hospital, Torino, Italy.

Closed brachial plexus lesions (BPLs) are generally associated with a traumatic mechanism of forced traction between the neck and the shoulder-arm complex. For brachial plexus reconstruction different techniques have been proposed with donor motor nerves like intercostal nerves, or the ipsilateral cervical plexus, the phrenic nerve, the contralateral C7 root, and many others. Despite all these surgical possibilities, the overall recovery is generally poor and not satisfactory. Read More