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Eur J Orthop Surg Traumatol 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopaedic Surgery and Trauma, Suez Canal University Hospitals, Kilo 4.5 Ring Road, Ismailia, 41522, Egypt.

Background: Posterior fracture/dislocation of the shoulder is a rare injury that is frequently missed on initial assessment. It is frequently associated with reverse Hill-Sachs impression fracture. Several orthopaedics procedures have been described on the literature for reconstructable reverse Hill-Sachs lesion. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Mar 19. Epub 2019 Mar 19.

Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain.

Purpose: Tendon grafts are often utilized for reconstruction of the lateral ligaments unamenable to primary repair. However, tendon and ligaments have different biological roles. The anterior tibiofibular ligament's (ATiFL) distal fascicle may be resected without compromising the stability of the ankle joint. Read More

Biomed Eng Online 2019 Mar 18;18(1):24. Epub 2019 Mar 18.

Research Institute for Leather and Plastic Sheeting, Meissner Ring 1-5, 09599, Freiberg, Germany.

Collagen, the most abundant extracellular matrix protein in animal kingdom belongs to a family of fibrous proteins, which transfer load in tissues and which provide a highly biocompatible environment for cells. This high biocompatibility makes collagen a perfect biomaterial for implantable medical products and scaffolds for in vitro testing systems. To manufacture collagen based solutions, porous sponges, membranes and threads for surgical and dental purposes or cell culture matrices, collagen rich tissues as skin and tendon of mammals are intensively processed by physical and chemical means. Read More

JBJS Essent Surg Tech 2014 Dec 27;3(4):e22. Epub 2013 Nov 27.

Division of Orthopaedic Surgery, St. Michael's Hospital, Suite 800, 55 Queen Street East, Toronto, ON M5C 1R6, Canada. E-mail address:

Introduction: Total ankle replacement for end-stage ankle arthritis with talar varus malalignment of ≥10° can achieve satisfactory outcomes in the ankle joint, and ≥10° of talar varus malalignment should not be considered a contraindication for surgery.

Step 1 Preoperative Assessment And Planning: Conduct a thorough clinical and radiographic evaluation of the entire lower extremity.

Step 2 Surgical Assessment: In the operating room, conduct a physical examination prior to and following ankle exposure to determine the ancillary procedures required. Read More

JBJS Essent Surg Tech 2014 Mar 13;3(1):e5. Epub 2013 Mar 13.

Orthopaedic Hospital for Children, Behandlungszentrum Aschau GmbH, Bernauer Strasse 18, 83229 Aschau i. Chiemgau, Germany.

Introduction: Distal rectus femoris tendon transfer is the standard surgical procedure for the treatment of stiff-knee gait in patients with cerebral palsy and is commonly performed during single-event multilevel surgery.

Step 1 Positioning And Approach: With the patient supine, make a 3 to 4-cm longitudinal incision 2 to 3 cm above the patellar proximal pole.

Step 2 Preparation Of The Rectus Femoris Tendon: Separate the rectus femoris tendon from the vasti; avoid releasing the entire quadriceps at all cost. Read More

Clin Sports Med 2019 Apr 19;38(2):247-260. Epub 2019 Jan 19.

Department of Orthopaedic Surgery, University of New Mexico, MSC10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001, USA. Electronic address:

"KDIV ligamentous injuries of the knee are frequently high-energy injuries with significant soft tissue disruption, gross knee instability, and rarely are treated nonoperatively. KDIVs frequently require external fixation, but when presenting in an isolated fashion can be reconstructed in one setting. Five presentations of KDIV injury are described: closed with multitrauma/closed head injury requiring external fixation, irreducible KDIV requiring semi-emergent open reduction and repair, isolated KDIV without arterial injury undergoing 4-ligament reconstruction after regaining motion, KDIV with varus and slight thrust undergoing medial opening osteotomy before ligament reconstruction, and KDIV with failed ligaments requiring revision and posterior tibial tendon transfer. Read More

Bull Hosp Jt Dis (2013) 2019 Mar;77(1):11-20

A Stener lesion is a complete tear of the ulnar collateral ligament (UCL) from the thumb proximal phalanx at the level of the metacarpophalangeal (MCP) joint that is displaced superficial to the adductor pollicis aponeurosis, leading to interposition of the aponeurosis between the UCL and the MCP joint. The interposition of the adductor aponeurosis distinguishes the Stener lesion from other UCL injuries and impedes healing, thereby necessitating surgery. A thorough clinical examination, including valgus stress testing of the MCP joint, is crucial to the diagnosis. Read More

J Am Acad Orthop Surg 2019 Mar;27(6):e280-e284

From the Department of Orthopaedics, Connecticut Children's Medical Center, Hartford, CT (Dr. Chaudhry), the Department of Orthopaedics, University of Colorado, Denver, CO (Dr. Ipaktchi), and Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ (Dr. Ignatiuk).

Radial nerve injuries are among the most common major traumatic peripheral nerve injuries. Recent literature has updated our knowledge of aspects ranging from radial nerve anatomy to treatment options. Observation and tendon transfers were, and still are, the mainstays of management. Read More

J Pediatr Orthop 2019 Apr;39(4):163-168

Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Background: Extensor pollicis longus (EPL) tendon injury following the dorsal approach to elastic stable intramedullary nailing (ESIN) of the radius has been reported in a growing number of cases in the literature. This study includes 5 new cases from our institution as well as a comprehensive review of previously reported cases from the literature.

Methods: We conducted a retrospective chart review of all patients undergoing ESIN between January 1, 2004 and December 31, 2013 at our institution. Read More

Foot Ankle Surg 2019 Feb 23. Epub 2019 Feb 23.

Department of Plastic Surgery, Clinica Mater Dei, Rome, Italy.

Background: We would like to describe our experience with Peroneus Brevis flap in complicated Achilles tendon re-ruptures with fringed stumps.

Methods: Eight patients with monolateral re-rupture of Achilles tendon were selected as eligible for surgical repair with Peroneus Brevis flap. Patients' outcome was evaluated clinically (ATRS and ROM), functionally (Gait analysis) and MRI was performed before and after surgery. Read More

J Shoulder Elbow Surg 2019 Feb 27. Epub 2019 Feb 27.

Hospital for Special Surgery, New York, NY, USA. Electronic address:

Background: Irreparable posterosuperior rotator cuff tears cause pain and impaired shoulder function. Latissimus dorsi (LD) transfer has been proven to improve shoulder function, but lower trapezius (LT) transfer has recently been proposed as an alternative. This study aimed to compare the biomechanics of LD and LT transfers and how they are affected by different insertion sites. Read More

JBJS Rev 2019 Feb;7(2):e6

Toulouse Shoulder Unit, Clinique de l'Union, Saint Jean, France.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 26. Epub 2019 Feb 26.

Clínica do Dragão, Espregueira-Mendes Sports Centre-FIFA Medical Centre of Excellence, Porto, Portugal.

Purpose: To systematize the surgical outcomes of anatomic and non-anatomic reconstruction in patients with chronic acromio-clavicular joint (ACJ) instability and determine which technique is superior.

Methods: This review was conducted according to the PRISMA guidelines. PubMed and Cochrane Library databases were searched up to April 30th, 2018 for original articles that assessed the outcomes of one or more surgical techniques of anatomic and non-anatomic reconstruction in patients with chronic ACJ instability. Read More

Ann Phys Rehabil Med 2019 Mar 26;62(2):128-131. Epub 2018 Oct 26.

Motion analysis laboratory, Physical Medicine and Rehabilitation, University Hospital of Nantes, 44093 Nantes, France.

Ann Anat 2019 Feb 21;223:85-89. Epub 2019 Feb 21.

Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Poland.

Purpose: Our aim was to characterize the morphology of the proximal attachment of the biceps brachii short head. We hypothesize that it has an aponeurotic component that may affect shoulder joint biomechanics.

Methods: The coracoacromial region and the biceps brachii muscle were dissected in 30 cadaveric shoulders. Read More

Foot Ankle Int 2019 Jan;40(1):121

Foot Ankle Int 2019 Jan;40(1):122-123

Zhonghua Yi Xue Za Zhi 2019 Feb;99(7):542-546

Institute of Sports Medicine, Peking University Third Hospital, Beijing 100191, China.

To compare the outcome of either flexor hallucis longus transfer or turn-down of proximal Achilles tendon tissue repair in treating chronic Achilles tendon rupture. The clinical data of 21 patients who underwent repair of Myerson type Ⅲ chronic Achilles tendon rupture at Peking University Sports Medicine Research Institute from May 2012 to March 2015 were retrospectively analyzed. Among them, 11 cases were treated with flexor hallucis longus (FHL) transfer, and 10 cases were treated with gastrocnemius turn-down flaps repair. Read More

Orthop Res Rev 2018 5;10:93-103. Epub 2018 Dec 5.

Shoulder and Elbow Unit, "D. Cervesi" Hospital, AUSL della Romagna, Ambito Territoriale di Rimini, Rimini, Italy,

Irreparable rotator cuff tears are common conditions seen by shoulder surgeons, characterized by a torn and retracted tendon associated with muscle atrophy and impaired mobility. Direct fixation of the torn tendon is not possible due to the retracted tendon and lack of healing potential which result in poor outcome. Several treatment options are viable but correct indication is mandatory for a good result, pain improvement, and restoration of shoulder function. Read More

J Hand Surg Asian Pac Vol 2019 Mar;24(1):76-82

1 Department of Orthopaedic Surgery, Leicester General Hospital, Leicester, UK.

Background: Strong surgical repair is the mechanical basis of early mobilization and prerequisite for biological healing following tendon grafting. Side to side and pulvertaft repairs were developed to meets these demands. However, these techniques have later been modified to improve the strength of repair but their characteristics have not been compared. Read More

J Hand Surg Asian Pac Vol 2019 Mar;24(1):17-23

1 Department of Orthopedic Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan.

Background: Patients with some thumb polydactyly subtypes are regarded as having a high risk of secondary deformities or poor treatment outcomes. Radially deviated type is one of these subtypes, but its characteristics and definitive treatment outcomes remain unclear. This study aimed to evaluate the pre- and intraoperative findings and surgical outcomes of this subtype. Read More

J Hand Surg Eur Vol 2019 Feb 11:1753193419827814. Epub 2019 Feb 11.

3 Shirley Ryan Ability Lab, Northwestern University and Hines VA Medical Center Chicago, IL, USA.

Reconstructive upper extremity surgeries in tetraplegia are technically challenging because of the many complicated real-time decisions that need to be made, e.g. extent of release of donor muscle-tendon complex, routing of donor muscles, tissue preparation and optimization, tensioning of muscle-tendon units, balancing joints and suturing tendon-to-tendon attachments. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):89-91

Department of Orthopaedics, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Introduction: Traumatic and atraumatic rupture of the extensor pollicis longus (EPL) tendon has been described as a result of mechanical or biological stresses. Common mechanisms include fractures of the distal radius, rheumatoid arthritis, local injection of steroids, and repetitive motion activities at the wrist.

Case Report: We report a case involving the spontaneous rupture of the EPL tendon in a relative of a deceased person who carried her coffin in a wrong way with no other predisposing factors. Read More

J Maxillofac Oral Surg 2019 Mar 29;18(1):124-130. Epub 2018 Mar 29.

1Formerly Head of Department of Maxillofacial Surgeon, Baghdad Medical City, Baghdad, Iraq.

Purpose: Current ballistics and high-energy explosion possess unnoticed, new and significant biophysics and pathophysiology wounding effects that are unique in comparison with civilian trauma. The primary blast wave effects of compressed air due to explosion lead to tattered and crushed eggshell injuries to the upper central midface (UCM). High-energy shell fragments of various shapes and sizes cause extensive destruction and are different from assault rifle's bullets that cause high energy transfer to the  creating a temporary cavitation. Read More

Orthop J Sports Med 2019 Jan 25;7(1):2325967118820539. Epub 2019 Jan 25.

University of São Paulo, São Paulo, Brazil.

Background: Coracoid process transfer for the treatment of recurrent glenohumeral dislocations is a safe and reliable procedure; however, there is no consensus as to which is the best method, the Bristow or Latarjet procedure.

Purpose: To analyze the results of coracoid process transfer for the treatment of recurrent glenohumeral dislocations and to compare the results of this transfer between the Bristow and Latarjet techniques.

Study Design: Systematic review; Level of evidence, 4. Read More

Geriatr Orthop Surg Rehabil 2019 24;10:2151459318821461. Epub 2019 Jan 24.

Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.

Introduction: Posterior tibialis tendon insufficiency is the most common cause of adult acquired flatfoot deformity in elderly patients. We performed a literature search of primary and secondary journal articles pertaining to posterior tibialis tendon insufficiency in the geriatric population. We examined relevant data from these articles regarding current evaluation in addition to both conservative and advanced treatment approaches that correspond to disease severity. Read More

Arthroscopy 2019 Feb;35(2):615-616

Rotator cuff tears are common. When indicated, surgical repair is a highly successful procedure. There are circumstances when there is not enough tendon to perform an anatomic repair because of tear size, retraction, and/or atrophy. Read More

World J Orthop 2019 Jan 18;10(1):33-44. Epub 2019 Jan 18.

Department of Rehabilitation, Hospital Universitario Virgen del Rocío, Sevilla 41013, Spain.

Background: No dynamic technique, such as tendon transfer, has been described for scapular winging due to levator scapulae or rhomboid major and minor palsies resulting from an isolated dorsal scapular nerve injury. Thus, we evaluated how the contralateral trapezius compound osteomuscular flap transfer would work in stabilizing lateral scapular winging, and the case is reported here. A literature review was also conducted, and articles relevant to the case are presented. Read More

Medicine (Baltimore) 2019 Feb;98(5):e14264

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Cheonan, Korea.

Rationale: Adequate stability of traumatic anterior shoulder dislocation without any obvious damage to the anterior capsulolabral structure in elderly patients can be achieved by treating the associated rotator cuff injuries. However, in case of recurrent shoulder dislocation despite rotator cuff repair, the repaired rotator cuff may be weakened or reruptured and is often impossible to repair again. Therefore, the role of the rotator cuff as a shoulder stabilizer cannot be expected. Read More

Ann Maxillofac Surg 2018 Jul-Dec;8(2):307-310

Department of Oral and Maxillofacial Surgery, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India.

Bell's palsy is an idiopathic facial paralysis which is a lower motor neuron disorder. The ultimate goal of treatment is normalization of paralyzed hemi -face with symmetrical smile and face along with corneal protection. The aim of this article is to revisit all the current options available for management of facial nerve paralysis with main concentration on best surgical management in long-standing cases i. Read More

Burns 2019 Jan 24. Epub 2019 Jan 24.

Department of Plastic and Reconstructive Surgery, The Second Affiliated Hospital of AnHui Medical University, China.

Background: The use of platelet-rich fibrin (PRF) has attracted great interest in the treatment of oral and maxillofacial procedures, gingival recessions, and bone healing. However, PRF has been reported hardly to prepare wound bed before skin grafting. This randomized clinical study sought to identify the effect of PRF as an alternative adjunct to tendon-exposed wound healing. Read More

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Isehara-shi, Kanagawa, Japan.

Injuries to the ulnar collateral ligament (UCL) of the thumb are common and require prompt attention. Diagnostic findings and treatment options differ in acute and chronic injuries of the UCL. Pain and weakness of pinch and grip occur with chronic UCL instability. Read More

JSES Open Access 2018 Oct 28;2(3):159-164. Epub 2018 Jun 28.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Background: This study evaluated the long-term outcome of patients with obstetric brachial plexus injury who underwent transfer of the latissimus/teres major tendon to restore shoulder external rotation and determined whether loss of internal rotation would affect their quality of life.

Methods: All patients with a history of obstetric brachial plexus injury who underwent latissimus dorsi transfer for internal rotation contracture were included. Results from 3 clinic visits (preoperative, and short-term and long-term postoperatively) were recorded. Read More

JSES Open Access 2018 Mar 1;2(1):74-83. Epub 2018 Mar 1.

Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN, USA.

The subscapularis tendon, at one point, was thought of as the forgotten tendon, with "hidden lesions" that referred to partial tears of this tendon. Better understanding of anatomy and biomechanics combined with improved imaging technology and the widespread use of arthroscopy has led to a higher rate of subscapularis tear diagnoses and repairs. The bulk mass of the subscapularis muscle is more than that of all 3 other rotator cuff muscles combined. Read More

J Shoulder Elbow Surg 2019 Apr 21;28(4):774-781. Epub 2019 Jan 21.

Department of Orthopaedics, Balgrist University Hospital, University of Zürich, Zürich, Switzerland.

Background: The aim of this systematic review was to evaluate the longitudinal evolution of midterm to long-term results of reverse total shoulder arthroplasty (RTSA) for patients with massive irreparable rotator cuff tears (miRCT).

Methods: Databases were scanned for studies of RTSA for miRCT. Studies with a minimum Level IV of evidence were considered eligible. Read More

Electromagn Biol Med 2019 19;38(1):48-54. Epub 2019 Jan 19.

a Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine , Kyoto University , Sakyo-ku , Japan.

This study aimed to investigate the acute effects of capacitive and resistive electric transfer (CRet) on Achilles tendon elongation during muscle contraction, as well as the circulation in the peritendinous region. Sixteen healthy men participated in this study. All 16 participants underwent 2 interventions: (1) CRet trial and (2) CRet without power (sham trial). Read More

Eur J Surg Oncol 2019 Jan 9. Epub 2019 Jan 9.

Department of Plastic and Reconstructive Surgery, National Center for Global Health and Medicine, Tokyo, Japan. Electronic address:

Supermicrosurgery is sophisticated microsurgical technique, which allows dissection and anastomosis of blood/lymphatic vessels and nerves with external diameter of 0.5 mm or smaller. With increasing attention to quality of life of cancer survivors, less invasive and functionally-better oncological reconstruction using supermicrosurgical techniques is warranted. Read More

Orthop Traumatol Surg Res 2019 Feb 11;105(1):159-166. Epub 2019 Jan 11.

Service de chirurgie orthopédique, centre hospitalier Saint-Junien, 12, rue de Chateaubriand, 87200 Saint-Junien, France.

Introduction: The induced membrane technique for bone defect reconstruction is now well recognized, and short-term results for bone healing are consistent between published reports.

Objectives: To assess very long-term functional results in post-traumatic reconstruction using the induced membrane technique.

Method: Results for 18 patients undergoing bone defect reconstruction by induced membrane were retrospectively analyzed at 10 to 22years' follow-up. Read More

J Orthop Surg Res 2019 Jan 14;14(1):18. Epub 2019 Jan 14.

Centre for Musculoskeletal Research, Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.

Tendons are soft tissues of the musculoskeletal system that are designed to facilitate joint movement. Tendons exhibit a wide range of mechanical properties matched to their functions and, as a result, have been of interest to researchers for many decades. Dimensions are an important aspect of tendon properties. Read More

A A Pract 2019 Jan 3. Epub 2019 Jan 3.

Departement of Orthopedic Surgery, Orthopedic Surgery, Rodez General Hospital, Rodez, France.

The outcome of upper limb tendon transfer surgery is improved when the patient is able to voluntarily contract specific muscles during the surgical procedure. Tumescent local anesthesia is suitable, but we describe an alternative option that involves the novel management of an axillary block. A 47-year-old man, injured in a motor vehicle crash, exhibited a thumb extensor deficit because of severe muscular trauma to the forearm. Read More

Phys Med Rehabil Clin N Am 2018 08 29;29(3):567-591. Epub 2018 May 29.

Department of Orthopaedic Surgery, Children's Hospital of Philadelphia, University of Pennsylvania, 2 Wood Center, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address:

Upper motor neuron disease or injury can lead to muscle spasticity or nonfunction throughout the body. Imbalance in muscle forces predisposes patients to development of functional deficiencies, contractures, pain, and poor hygiene. The approach to neuro-orthopaedic patients is by necessity multidisciplinary, because a variety of nonsurgical and surgical options are available. Read More

Eur J Orthop Surg Traumatol 2019 Feb 8;29(2):329-336. Epub 2019 Jan 8.

Department of Οrthopedics, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500, Ioannina, Greece.

Neonatal brachial plexus palsy is a devastating complication after a difficult delivery. The incidence of this injury has not significantly decreased over the past decades, despite all the advances in perinatal care. Although primary repair of the nerves with microsurgical techniques is the common treatment strategy nowadays, there are late cases in which secondary procedures in tendons or bones are necessary. Read More

J Foot Ankle Surg 2019 Mar 3;58(2):236-242. Epub 2019 Jan 3.

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

Calcific insertional Achilles tendinopathy (CIAT) is a relatively common musculoskeletal entity that results in significant pain and disability, as well as posterior muscle group weakness. There is a lack of evidence criteria to support the timing of operative intervention, choice of procedures, or whether equinus requires treatment. The purpose of this study was to retrospectively review 45 patients (48 feet) who have undergone surgical management of CIAT with concomitant posterior muscle group weakness with the single heel rise testing. Read More

J Child Orthop 2018 Dec;12(6):566-574

Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.

Purpose: We assessed the pattern of relapse as well as the correlation between the number of casts required for correction and Pirani and Dimeglio scores at presentation, and age at presentation. We hypothesized that the Ponseti method would be effective in treatment of relapsed clubfoot as well.

Methods: We evaluated 115 idiopathic clubfeet in 79 children presenting with relapse following treatment by the Ponseti method. Read More

Bone Joint J 2019 01;101-B(1):34-40

Stockholm Sports Trauma Research Center, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Capio Artro Clinic, Sophiahemmet, Sweden.

Aims: The aim of this study was to investigate the incidence, risk factors, and outcome of venous thromboembolism (VTE) following anterior cruciate ligament (ACL) reconstruction in a nationwide cohort.

Patients And Methods: All ACL reconstructions, primary and revision, that were recorded in the Swedish Knee Ligament Register (SKLR) between 2006 and 2013 were linked with data from the Swedish National Board of Health and Welfare. The incidence of VTE was determined by entries between the day of surgery until 90 days postoperatively based on diagnosis codes and the prescription of anticoagulants. Read More

Orthop Traumatol Surg Res 2019 Feb 24;105(1):153-158. Epub 2018 Dec 24.

Université Lille-Nord-de-France, Lille, France; Service d'orthopédie B, hôpital Salengro, CHRU de Lille, place de Verdun, 59037 Lille cedex, France; Laboratoire d'anatomie, faculté de médecine Henri-Warembourg, université de Lille 2, 59045 Lille cedex, France.

Background: Tibialis posterior transfer (TPT) is the treatment most widely used to palliate foot drop due to dorsiflexor palsy. TPT has been extensively studied in patients with peripheral neurological causes of foot drop. In contrast, data are scarce on central foot drop, in which TPT is often blamed for causing flattening of the arches. Read More

J Neurosurg 2018 Dec 21:1-7. Epub 2018 Dec 21.

Departments of2Neurosurgery and.

The authors present the cases of 3 patients with severe injuries affecting the peroneal nerve combined with loss of tibialis posterior function (inversion) despite preservation of other tibial nerve function. Loss of tibialis posterior function is problematic, since transfer of the tibialis posterior tendon is arguably the best reconstructive option for foot drop, when available. Analysis of preoperative imaging studies correlated with operative findings and showed that the injuries, while predominantly to the common peroneal nerve, also affected the lateral portion of the tibial nerve/division near the sciatic nerve bifurcation. Read More

J Foot Ankle Surg 2019 Mar 13;58(2):213-220. Epub 2018 Dec 13.

Medical Writer, Scriptum Medica, University Place, WA. Electronic address:

Rupture of the tibialis anterior tendon is a rare condition reported to occur most often spontaneously in patients >45 years of age. Diagnosis is often delayed due to transient pain at the time of rupture and the ability of the long extensors to compensate for the lost action of the tibialis anterior. Treatment has been proposed to be based on the activity level of the individual; however, no consensus has been reached on the optimal treatment modality for this rare condition. Read More

J Hand Surg Am 2018 Dec 14. Epub 2018 Dec 14.

University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Purpose: Muscle remodeling occurs after tendon transfer. However, it is not known whether these adaptations are permanent and clinically significant. This study examined the early and late structural adaptations following a standard tendon transfer in a primate model. Read More

Obere Extrem 2018 7;13(4):269-272. Epub 2018 Nov 7.

Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, 55905 Rochester, MN USA.

Lower trapezius tendon transfer with Achilles tendon allograft augmentation may be used to treat patients with lack of active external rotation following shoulder paralysis or massive irreparable posterosuperior rotator cuff tears. In the setting of shoulder paralysis, the integrity of the ipsilateral lower trapezius may be compromised. In this instance, the contralateral lower trapezius may be used with reasonable results. Read More