1/65. Old total rupture of the adductor longus muscle. A report of seven cases.Seven cases of old total rupture of the adductor longus muscle are described. Five patients were referred with the suspicion of a soft tissue tumour. Six patients reported an adequate trauma when thoroughly questioned; four of them had sustained the injury while playing soccer; the seventh patient could not recall any trauma. The diagnosis of this lesion is discussed.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
2/65. Soleus rupture: a differential diagnosis of calf thrombosis.Soleus rupture may present with clinical features similar to those of calf thrombosis. It is postulated that the signs are the result of compression of the posterior tibial vein as it passes through the narrow space adjacent to the fibrous origin of soleus. A distinctive venographic sign of compression of the posterior tibial vein by a soft tissue mass at the level of the origin of the soleus is described.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
3/65. Traumatic rupture of the tibialis posterior tendon after ankle fracture: a case report.Degenerative tears of the posterior tibial tendon associated with chronic disease are well documented in the literature. Traumatic ruptures of this tendon, however, are much less common and consequently have received little attention. An association has been shown between pronation-external rotation ankle fractures and tears of the tendons that cross the medial aspect of the ankle, most commonly the posterior tibial tendon. In the present case report, we share our unique experience of an open-ankle fracture associated with the traumatic rupture of the posterior tibial tendon. This injury illustrates that soft-tissue injury must always be suspected concomitantly in the treatment of certain fractures on the basis of both mechanism of injury and fracture pattern.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
4/65. Traumatic hallux varus repair utilizing a soft-tissue anchor: a case report.hallux varus is usually iatrogenic in nature; however, congenital and acquired etiologies have been described in the literature. The authors present a case of traumatic hallux varus secondary to rupture of the adductor tendon. Surgical correction was performed using a soft tissue anchor for maintenance of the soft tissues utilized for repair.- - - - - - - - - - ranking = 6keywords = soft (Clic here for more details about this article) |
5/65. Partial rupture of the distal biceps tendon.Partial rupture of the distal biceps tendon is a relatively rare event, and various degrees of partial tendon tears have been reported. In the current study four patients with partial atraumatic distal biceps tendon tears (mean age, 59 years; range, 40-82 years) are reported. In all four patients, a common clinical pattern emerged. pain at the insertion of the distal biceps tendon in the radius unrelated to any traumatic event was the main symptom. In all patients the diagnosis was based on magnetic resonance imaging or computed tomography imaging. In three of four patients the partial rupture of the tendon caused a significant bursalike lesion. The typical appearance was a partially ruptured biceps tendon, with contrast enhancement signaling the degree of degeneration, tenosynovitis, and soft tissue swelling extending along the tendon semicircular to the proximal radius. In three patients, conservative treatment was successful. Only one patient needed surgery, with reinsertion of the tendon resulting in total functional recovery.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
6/65. Complete rupture of the distal semimembranosus tendon with secondary hamstring muscles atrophy: MR findings in two cases.Complete rupture of the hamstring muscles is a rare injury. The proximal musculo-tendinous junction is the most frequent site of rupture. We present two cases of complete rupture of the distal semimembranosus tendon, which clinically presented as soft-tissue masses. MR imaging permitted the correct diagnosis. There has been only one other such case reported.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
7/65. Pathologic disruption of the distal biceps brachii tendon by synovial sarcoma.This article illustrates the utility of musculoskeletal magnetic resonance imaging in providing contrast resolution of soft body tissues (i.e., biceps tendon) and pathologic processes (i.e., synovial sarcoma). The evaluation of biceps tendon injury and the diagnosis/staging of synovial sarcoma are best complemented by this most sensitive, non-invasive imaging method, particularly when combined as in this unique case.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
8/65. Extensor tendon rupture secondary to the AO/ASIF titanium distal radius plate without associated plate failure: a case report.Complications with open reduction and internal fixation of distal radius fractures have led to the development of the AO/titanium Pi-plate. This was designed to be a low-profile plate to decrease its intrusion into surrounding soft tissues. Recent case reports are revealing an association of tendon ruptures with failures of this plate. This case report demonstrates extensor tendon rupture without plate failure or prominent screw heads.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
9/65. A new method of repair for quadriceps tendon ruptures. A case report.rupture of the quadriceps tendon is an uncommon injury observed predominantly in subjects over 40 years old. Multiple surgical techniques have been employed to repair fresh and neglected ruptures; methods that make use of allograft and augmentation with tissues harvested from around the knee have been reported. We describe a case of surgical repair of a tendon-bone junction rupture in a 64-year-old patient by use of suture anchors to attach the tendon to bone and improve fixation of the soft tissue elements. Clinical diagnosis of rupture was confirmed radiographically and echographically. Surgical repair was performed within 24 hours of injury. Active movement of the knee started after 3 weeks and the patient was permitted to walk without weight-bearing with a knee cage. Three weeks later, he was permitted to walk with full weight-bearing unassisted by crutches; the knee cage was removed 6 weeks after surgery. At his most recent follow-up 24 months postoperative, quadriceps strength was equal to that of the controlateral knee and the patient has returned to sports and daily activities. The surgical method presented here provides a suture of the tendon ends without putting excess stress on the suture line during the period of early knee mobilization. Advantages over other techniques include reduced operative time, easy access to the implantation site, and better resistance of the suture material: the patient is thus able to initiate physical therapy earlier and more aggressively.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
10/65. An easy and versatile method of coverage for distal tibial soft tissue defects.BACKGROUND: The distally based superficial sural artery flap, first described as a distally based neuroskin flap by Masquelet et al., is a skin island flap supplied by the vascular axis of the sural nerve. In the difficult area of defects in the lower leg and the ankle and heel region, it has a wide variety of indications, even in the vascularly compromised patients. It has the largest arc of rotation of all flaps that have been described in this region. The most important advantage is that it does not compromise a major artery. It is simple to dissect and has a low donor morbidity. methods: We reported our experience with this new flap in 15 cases and also described a new indication for the patients with neglected ruptures of the achilles tendon. RESULTS: In 13 patients, the flap was successfully transferred. In two cases, partial necrosis of the flap ensued, which healed with secondary intention. CONCLUSION: This flap deserves a high degree of interest in the reconstructive armamentarium of the trauma surgeon.- - - - - - - - - - ranking = 4keywords = soft (Clic here for more details about this article) |
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