1/53. Volar dislocation of the proximal interphalangeal joint of the finger: an indication for urgent operative treatment.Two patients are described with persistent acute volar dislocation of the middle phalanx of a finger. Closed reduction was impossible due to intra-articular interposition of the lateral slip of the extensor mechanism, combined with a tear of a collateral ligament. It is important to recognize these injuries at an early stage and an operative treatment is required.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
2/53. Arthroscopic treatment of infrapatellar tendonitis.Infrapatellar tendonitis is a chronic overload lesion in the patellar ligament at the attachment to the lower pole of the patella. This lesion is found primarily in athletes who participate in jumping sports. magnetic resonance imaging or ultrasound can show the extent of tendon pathology. Patellar tendonitis is treated with modification of activities, medications, and therapy. When conservative measures fail, operative debridement has been recommended. Previous reports have described a technique of open debridement of the patellar tendon, followed by an extended period of rehabilitation before returning to sports. Two athletes with persistent infrapatellar tendonitis were treated with an arthroscopic debridement. Both athletes returned to full activities without restrictions within 8 weeks of surgery. Arthroscopic treatment of infrapatellar tendonitis has not been previously described. This technical note describes the technique and two case reports of the arthroscopic treatment of infrapatellar tendonitis.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
3/53. Patella fracture and proximal patellar tendon rupture following arthroscopic anterior cruciate ligament reconstruction.The central one-third bone-patella tendon-bone graft is a popular choice for arthroscopic anterior cruciate ligament reconstruction. Complications following graft harvesting are unusual, but several reports have been published. We report an unusual case involving a simultaneous patella fracture and patellar tendon rupture that occurred 6 weeks postoperatively.- - - - - - - - - - ranking = 5keywords = ligament (Clic here for more details about this article) |
4/53. Peroneus brevis tendon rupture with tophaceous gout infiltration.The authors present a patient with a history of chronic lateral ankle instability and pain. Physical and diagnostic evaluation revealed anterior ankle instability and peroneus brevis weakness. An MRI showed an attenuated anterior-talofibular ligament and a longitudinal tear of the peroneus brevis tendon. Surgical exploration exhibited tophaceous gout within the tear of the peroneus brevis as well as within the attenuated anterior-talofibular ligament. Presented is an unusual case of a longitudinal tear of the peroneus brevis tendon with tophaceous gout infiltration.- - - - - - - - - - ranking = 2keywords = ligament (Clic here for more details about this article) |
5/53. Irreducible palmar metacarpophalangeal joint dislocation due to junctura tendinum interposition: a case report and review of the literature.Three different anatomic structures have been reported to prevent reduction of a palmar dislocation of metacarpophalangeal joint: dorsal capsule, palmar plate, and a ruptured collateral ligament. In our case, extensor digitorum communis of the fifth finger and extensor digiti minimi subluxated on the ulnar side of the fifth metacarpal neck. Extensor digitorum communis of the fourth finger remained in its anatomic location. The junctura tendinum connecting the fourth and fifth extensor digitorum communis tendons slipped distal and then palmar to the metacarpal head, where it was trapped between the metacarpal neck and the base of the proximal phalanx. It was easily pulled out and the joint promptly reduced. Residual subluxation persisted due to rupture of the radial collateral ligament and the dorsal capsule. Repair restored joint reduction and stability. (J hand Surg 2000; 25A:166-172.- - - - - - - - - - ranking = 2keywords = ligament (Clic here for more details about this article) |
6/53. Chronic recurrent subluxation of the peroneal tendons in a pediatric patient. Surgical recommendations.Numerous surgical and non-operative approaches have been used to treat chronic recurrent subluxation of the peroneal tendons in adult athletes. There have been no published reports of surgical repair in children. In this report on a skeletally immature patient a modification of the Chrisman-Snook procedure (previously described for lateral ligament reconstruction) is described to correct recurrent subluxation of the peroneal tendons, child.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
7/53. Intratendinous rupture of a flexor tendon graft many years after staged reconstruction: a report of three cases.Three cases of rupture of a flexor tendon graft many years after surgery are presented. Two cases occurred 12 years after reconstruction and the third case occurred 21 years after reconstruction. Each rupture was intratendinous, just proximal to the flexor tendon sheath in 2 cases and at the proximal edge of the transverse carpal ligament in the third case. Active digital flexion was restored by transfer of the flexor digitorum superficialis from an adjacent finger to the distal tendon stump or by direct end-to-end repair of the rupture site reinforced with an onlay autogenous patch graft. patients undergoing tendon grafting should be alerted to the possibility of rupture, even many years later.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
8/53. Patellar tendon rupture 3 years after anterior cruciate ligament reconstruction with a central one third bone-patellar tendon-bone graft.Use of the central one third bone-patellar tendon-bone autograft is an accepted technique for anterior cruciate ligament (ACL) reconstruction. Patellar tendon rupture following ACL reconstruction is an acknowledged, although rarely reported, complication of this procedure. Of the limited patellar tendon rupture cases reported in the literature, most are described early in the postoperative period. We present a case of late patellar tendon rupture more than 3 years after uneventful ACL reconstruction in a 32-year-old man.- - - - - - - - - - ranking = 5keywords = ligament (Clic here for more details about this article) |
9/53. Patellar tendon avulsion after reconstruction of the anterior cruciate ligament.We report a case of rupture of a reconstructed anterior cruciate ligament (ACL) combined with avulsion of the inferior patellar ligament. The two lesions were repaired during one operation using the quadriceps tendon as a graft for the damaged ACL.- - - - - - - - - - ranking = 6keywords = ligament (Clic here for more details about this article) |
10/53. Failed regrowth of the harvested semitendinosus tendon: a rare complication of tendon harvest after anterior cruciate ligament reconstruction.Harvested hamstring tendons were recently shown to possess the ability to regrow and regain their function in flexing the knee joint. In this study, we report a case of failed regrowth of previously harvested semitendinosus tendon to its original insertion site in a 24-year-old professional soccer player. The disturbance resulted in the formation of a clearly visible Popeye-type muscular prominence in the proximal thigh and a notable gap in the midthigh distal to the muscular prominence in knee flexion. Furthermore, 6 months after surgery, in the second full-speed soccer practice, the patient experienced a sudden sharp pain in his hamstring muscles, which was later diagnosed as being from a strain of the semitendinosus muscle.- - - - - - - - - - ranking = 4keywords = ligament (Clic here for more details about this article) |
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