Cases reported "Tendinopathy"

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1/10. 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.
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ranking = 1
keywords = operative
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2/10. Iliopsoas tendinitis after total hip arthroplasty.

    Determination of the cause of groin pain after total hip arthroplasty can be difficult. The case of a patient with an unusual cause of groin pain after total hip arthroplasty, iliopsoas tendinitis, is presented. The patient failed nonoperative treatment and underwent surgical release of the iliopsoas tendon with complete resolution of symptoms.
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ranking = 1
keywords = operative
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3/10. Contralateral brachial plexus neuropathy after arthroscopic shoulder surgery.

    This case report presents a neurologic complication that occurred after shoulder arthroscopic surgery on the contralateral arm. This brachial plexus palsy has been documented as a reversible C7-T1 lesion, which was the consequence of the patient's unknown cervical rib and the applied lateral position during the operation. In this case, the recovery was almost complete within 3 months postoperatively; however, one should take care to prevent these complications with an appropriate positioning of patients with an anatomic variant.
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ranking = 1
keywords = operative
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4/10. Calcific tendonitis of the quadriceps.

    The case reported is of a 46 year old male who presented with a history of acute on chronic knee pain. The clinical features and investigations suggested a tear of the quadriceps tendon, with pre-existing chronic calcific enthesopathy. The operative findings were of an acute collection of calcific material within the quadriceps tendon. This acute presentation and calcific collection have not previously been reported in the quadriceps tendon.
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ranking = 1
keywords = operative
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5/10. Calcifying tendinitis in the hand.

    Two cases of acute calcification in the hand are presented with a review of the clinical presentation, pathological findings, differential diagnosis, and treatment. The value of radiographic study is emphasized. A variety of conservative, non-operative treatments have been successfully utilized in the past and are reviewed. The importance of differentiating this infrequent problem from an acute infectious process is emphasized, inasmuch as hospitalization and surgical drainage may be indicated for an acute infection but not for cases of calcifying tendinitis.
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ranking = 1
keywords = operative
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6/10. Bilateral simultaneous infrapatellar tendon ruptures: a case study.

    This case study reports on a patient with a diagnosis of bilateral patellar tendon ruptures. Bilateral ruptures of the infrapatellar tendons are rare occurrences; approximately 20 cases have been reported in the medical literature. Much of the medical literature concentrates on surgical repair, immediate postoperative follow-up, and final outcome. There is a void in the literature concerning the rehabilitative process of these patients. The subject of this study is a 26-year-old male former collegiate athlete who suffered simultaneous bilateral patellar tendon ruptures while jumping. A rehabilitation model is provided that may assist others treating patients with similar conditions.
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ranking = 1
keywords = operative
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7/10. Achilles peritendinosis: an unusual case due to frostbite in an elite athlete.

    Achilles peritendinosis is common in running and jumping sports and can present with or without Achilles tendinosis itself. Several authors describe this condition as associated with over-use syndromes. This article describes an Achilles peritendinosis subsequent to frostbite in an elite runner who eventually underwent surgical treatment and was able to resume running 3 weeks postoperatively.
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ranking = 1
keywords = operative
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8/10. Dupuytren's disease occurring after a surgical injury to the hand.

    We report three clinical cases in which Dupuytren's disease was triggered by surgical trauma. All patients developed the contracture between 3 weeks and 3 months after operation for unrelated pathology of the hand. They had significant swelling of the hand postoperatively, preventing full mobilization. They did not have a strong diathesis for the disease. Since the appearance of the contracture, they have not developed the disease in the contralateral hand or anywhere else in the body. In one case, a similar operation on the contralateral band has not provoked onset of the disease.
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ranking = 1
keywords = operative
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9/10. Snapping knee caused by the gracilis and semitendinosus tendon. A case report.

    There are many reports about the snapping syndrome in the hip, shoulder, and ankle, but the snapping knee has rarely been reported. In general, the symptom of this disorder is relatively tolerable and seldom requires operative treatment. We experienced one case of the snapping knee, for which the pain, easy fatigability, and feeling of instability on both knee joints were the main complaints. During an exploratory operation, we confirmed the gracilis and semitendinosus tendon passing over the medial tibial condyle. The clinical, radiologic, and operative findings are reviewed.
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ranking = 2
keywords = operative
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10/10. Case report: can sacroiliac joint dysfunction cause chronic Achilles tendinitis?

    This case study discusses the possible relationship between chronic Achilles tendinitis and sacroiliac joint dysfunction. The patient presented is an active pole jumper, competing at both the national and international levels. He suffered from chronic Achilles tendinitis during the 1994-95 season, and conservative treatment applied locally was not successful. The athlete discarded the possibility of operative debridement of the tendon. Instead, an evaluation of the kinetic chain of the lower extremity and pelvic-lumbar area was performed, and the athlete was diagnosed with sacroiliac joint dysfunction and Achilles tendinitis. Evaluation findings, treatment program, and treatment outcome are also presented. The literature regarding sacroiliac joint mechanics and biomechanics of the foot-knee-hip and pelvic area is discussed and used to support the author's thesis that sacroiliac joint dysfunction, in this case a backward rotation of the right ilium, may have changed the kinematic chain of the lower extremity and caused a tendinitis in the achilles tendon of the affected leg. sacroiliac joint function and dysfunction, the reliability of sacroiliac joint mobility tests, and the validity of treatment programs are still considered controversial, and more research is needed to understand these mechanisms.
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ranking = 1
keywords = operative
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