keyword
https://read.qxmd.com/read/37852091/a-unique-case-of-anterior-cruciate-ligament-rupture-coexisting-with-asymptomatic-tear-of-discoid-medial-meniscus-a-case-report
#21
Auliya Akbar, Felais Hediyanto Pradana, Francisco Gilbert Timothy
INTRODUCTION: Anterior cruciate ligament (ACL) is among the most commonly injured structure in the knee with some also suffering from meniscus injuries. However, an ACL rupture with concomitant injury of the discoid medial meniscus is a very uncommon. PRESENTATION OF CASE: A 30 years-old male patient came with unstable left knee, with no history of locked knee and tender joint line. The Lachman and anterior drawer test were positive with no sign of meniscus involvement...
November 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37797166/deep-infection-after-anterior-cruciate-ligament-reconstruction-diagnosed-by-intratunnel-suspensory-fixation-device-migration-a-case-report
#22
JOURNAL ARTICLE
Akira Tsujii, Haruna Takami, Seira Sato, Tatsuo Mae, Tomoki Ohori, Hiroyuki Tanaka, Seiji Okada, Ken Nakata
CASE: A 43-year-old woman sustained an anterior cruciate ligament injury while kickboxing and underwent anterior cruciate ligament reconstruction with hamstring autograft with suspensory fixation. Lateral thigh wound was superficially infected at 2 weeks postoperatively with resolution of signs and symptoms after debridement. Three months later, posterolateral knee pain developed and radiographs revealed intratunnel migration of the device. That observation with abnormal magnetic resonance imaging and serology results led to the diagnosis of deep infection...
October 1, 2023: JBJS Case Connector
https://read.qxmd.com/read/37776951/construction-and-validation-of-a-functional-diagnostic-score-in-anterior-cruciate-ligament-ruptures-of-the-knee-in-the-immediate-post-traumatic-period-preliminary-results-of-a-multicenter-prospective-study
#23
JOURNAL ARTICLE
François-Xavier Gunepin, Romain Letartre, Caroline Mouton, Pierrick Guillemot, Harold Common, Patricia Thoreux, Rémi Di Francia, Nicolas Graveleau
INTRODUCTION: Knee ligament injuries are frequent and their number is constantly increasing with the development of sports activities. Dynamic knee maneuvers usually make it possible to diagnose Anterior Cruciate Ligament (ACL) injuries but they remain difficult to perform in the early post-traumatic phase. This leads to the almost systematic use of MRI scans, many of which turn out to be superfluous. The aim of this study was to construct a screening score based solely on history-taking, in order to help diagnose ACL injuries, and to define thresholds that could help inform recommendations for MRI usage...
September 28, 2023: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/37772249/resurfacing-versus-non-resurfacing-patella-in-total-knee-replacement-when-and-what-to-choose
#24
JOURNAL ARTICLE
Mohamed Samih, Hajar Fadili, Aniss Chagou, Abdeloaihab Jaafar, Bouchaib Zryouil
INTRODUCTION: The opinion on the necessity of patella resurfacing has been deeply divided in the scientific community. There are three approaches to the management of the patella in total knee arthroplasty (TKA). The first method involves always resurfacing the patella, the second method involves never resurfacing it, and the third method involves resurfacing the patella only under specific circumstances. Different data support each of these strategies, but no consensus on the best management has been reached...
August 2023: Curēus
https://read.qxmd.com/read/37751269/anterior-knee-pain-in-young-athletes-osgood-schlatter-or-sinding-larsen-johansson-disease
#25
JOURNAL ARTICLE
Erica Katherine Ziskin, Kacey Kathleen Carter, Sandee Diaz-Parker, Brian H Glick
Osgood-Schlatter disease (OSD) and Sinding-Larsen-Johansson disease (SLJD) are commonly diagnosed conditions in young, athletic patients who present with anterior knee pain. Despite the familiarity many clinicians have with OSD because of its frequent diagnosis, it does not differ much from SLJD in clinical presentation. Although these diseases generally are self-limiting, diagnostic imaging studies can help clinicians make the correct diagnosis, helping patients avoid progressing to advanced disease states that would require extended rest time, prolonged pain, and potential surgical intervention...
October 1, 2023: JAAPA: Official Journal of the American Academy of Physician Assistants
https://read.qxmd.com/read/37746381/interpositional-arthroplasty-with-quadriceps-tendon-in-patellofemoral-joint-osteoarthritis-an-alternative-way
#26
Muhammad Ashraf Fareeq Shamsuddin, Khairil Anwar Ahmad Hanif, Mohd Nizlan Mohd Nasir
We present a case report of a 45-year-old Malay female prison officer with a diagnosis of lateral patellofemoral joint (PFJ) osteoarthritis (OA) in her right knee for whom conservative treatment failed. She was periodically followed up for the unresolving anterior right knee pain, and the patient was offered interpositional PFJ arthroplasty with the quadriceps tendon. A novel technique of interpositional PFJ arthroplasty using lateral inner section ipsilateral quadriceps tendon was applied. The approach and surgical technique were described in this case report...
August 2023: Curēus
https://read.qxmd.com/read/37654761/atypical-presentation-of-gouty-tophus-as-posterior-cruciate-ligament-cyst-a-case-report
#27
Lakshmana Reddy Satti, Aditya Krishna Mootha, Uma Shankar Bajjangi, Gangadhar Gundu
INTRODUCTION: Gouty tophi generally develop around 10 years after the first attack of gout in untreated patients and are commonly found around feet, hands, and elbows. However, tophi can also occur as first sign of disorder. Tophaceous gout presenting in young at the posterior cruciate ligament (PCL) is extremely rare and difficult to diagnose because of its atypical presentation and no hallmark features in magnetic resonance imaging (MRI). CASE REPORT: Here, we report a 25-year-old man manual worker with no prior history of gout has presented with left knee pain and locking episodes for 3 weeks, X-ray shows no abnormality, on advanced imaging with MRI, a well-defined cyst noted adjacent to PCL toward lateral aspect...
August 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37645399/factors-associated-with-increased-opioid-prescriptions-following-anterior-cruciate-ligament-reconstruction-in-opioid-na%C3%A3-ve-patients
#28
JOURNAL ARTICLE
Sercan Yalcin, Peter Y Joo, William McLaughlin, Jay Moran, Dennis Caruana, Michael Flores, Jonathan Grauer, Michael Medvecky
PURPOSE: To identify the mean morphine milligram equivalent (MME) opioid prescriptions for opioid-naïve patients undergoing isolated anterior cruciate ligament reconstruction (ACLR) between 4 weeks before surgery and the first 90 days after surgery and to describe opioid prescriptions filled per patient and mean MMEs per year within 90 days following ACLR. METHODS: Exclusion criteria were patients having concurrent other cruciate or collateral ligament repair or reconstruction, meniscus procedures (repair and debridement), any cartilage procedure, lower-extremity osteotomy, or knee procedures for fracture, infection, or neoplasms; patients with substance use disorder or chronic pain also were excluded...
August 2023: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/37516782/spinal-rosai-dorfman-disease-a-report-of-2-cases-and-review-of-literature
#29
JOURNAL ARTICLE
Saumyajit Basu, Rohan Gala, Kushal Gohil
INTRODUCTION: Rosai-Dorfman Disease (RDD) is a rare benign histiocytic disease that infrequently affects the spine. We report two cases of spinal RDD and review the relevant literature. This report addresses the various diagnostic dilemmas related to the evaluation of Spinal RDD and its treatment. CASE PRESENTATION: Case 1: A 32-year-old male presented with low back pain and left anterior thigh for last 8 months. On examination, there was sensory diminution on inner aspects of the thigh with an absent left knee jerk...
July 29, 2023: Spinal Cord Series and Cases
https://read.qxmd.com/read/37497465/anterior-cruciate-ligament-cysts-about-a-rare-condition
#30
Yassine Ben Bouzid, Marouane Dinia, Rida-Allah Bassir, Monsef Boufettal, Jalal Mekkaoui, Mohamed Kharmaz, Moulay Omar Lamrani, Mohamed Saleh Berrada
The purpose of this study was to provide information on cysts of the anterior cruciate ligament (ACL) of the knee. This included an anatomical and radio-anatomical reminder of the cruciate ligaments of the knee, along with details of the epidemiology, etiopathogenesis, anatomical risk factors, clinical presentation, differential diagnosis, and treatment of ACL cysts. A retrospective analysis was conducted, involving the review of 7 radioclinical records from the medical imaging department of Ibn Sina University Hospital in Rabat, covering a period of 3 years (2018-2020), during which 7 cases of ACL cysts were diagnosed...
September 2023: Radiology Case Reports
https://read.qxmd.com/read/37443477/an-isolated-rupture-of-the-anterolateral-ligament-of-the-knee-a-case-report
#31
JOURNAL ARTICLE
Anthony Elias El Alam, Joeffroy Naji Otayek, Joe Georges Ghanimeh, Jalal Mohamad El Karaaoui, Sahar Fawzi Semaan, Alfred Pierre Khoury
INTRODUCTION: The anterolateral ligament (ALL) is a controversial ligament in the knee that may play a significant role in knee stability. It is difficult to identify on magnetic resonance imaging (MRI) imaging and is often injured in conjunction with other ligaments, such as the anterior cruciate ligament (ACL) and medial collateral ligament. CASE PRESENTATION: This is a unique case of an isolated ALL tear in a 48-year-old woman who presented with severe left knee pain, swelling, and inability to bear weight during a yoga session...
July 14, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37437073/lateral-meniscal-root-displacement-into-the-popliteal-hiatus-in-a-multiligamentous-knee-injury-a-case-report
#32
JOURNAL ARTICLE
Cody Crandall, Zeke Richards, Kevin D Seely, Shad Mortensen, Zachary Quinn, Daniel Gibbs
CASE: A 45-year-old female patient presented with left knee pain after a ski accident. Magnetic Resonance Imaging (MRI) showed complete rupture of the anterior cruciate ligament, posterior cruciate ligament, proximal Medial Collateral Ligament (MCL), and medial patellofemoral ligament. The lateral meniscal root was torn with the posterior horn incarcerated superiorly into the popliteal hiatus, rendering high risk of plastic deformation. An unconventional 2-staged surgical approach was performed...
July 1, 2023: JBJS Case Connector
https://read.qxmd.com/read/37414947/machine-learning-can-accurately-predict-risk-factors-for-all-cause-reoperation-after-aclr-creating-a-clinical-tool-to-improve-patient-counseling-and-outcomes
#33
JOURNAL ARTICLE
Quinn J Johnson, Mohamed S Jabal, Alexandra M Arguello, Yining Lu, Kevin Jurgensmeier, Bruce A Levy, Christopher L Camp, Aaron J Krych
PURPOSE: Identifying predictive factors for all-cause reoperation after anterior cruciate ligament reconstruction could inform clinical decision making and improve risk mitigation. The primary purposes of this study are to (1) determine the incidence of all-cause reoperation after anterior cruciate ligament reconstruction, (2) identify predictors of reoperation after anterior cruciate ligament reconstruction using machine learning methodology, and (3) compare the predictive capacity of the machine learning methods to that of traditional logistic regression...
October 2023: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/37171158/predicting-the-risk-of-posttraumatic-osteoarthritis-after-primary-anterior-cruciate-ligament-reconstruction-a-machine-learning-time-to-event-analysis
#34
JOURNAL ARTICLE
Yining Lu, Anna K Reinholz, Sara E Till, Sydney V Kalina, Daniel B F Saris, Christopher L Camp, Michael J Stuart
BACKGROUND: There is a significant long-term risk of posttraumatic osteoarthritis (PTOA) after anterior cruciate ligament reconstruction (ACLR). Elucidating the risk factors and successfully identifying at-risk patients is challenging. PURPOSE/HYPOTHESIS: The purpose of this study was to produce machine learning survival models that can identify (1) patients at risk of symptomatic PTOA and (2) patients who are at risk of undergoing total knee arthroplasty (TKA) after ACLR...
June 2023: American Journal of Sports Medicine
https://read.qxmd.com/read/37158410/the-third-compartment-of-the-knee-an-update-from-diagnosis-to-treatment
#35
REVIEW
David Barrett, Angela Brivio
The anterior part (third space) of the knee appears important in the soft tissue functional outcome following knee replacement surgery. Native patellofemoral kinematics are complex and variable, and further understanding has led to prosthetic redesign. Attention to soft tissue tension anteriorly (balancing the third space) during knee replacement may maximise post-operative function and avoid issues with understuffing and overstuffing. Patellofemoral compression forces may now be measured dynamically during knee replacement, allowing an objective approach to balancing the third space...
May 9, 2023: EFORT Open Reviews
https://read.qxmd.com/read/37152551/return-to-sport-and-patient-reported-outcomes-after-subpectoral-biceps-tenodesis-for-slap-tear-in-collegiate-gymnasts
#36
JOURNAL ARTICLE
Marisa N Ulrich, Gregory L Cvetanovich, Brett D Meeks, Grant L Jones
BACKGROUND: The biceps superior labral complex is a known source of shoulder dysfunction in young, high-level athletes. Superior labral anterior-posterior (SLAP) repairs are often unsatisfactory for treating biceps-labral pathology in this demographic group, with high failure rates and poor return to sport (RTS). Minimal data have been published to demonstrate patient-reported outcomes (PROs) and RTS in gymnasts after treatment of SLAP pathologies. HYPOTHESIS: Gymnasts undergoing biceps tenodesis for SLAP pathologies would have satisfactory PROs and satisfactory RTS...
May 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37137673/quadriceps-or-hip-exercises-for-patellofemoral-pain-a-randomised-controlled-equivalence-trial
#37
RANDOMIZED CONTROLLED TRIAL
Rudi Hansen, Christoffer Brushøj, Michael Skovdal Rathleff, S Peter Magnusson, Marius Henriksen
OBJECTIVE: To assess effectiveness equivalence between two commonly prescribed 12-week exercise programmes targeting either the quadriceps or the hip muscles in patients with patellofemoral pain (PFP). METHODS: This randomised controlled equivalence trial included patients with a clinical diagnosis of PFP. Participants were randomly assigned to either a 12-week quadriceps-focused exercise (QE) or a hip-focused exercise (HE) programme. The primary outcome was the change in Anterior Knee Pain Scale (AKPS) (0-100) from baseline to 12-week follow-up...
October 2023: British Journal of Sports Medicine
https://read.qxmd.com/read/37009284/case-report-prader-willi-syndrome-and-inflammatory-arthritis-an-important-consideration
#38
Luca Marelli, Tomáš Dallos, Elisabetta Miserocchi, Paolo Nucci, Beatrice Tombolini, Orazio De Lucia, Maurizio Gattinara, Roberto Caporali, Achille Marino
BACKGROUND: Prader-Willi syndrome (PWS) is a multisystemic genetically determined disorder. Musculoskeletal manifestations are common in most patients. We report the cases of two children with PWS who developed inflammatory arthritis, complicated with chronic anterior bilateral uveitis in one case. To our knowledge, no previous reports of such an association exist. CASE PRESENTATION: Case 1 was of a 3-year-old girl diagnosed with PWS who developed arthritis of the right knee with morning stiffness, joint swelling, and limited range of motion...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/36945147/an-18-year-old-female-athlete-presenting-with-knee-pain-following-a-basketball-game-and-diagnosed-with-bilateral-patellar-stress-fractures
#39
JOURNAL ARTICLE
Nireet K Dhillon, Garrett R Jackson, Daniel J Kaplan, Nikhil N Verma
BACKGROUND Stress fractures of the patella are rare, may result from overuse, and can be difficult to detect on imaging. Furthermore, the differential diagnosis of the anterior knee pain associated with most patellar stress fractures is broad, making it difficult to quickly reach the diagnosis. This report is of an 18-year-old female athlete presenting with knee pain after playing basketball and diagnosed with bilateral patellar stress fractures. CASE REPORT An 18-year-old female athlete with a history of bilateral anterior knee pain presented with left knee pain and swelling following a basketball game...
March 22, 2023: American Journal of Case Reports
https://read.qxmd.com/read/36937537/case-report-a-case-of-injury-to-the-infrapatellar-branch-of-the-saphenous-nerve-caused-by-medial-approach-in-knee-arthroscopy
#40
Jiyang Tan, Xunhao Wang, Fei Xiong, Jun Qian, Qiuwen Ying, Jingyi Mi
We present the case of a 72-year-old man who was referred to our department for treatment of pain on the anteromedial infrapatellar side of the right knee with sensory disturbance that began 2 years earlier. The patient previously underwent right knee arthroscopy at another hospital for a meniscus injury 2 years earlier, which relieved his knee pain, but pain and discomfort near the incision of the medial portal persisted. Given this situation, various physical treatments, such as ice compress, were administered postoperatively...
2023: Frontiers in Neurology
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