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Tendon avulsion

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https://www.readbyqxmd.com/read/29675510/isolated-subscapularis-tendon-tear-in-a-skeletally-immature-soccer-player
#1
Paolo Avanzi, Luca Dei Giudici, Roberto Giovarruscio, Antonio Gigante, Claudio Zorzi
Subscapularis injury in adolescents, usually associated to an avulsion fracture of the lesser humeral tuberosity, accounts for less than 2% of all fractures of the proximal humerus. Isolated tears of the subscapularis tendon without a history of dislocation and associated avulsion fractures are an even rarer occurrence, and treatment is controversial. This article describes a rare case of a 12-year-old suffering from an isolated subscapularis tear and discusses its management. The patient was evaluated at presentation, and at 1 to 2...
March 2018: Joints
https://www.readbyqxmd.com/read/29666077/investigation-and-management-of-an-isolated-complete-distal-avulsion-of-semitendinosus
#2
Idrees Ahmed, Martin Williams, James Murray
A 34-year-old male patient presented with right-sided posteromedial knee pain following an attempted tackle during a soccer match. MRI revealed that the semitendinosus (ST) tendon had completely avulsed from its distal insertion site. The patient was initially managed conservatively but eventually required surgery due to ongoing posteromedial knee pain. Surgical management was achieved through tenodesis of ST to gracilis. Postsurgery, the posteromedial knee pain had been alleviated, and following physiotherapy the patient regained a good range of motion...
April 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29657849/talar-process-fractures-an-overview-and-update-of-the-literature
#3
Haroon Majeed, Donald J McBride
Fractures of the lateral and the posterior processes of the talus are uncommon and frequently missed because of a low level of suspicion and difficulty in interpretation on plain radiographs. Missed fractures can lead to persistent pain and reduced function.Lateral process fractures are usually a consequence of forced dorsiflexion and inversion of fixed pronated foot. These are also commonly known as snowboarder's fractures.The posterior process of the talus is composed of medial and lateral tubercles, separated by the groove for the flexor hallucis longus tendon...
March 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29599968/partial-avulsion-of-the-ulnaris-lateralis-and-enthesiopathy-of-the-lateral-epicondyle-of-the-humerus-in-a-thoroughbred-race-horse
#4
Neal Ashton
Background: There is relatively little literature on elbow disease in the horse. The only published reports on soft tissue conditions describe collateral ligament and biceps brachii injuries. Case presentation: A three-year old Thoroughbred gelding presented with a history of acute onset right forelimb lameness of less than one week duration, one month after commencing training in a National Hunt racing yard. Physical examination and peri-neural anaesthesia failed to localise the lesion...
2018: Irish Veterinary Journal
https://www.readbyqxmd.com/read/29587870/supraspinatus-tendon-repair-using-anchors-a-biomechanical-evaluation-in-the-rabbit
#5
Hakim Louati, Hans K Uhthoff, Kathryn Culliton, Odette Laneuville, Peter Lapner, Guy Trudel
BACKGROUND: Arthroscopic rotator cuff repairs are mostly secured with suture anchors and often supplemented by footprint decortication. The objectives of this study were to characterize the strength of bone-tendon healing following anchor repair and assess the effect of channeling the supraspinatus (SSP) humeral footprint 1 week ahead of reattachment surgery. METHODS: One hundred twelve rabbits underwent unilateral detachment of one SSP tendon and were randomly assigned to two groups: channeling the footprint at time of detachment and no channeling...
March 27, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29578750/operative-management-of-acute-triceps-tendon-ruptures-review-of-184-cases
#6
Raffy Mirzayan, Daniel C Acevedo, Jeffrey F Sodl, Edward H Yian, Ronald A Navarro, Oke Anakwenze, Anshuman Singh
BACKGROUND: Distal triceps tendon ruptures are rare. The authors present a series of 184 surgically treated, acute, traumatic triceps tendon avulsions and compare the complications between those treated with anchors (A) versus transosseous (TO) suture repair. HYPOTHESIS: No difference exists in the retear rate between TO and A repairs. Study Designed: Cohort study; Level of evidence, 3. METHODS: All patients who underwent an open primary repair of a traumatic triceps tendon avulsion within 90 days of injury, between 2007 and 2015, were retrospectively reviewed...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29555495/total-knee-arthroplasty-in-patients-with-prior-anterior-cruciate-ligament-reconstruction
#7
Alejandro Lizaur-Utrilla, Daniel Martinez-Mendez, Santiago Gonzalez-Parreño, Luis Marco-Gomez, Francisco A Miralles Muñoz, Fernando A Lopez-Prats
BACKGROUND: Few studies have analyzed the outcomes of total knee arthroplasty (TKA) in patients with prior anterior cruciate ligament (ACL) reconstruction, and the reported outcomes are controversial. The purpose of this study is to assess if prior ACL reconstruction had any impact on the outcome of subsequent TKA. METHODS: A matched case-control study was conducted in patients who underwent TKA, including 37 with prior ACL reconstruction and 37 patients without ACL reconstruction...
February 21, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29516111/diagnosis-of-isolated-extensor-carpi-radialis-longus-ecrl-tendon-avulsion-fracture-using-ultrasound-a-paradigm-shift
#8
N Alnaif, S Alrobaiea, Alain J Azzi, S Thibaudeau, M H Martin
Isolated avulsion fracture of the extensor carpi radialis longus (ECRL) tendon is a rare and poorly understood injury. We present a unique case of a 45-year-old male who fell on his flexed right hand. He presented with a subtle but extremely painful mass on the dorsum of his wrist. Ultrasound (U/S) imaging of the mass revealed an avulsed bone fragment attached to the ECRL tendon, confirming the clinical suspicion of an ECRL avulsion injury. Computed tomography and magnetic resonance imaging are well-documented imaging modalities to detect tendon avulsions...
March 7, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29514342/a-case-of-non-simultaneous-bilateral-partial-triceps-tendon-repair
#9
Eric Goodrich, Richard P Goodrich
A partial triceps tendon tear is an uncommon injury. Even rarer is a bilateral partial triceps tendon tear in which there has been one documented case. This case report illustrates a 37-yr-old African-American male who sustained non-simultaneous bilateral partial triceps tendon avulsions. He sustained a traumatic right partial triceps tendon avulsion after a fall onto an outstretched right arm that required operative repair after failure of conservative treatment. Five months later, he sustained a similar injury after falling on an outstretched left arm that was repaired 9 d later...
March 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29448827/outcomes-after-primary-repair-of-insertional-ruptures-of-the-achilles-tendon
#10
Oliver Nickolaas Schipper, Robert Bentley Anderson, Bruce E Cohen
BACKGROUND: Achilles tendon insertional sleeve avulsions occur when the Achilles distal tendon sleeve ruptures off of its insertion into the calcaneal tuberosity, sometimes with a small bony fragment from calcific tendinosis. Little evidence exists describing the outcomes and rerupture rate after operative management of Achilles tendon sleeve avulsions. METHODS: A retrospective chart review was performed to identify patients who sustained an Achilles sleeve avulsion injury treated with operative repair between October 2005 and July 2014...
February 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29438628/rotator-cuff-repair-in-adolescent-athletes
#11
Michael G Azzam, Jeffrey R Dugas, James R Andrews, Samuel R Goldstein, Benton A Emblom, E Lyle Cain
BACKGROUND: Rotator cuff tears are rare injuries in adolescents but cause significant morbidity if unrecognized. Previous literature on rotator cuff repairs in adolescents is limited to small case series, with few data to guide treatment. HYPOTHESIS: Adolescent patients would have excellent functional outcome scores and return to the same level of sports participation after rotator cuff repair but would have some difficulty with returning to overhead sports. STUDY DESIGN: Case series; Level of evidence 4...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29416963/the-pasta-bridge-a-technique-for-the-arthroscopic-repair-of-pasta-lesions
#12
Alan M Hirahara, Wyatt J Andersen
PASTA (partial articular supraspinatus tendon avulsion) lesions of greater than 50% thickness are usually repaired, whereas those of less than 50% thickness receive subacromial decompression and debridement. However, tears of greater than 25% thickness of the tendon result in increased strain of the adjacent, intact tendon fibers. Re-creating the tendon footprint at the greater tuberosity is the goal of a repair. Transtendon repairs have been considered the gold standard in repair but have shown varying outcomes and are technically difficult procedures...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29409416/attrition-of-the-extensor-tendon-of-the-index-finger-following-an-avulsion-fracture-of-the-third-metacarpal
#13
Hiroshi Yamazaki, Shunsuke Miyaoka, Hiroyuki Kato
We report an avulsion fracture at the base of the third metacarpal involving the extensor carpi radialis brevis insertion and a resulting complication of attritional rupture of the extensor indicis proprius tendon and the extensor digitorum communis to the index finger, in a 67-year-old man.
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29409248/the-lateral-malleolar-bony-fleck-classified-by-size-and-pathoanatomy-the-iofas-classification
#14
John Wong-Chung, Adam Tucker, Matthew Lynch-Wong, Desmond Gibson, Diarmaid S O'Longain
BACKGROUND: This study analyzes position of the peroneal tendons and status of the superior peroneal retinaculum (SPR) whenever a lateral malleolar bony flake fracture occurs. METHODS: Twenty-four patients had a lateral malleolar bony fleck on anteroposterior ankle radiographs, either in isolation or associated with other hindfoot injuries. We studied size of the bony flecks, presence or absence of peroneal tendon dislocation and pathoanatomy on CT scans. RESULTS: In 11 patients, a small bony fleck lies within the superior peroneal retinaculum and contiguous periosteum, which are stripped off the lateral fibula (Class II lesions)...
March 16, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29372167/a-biomechanical-assessment-of-biceps-femoris-repair-techniques
#15
Eric A Branch, Dustin Loveland, Sohale Sadeghpour, Adam W Anz
Background: Knee injuries encountered in clinical practice can involve avulsions of the biceps femoris from the fibula and proximal tibia. Advances in tendon repair methods now allow for repairs with increased surface areas using modern suture anchor techniques. Despite descriptions of repair techniques, there are no biomechanical studies on the biceps femoris for comparison. Purpose/Hypothesis: The objective of this controlled laboratory study was to determine the failure load of the native biceps femoris distal insertion and to evaluate modern repair techniques...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29367899/evaluation-of-interobserver-agreement-in-albertoni-s-classification-for-mallet-finger
#16
Vinícius Alexandre de Souza Almeida, Carlos Henrique Fernandes, João Baptista Gomes Dos Santos, Francisco Alberto Schwarz-Fernandes, Flavio Faloppa, Walter Manna Albertoni
Objective: To measure the reliability of Albertoni's classification for mallet finger. Methods: Agreement study. Forty-three radiographs of patients with mallet finger were assessed by 19 responders (12 hand surgeons and seven residents). Injuries were classified by Albertoni's classification. For agreement comparison, lesions were grouped as: (A) tendon avulsion; (B) avulsion fracture; (C) fracture of the dorsal lip; and (D) physis injury-and subgroups (each group divided into two subgroups)...
January 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29354473/aquarium-portal-technique-for-pasta-lesion-repair
#17
Dominik C Meyer, Christian Gerber, Filippo Familiari
The simultaneous arthroscopic exposure of the subacromial and intra-articular space of the shoulder is challenging in the presence of only partial-thickness rotator cuff tears. We present our experience and method of entering the joint through the opened rotator cuff interval from an anterosuperior portal between the coracoid process and anterior acromion. With moderate (approximately 30°) abduction and external rotation, the rotator interval opens readily, offering a view with the camera toward the anterior edge of the supraspinatus tendon...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29327128/isolated-avulsion-fracture-of-the-first-metatarsal-base-at-the-peroneus-longus-tendon-attachment-a-case-report
#18
Maxwell W Weinberg, Nicola Krähenbühl, Nathan P Davidson, Christopher J Hanrahan, Alexej Barg
Avulsion fractures of the first metatarsal (MT1) base at the peroneus longus (PL) tendon attachment are rare and may be undiagnosed during an emergency visit. If the injury is not treated properly, chronic pain or persistent impairment for inversion and plantar-flexion of the first ray may occur. This case report presents a 30-year-old woman who presented 10 weeks post trauma to a foot and ankle surgeon due to a swollen right midfoot with diffuse tenderness over the medial Lisfranc joint. Further evaluation showed an isolated avulsion fracture of the first metatarsal, which was undiagnosed during the emergent visit following the accident...
January 11, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29304958/editorial-commentary-proximal-hamstring-syndrome-another-pain-in-the-buttock
#19
EDITORIAL
Dean K Matsuda
Proximal hamstring injuries cause buttock pain and may result in significant weakness and sciatic neuralgia. Avulsion ruptures involving 2 or more tendons with >2-cm retraction may benefit from early open surgical repair. More chronic equivalents may benefit from Achilles allograft reconstruction. Chronic proximal hamstring syndrome causing posterior thigh and sit pain may occur from less severe, often repetitive injury to the proximal hamstring origin with secondary sciatic neuralgia from local adhesions or scar entrapment...
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29219884/abduction-in-proximal-hamstring-tendon-avulsion-injury-mechanism-a-report-on-3-athletes
#20
Anne D van der Made, Rolf W Peters, Claire Verheul, Mario Maas, Gino M Kerkhoffs
Proximal hamstring tendon avulsions are typically sustained during forced hip hyperflexion combined with knee extension. We present 3 cases of athletes with a proximal hamstring tendon avulsion caused by an alternative injury mechanism that also involves a considerable hip abduction component (flexion-abduction injury mechanism). All cases had at least one concurrent injury of the medial thigh muscles, either on the ipsilateral or contralateral side. The 2 elite athletes with this injury mechanism returned to sport at preinjury level relatively quickly...
December 1, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
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