Increasing demands on skills with mounting pressures from expectations from arthroscopic anterior cruciate ligament (ACL) reconstructions requires precise knowledge… of technical details by surgeons. One such element is the minimum length of graft in femoral tunnel to allow for adequate tendon-to-bone healing and early return to activities and sports. This has, however, remained an unanswered question.
Schwannomas are benign slow-growing tumors that constitute 8% of all soft-tissue tumors. The clinical signs and symptoms are often misinterpreted because of the low incidence, and these tumors are often misdiagnosed. A 39-year-old male… patient presented with nontraumatic solitary swelling in the posteromedial aspect of the right ankle that gradually increased in size and was associated with pain. Clinically, the swelling was firm, nonfluctuant, and was not associated with sensorimotor impairment. Surgical excision of the swelling was performed without damaging the surrounding vessels and nerves.
Background: There is no consensus regarding the optimal postoperative rehabilitation program after anterior cruciate ligament (ACL) reconstruction. Material and methods: Forty patients who had a primary anterior cruciate ligament reconstruction (ACLR) with a semitendinosus-gracilis (STG) autograft from a… Single orthopaedic surgeon were prospectively randomized into 2 groups twenty patients were randomized to the accelerated rehabilitation group (100% male, mean age 26.45 ! 4.696 years) and 20 to the standard rehabilitation group (90% male, mean age 28.90 ! 6.307 years). Patients were followed and knee laxity and Tegner activity level values were obtained at 6 weeks, 3 months and 6 months postoperatively. IKDC score and KOOS score was collected at 3 and 6 months postoperatively and functional score by single leg hop test was measured at 6 months.
Coracoid fractures are often missed since the fracture is not visualized in a routine anteroposterior view of the shoulder and special views are not ordered. Shoulder dislocation is common but it is rare to have a dislocation with a coracoid fracture… The purpose of this paper is to present the rare occurrence of bilateral coracoid fractures in a patient with unilateral anterior shoulder instability managed using the same fractured coracoid fragment by the latarjet procedure.
Disruption of anterior cruciate ligament (ACL) is a common ligamentous injury of the knee. The best choice of graft for reconstruction remains undecided… This prospective, randomized clinical trial aimed to compare clinical results of bone-patellar tendon-bone (BPTB) grafts and four-strand semitendinosus-gracilis (QHT) grafts for ACL reconstruction over a 1-year follow-up interval in Indian population.
We present a rare occurrence of chondromyxoid fibroma (CMF) in the proximal 3rd humerus. A 28-year-old male with proximal humeral pain had a lesion in the proximal 3rd humerus on X-ray… As it appeared as a benign lesion and was small in size (radiologically looked similar to an intraosseous ganglion), we decided to perform excisional biopsy. The histopathological examination revealed that it was CMF.
Alkaptonuria is a rare inherited metabolic disorder, caused by the deficiency of homogentisate 1,2 dioxygenase enzyme. The three major features of alkaptonuria are the presence of homogentisic acid in urine, ochronosis… (bluish-black pigmentation in connective tissue) and arthritis of the spine and large joints.
We present a 48 years old female presented with pain, restriction of movements of right shoulder. Arthroscopy was suggestive of ochronotic arthropathy. The definitive diagnosis of ochronosis was subsequently confirmed by laboratory and pathologic evaluation
Purpose A popular choice for lateral epicondylitis (LE), corticosteroid injections have been associated with prominent side effects, which has led to the conception of modalities like platelet-rich plasma (PRP). This randomised trial aimed to evaluate and compare the 6-week, 3-month and 1-year outcomes with PRP and corticosteroid injections in LE… We hypothesised that PRP would prove more effective in relieving pain and improving function.
Methods At the sports medicine unit of our tertiary care teaching centre, 80 patients with LE were randomised into either receiving PRP (group A) or corticosteroids (group B) injections. Pre-injection visual analogue scale (VAS), disabilities of the arm, shoulder and hand (DASH) score, Mayo elbow performance score (MEPS) and grip strength score (GSS) were recorded. Common extensor origins were identified and infiltrated with 3 ml of either PRP or corticosteroid (triamcinolone in 2% xylocaine) using a peppering technique. Follow-up scores and extent of pain relief were recorded and compared.
We report our clinical experiences in the diagnosis and treatment of a patient with synovial hemangioma. Synovial hemangiomas are uncommon causes of recurrent, nonspecific joint complaints and occur most often at the knee joint… Non traumatic joint swelling combined with recurrent hemorrhagic joint effusions must be considered signs of a synovial hemangioma. Although no preoperative diagnostic tool enables confirmation of the diagnosis, and MRI seems to be the diagnostic investigation of choice. It is important for the clinician to be aware of the existence of this disease. Early surgical treatment with excision of the tumor with wide margins of non involved normal synovium is the therapy of choice and it avoids degenerative changes as demonstrated with the case reported here.
Alternatives to tourniquets include portal-site epinephrine injections. This prospective, randomisedcontrolled, double-blinded study compared intraoperative visibility and safety of portal-site injections with tourniquets in arthroscopic meniscectomies … Methods Sixty eligible adults [16-55ys, excluding vascular/neuromuscular/systemic illnesses] were randomly/equally divided across 3 groups A (controls)-local portal injections; B-local injections with tourniquet; C-local and 1:200,000epinephrine injections. A single surgeon operated blinded to patient group. Intraoperative visibility, surgeon visual analogue score (VAS)and other details were recorded. Results: Superior visibility [p = 0.003,p = 0.027] and VAS [p = 0.010,p = 0.042] were reported in groups B, C versus A, Visibility [p = 0.705; p = 0.805] and operating times [p = 0.05] were comparable between B and C.