Trans-scaphoid Perilunate Fracture-dislocation with Concomitant Lunotriquetral Ligament Disruption: A Case Report.
We report a case of trans-scaphoid perilunate fracture-dislocation with concomitant lunotriquetral ligament disruption of the right wrist in a 44-year-old man, sustained from a 10-m fall landing on his outstretched right hand. Open reduction was performed 1 day after injury; at first the palmar dislocation of the lunate was reduced with the palmar approach. Under direct view with the dorsal approach, the scaphoid was comminuted and then treated with open reduction and internal fixation with a double threshold screw using a dorsal approach and a bone graft from the distal radius. Although the scapholunate ligament was intact, the lunotriquetral ligament was disrupted and required repair with metal suture anchors. At the 28-month follow-up evaluation, the patient had no residual pain in his wrist and returned to work. Trans-scaphoid perilunate fracture-dislocations often accompany a comminuted fracture of the scaphoid and disruptions of the intercarpal ligaments, and bone union and ligament healing time is delayed. Prolonged immobilization of the wrist may restrict its range of motion and limit daily activities. Therefore, open reduction and internal fixation with a bone graft for the scaphoid and simultaneous repair of interosseous intercarpal ligaments are essential for satisfactory recovery from perilunate fracture-dislocations. PMID: 30259893 [PubMed - in process]
Patellar tendon rupture is an infrequent and debilitating condition, which if left untreated, is complicated by quadriceps contracture and patella alta. This results in reduced function of the knee extensor mechanism including extension lag, reduced range of motion (ROM), chronic knee pain, and frequent falls. Early primary repair has good results in most cases and is performed by opposing and suturing the tendon ends. However, when there is a delay between rupture and repair or in case of a re-rupture, primary repair techniques may not work due to retraction of the extensor mechanism.
Conclusion: The patients treated with QT autograft had clinical results and post-operative pain similar to those of patients treated with HT autograft for ACL reconstruction. PMID: 31967599 [PubMed - in process]
We describe a technique using a fascia lata autograft to reconstruct the rotator cuff in the setting of a massive cuff tear. This is of particular importance in centers that lack the funding or institutional approval to use acellular dermal allografts that have been popularized to date.
CONCLUSIONS: The short follow-up time of the reviewed studies is inadequate to uncover any late dislocation, implant failure or different complications related to abductor mechanism reconstruction. PMID: 31777283 [PubMed - as supplied by publisher]
ConclusionLON injury during retrosigmoid craniotomy can lead to occipital neuralgia and significant patient distress. Surgeons should be aware of the LON’s course relative to retrosigmoid incisions. Repair of the injured nerve with processed cadaveric nerve allograft deserves continued investigation for treating LON damage.
Publication date: Available online 25 October 2019Source: Arthroscopy TechniquesAuthor(s): Cecilia Pascual-Garrido, Maria T. Schwabe, Jorge Chahla, Masahiko HanedaAbstractGreater trochanteric pain syndrome can be caused by gluteus medius and minimus tendinopathy/tears and chronic trochanteric bursitis. Specifically, moderate-to-severe abductor tendon tears can cause severe lateral hip pain, limp, and abnormal gait. A variety of open and endoscopic techniques to treat glut abductors hip tears have been described. The use of scaffolds, such as acellular human dermal allograft, to augment tendon repair, already has been succe...
We describe a superior gluteal reconstruction technique that is suitable for cases with abductor tendon tear with severe tendon loss.
In this report, we describe our experience using a continuous transversalis fascia plane infusion catheter in the management of a 6-year-old girl undergoing alveolar cleft repair with iliac crest bone graft.
Lumbar degenerative disc disease contributes to chronic back pain. Mechanisms of intradiscal degeneration have been linked to genetic, metabolic and mechanical imbalance. Symptomatic relief is influenced by meaningful repair of the annulus and by nucleus supplementation.
Authors: Pickell M, Jejurikar N, Anil U, Salata M, Davidson PA, Jazrawi LM, Strauss EJ Abstract Meniscal tears are common injuries that may result in functionally limiting pain, swelling, and mechanical symptoms. The management of meniscal pathology has evolved as surgeons' understanding of the important role the menisci play in normal knee kinematics increases. Recent emphasis on partial meniscectomy, expanding indications for meniscal repair, and the increased use of meniscal allograft transplantation have helped improve the outcomes of patients with a meniscal tear who undergo treatment. Orthopaedic surgeons sho...