scholarly journals Periosteal Sleeve Avulsion Fracture of the Quadriceps Tendon

2016 ◽  
Vol 02 (01) ◽  
pp. e8-e10 ◽  
Author(s):  
Jordy van Sambeeck ◽  
Elizabeth Arendt ◽  
Christopher Rud ◽  
Jeffrey Macalena
Keyword(s):  
Surgical Treatment ◽  
Clinical Outcome ◽  
Patellar Dislocation ◽  
Avulsion Fracture ◽  
Open Repair ◽  
Quadriceps Tendon ◽  
Postoperative Recovery ◽  
Good Clinical Outcome ◽  
Avulsion Fractures ◽  
Superior Pole

AbstractSleeve fractures at the superior pole of the patella have been previously described in the literature. We present the case of a 15-year-old girl who sustained a patellar sleeve avulsion of the quadriceps tendon 1 month following patellar dislocation without surgical treatment. Open repair of quadriceps tendon was performed with subsequent union. Arthrofibrosis of the knee was noted; two subsequent manipulations and adhesiolysis were performed. At 18-month postinjury, normal motion and strength were present. Special attention to postoperative recovery of range of motion is imperative for good clinical outcome after periosteal sleeve avulsion fractures of the patella.

scholarly journals Traumatic dislocation of the lumbosacral joint in two cats

2008 ◽  
Vol 21 (05) ◽  
pp. 467-470 ◽  
Author(s):  
D. Koch ◽  
K. Voss ◽  
D. Zulauf
Keyword(s):  
Surgical Treatment ◽  
Clinical Outcome ◽  
Open Reduction ◽  
Good Clinical Outcome ◽  
Radiological Features ◽  
Traumatic Dislocation ◽  
Induced Dislocation

SummaryThe clinical and radiological features, surgical treatment, and outcome of two cats with traumatically induced dislocation of the lumbosacral joint are described in this report. The dislocation of the lumbosacral joint was concurrent with dorsal luxation of the articular facets in both cases. Open reduction, followed by stabilization with a dorsal suture sling, resulted in a good clinical outcome.

scholarly journals Adolescent Anterior Inferior Iliac Spine Avulsion Fracture Operative Treatment

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0021 ◽  
Author(s):  
Gökhan Polat ◽  
Gökhan Karademir ◽  
Yücel Bilgin ◽  
Fevzi Birişik ◽  
Mehmet Demirel ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Avulsion Fracture ◽  
Bone Fractures ◽  
External Rotation ◽  
Harris Hip Score ◽  
Radiographic Evaluation ◽  
Pubic Bone ◽  
Anterior Inferior Iliac Spine ◽  
Avulsion Fractures

Objectives: Pelvic apophysis injuries are generally seen in adolescents and encountered in the form of avulsion fractures which occur with the short-term contractions of the muscles that hold apophysis, following a trauma. In general the iliac crest, the anterior superior iliac spine (ASIS) and the pubic bone fractures are frequently seen but anterior inferior iliac spine (AIIS) fractures are rare. These cases are often treated conservatively, surgical treatment is rarely necessary. In this presentation, AIIS avulsion fracture case that had undergone surgery and had been followed for 14 years was aimed to be stated. Methods: 16 year old male patient who was suffering from sports injuries that happened 40 days ago was admitted to our clinic in February 2000 with complaints about left hip and groin pain. Physical examination and radiographic evaluation of the patient identified left hip AIIS avulsion fracture. Due to more than 2 cm fracture fragment displacement and the patient being a professional football player who had high functional expectations, surgical treatment was planned. Under general anesthesia, after open reduction, internal fixation was performed with 1 cannulated screw. There were no complications observed at follow-up. Patient returned to training at 3 months postoperatively. 14 years after surgery, the patient admitted to a neurologist with complaints of headache and MRI was required to establish the cause. The patient admitted to our clinic in order to get the confirmation whether his implant was MRI compatible. Results: On clinical assessment, after 14 years, the patient didn’t have any complaints at left hip. Left hip flexion was 120°, extension was full, abduction was 40°, adduction was 20°, flexion internal rotation was 30° and flexion external rotation was 40°. Radiographs of the pelvis were normal. On the patient's functional assessment, modified Harris Hip Score was 100. Conclusion: Pelvic apophysis injuries are rare injuries seen in adolescents usually as avulsion fractures. These injuries are often treated conservatively however may require surgical treatment for professional athletes with a high functional expectations. In this patient who underwent surgery, at the end of the 14-years long follow-up, functional results were found to be close to perfect.

scholarly journals Intra-articular dislocation of the patella: a rare variant to an uncommon injury

2019 ◽  
Vol 12 (4) ◽  
pp. e228098
Author(s):  
Sushil Rangdal ◽  
Vikas Bachhal ◽  
Saurabh Vashisht ◽  
Mandeep Singh Dhillon
Keyword(s):  
Patellar Dislocation ◽  
Unusual Case ◽  
Articular Surface ◽  
Femoral Condyle ◽  
Quadriceps Tendon ◽  
Injury Pattern ◽  
Medial Femoral Condyle ◽  
Locked Knee ◽  
Superior Pole ◽  
Dislocation Of The Patella

Horizontal intra-articular dislocation of the patella is a very rare traumatic entity. We present an unusual case of horizontal intra-articular dislocation in which the patellar articular surface was facing upwards besides having an avulsion of the quadriceps tendon from the superior pole. There was associated posterolateral knee subluxation, which has not been described with intra-articular dislocation of the patella. A 20-year-old man presented with open patellar dislocation and locked knee after a roadside accident. The patient was managed successfully by open reduction and repair of the quadriceps tendon. There was buttonholing of the medial femoral condyle through the medial retinaculum leading to irreducible dislocation. A special reduction manoeuvre was employed to bring the knee to its normal alignment. Knowledge of this injury pattern is of utmost importance for proper recognition and appropriate allocation of the surgical technique.

Trochleoplasty as a Solitary Treatment for Recurrent Patellar Dislocation Results in Good Clinical Outcome in Adolescents

2016 ◽  
Vol 44 (11) ◽  
pp. 2855-2863 ◽  
Author(s):  
Carlo Camathias ◽  
Katrin Studer ◽  
Ata Kiapour ◽  
Erich Rutz ◽  
Patrick Vavken
Keyword(s):  
Clinical Outcome ◽  
Patellar Dislocation ◽  
Recurrent Patellar Dislocation ◽  
Good Clinical Outcome

scholarly journals Efficacy of Mechanical Thrombectomy using Penumbra ACETM Aspiration Catheter Compared to Stent Retriever SolitaireTM FR in Patients with Acute Ischemic Stroke

2021 ◽  
Vol 11 (4) ◽  
pp. 504
Author(s):  
Dalibor Sila ◽  
Markus Lenski ◽  
Maria Vojtková ◽  
Mustafa Elgharbawy ◽  
František Charvát ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Clinical Outcome ◽  
Acute Ischemic Stroke ◽  
Clinical Outcomes ◽  
Mechanical Thrombectomy ◽  
Binary Logistic Regression ◽  
Stent Retriever ◽  
Good Clinical Outcome ◽  
Significant Difference ◽  
Aspiration Technique

Background: Mechanical thrombectomy is the standard therapy in patients with acute ischemic stroke (AIS). The primary aim of our study was to compare the procedural efficacy of the direct aspiration technique, using Penumbra ACETM aspiration catheter, and the stent retriever technique, with a SolitaireTM FR stent. Secondarily, we investigated treatment-dependent and treatment-independent factors that predict a good clinical outcome. Methods: We analyzed our series of mechanical thrombectomies using a SolitaireTM FR stent and a Penumbra ACETM catheter. The clinical and radiographic data of 76 patients were retrospectively reviewed. Using binary logistic regression, we looked for the predictors of a good clinical outcome. Results: In the Penumbra ACETM group we achieved significantly higher rates of complete vessel recanalization with lower device passage counts, shorter recanalization times, shorter procedure times and shorter fluoroscopy times (p < 0.001) compared to the SolitaireTM FR group. We observed no significant difference in good clinical outcomes (52.4% vs. 56.4%, p = 0.756). Predictors of a good clinical outcome were lower initial NIHSS scores, pial arterial collateralization on admission head CT angiography scan, shorter recanalization times and device passage counts. Conclusions: The aspiration technique using Penumbra ACETM catheter is comparable to the stent retriever technique with SolitaireTM FR regarding clinical outcomes.

scholarly journals Defining Minimal Clinically Important Difference After Open Hip Abductor Repair

2021 ◽  
Vol 9 (4) ◽  
pp. 232596712110077
Author(s):  
Tyler J. Uppstrom ◽  
Spencer W. Sullivan ◽  
Joost A. Burger ◽  
Anil S. Ranawat ◽  
Bryan T. Kelly ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Outcome Measures ◽  
Minimal Clinically Important Difference ◽  
Open Repair ◽  
Gluteus Medius ◽  
Patient Characteristics ◽  
Harris Hip Score ◽  
Younger Patients ◽  
Clinically Important Difference ◽  
Hip Abductor

Background: Open repair for gluteus medius and minimus tears is a common surgical treatment for patients with lateral hip pain associated with abductor tears; however, clinically meaningful outcomes have not been described after open surgical treatment. Purpose: To define the minimal clinically important difference (MCID) in patient-reported outcome measures (PROMs) in patients undergoing open gluteus medius or minimus repair, and to identify preoperative patient characteristics predictive of achieving MCID postoperatively. Study Design: Case series; Level of evidence, 4. Methods: A retrospective review of prospectively collected data from a consecutive series of patients undergoing open abductor repair between July 2010 and April 2019 was conducted. Perioperative patient data collected included patient characteristics and preoperative and postoperative modified Harris Hip Score (mHHS) and International Hip Outcome Tool (iHOT-33) score. Paired t tests were utilized to compare preoperative and postoperative PROMs and MCID was calculated for both PROMs. Multivariate logistical regression analysis was used to assess the association between preoperative variables and the likelihood for achieving MCID. Results: A total of 47 patients were included in the study. The majority of patients were female (78.7%), with an average age of 63 ± 10.7 years. The average follow-up for both the mHHS and the iHOT-33 surveys was 37.8 ± 27.9 months (range, 10-102 months). Patients demonstrated statistically significant improvements on the mHHS and iHOT-33 postoperatively ( P < .001 for both). The MCIDs of mHHS and iHOT-33 were calculated to be 9.9 and 14.3, respectively. Overall, 82.9% of patients achieved MCID for mHHS and 84.1% of patients achieved MCID for iHOT-33 postoperatively. Multivariate logistical analysis demonstrated younger patients were less likely to achieve MCID for both outcome measures. Four patients (8.5%) suffered postoperative complications after open repair. Conclusion: This study defined MCID for mHHS and iHOT-33 for patients undergoing open repair of hip abductor tears, with a large percentage of patients (>80%) achieving meaningful outcomes for both outcome measures. There was a low complication rate. Younger patients were less likely to achieve MCID compared with older patients.

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