Isolated Rupture of the Anterior Cruciate Ligament by Knee Hyperflexion
Isolated Rupture of the Anterior Cruciate Ligament by Knee Hyperflexion

Author: A. Ekeland

Publisher:

Published: 1987

Total Pages: 7

ISBN-13:

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The incidence of anterior cruciate ligament (ACL) tears has increased dramatically in alpine skiing lately. We have studied the injury mechanism of an isolated ACL rupture that occurred in a 36-year-old female skier during a video-taped slalom race. The ACL rupture seemed to occur during a vigorous, weighted knee hyperflexion in a back-sitting skiing position. The skier felt a pop in the hyperflexed knee at that time but was able to ski the next turn which engaged the other leg. When preparing for a new turn engaging the previous hyperflexed knee, she lost control and fell over. Immediate arthroscopy and arthrotomy revealed an isolated complete ACL rupture. Later studies on three cadaver knee specimens displayed a tense ACL in the hyperflexed knee, and the dorsal musculature seemed to act like a fulcrum in this position. It is proposed that weighted knee hyperflexion may cause isolated tears of the ACL.

Complex Knee Ligament Injuries
Complex Knee Ligament Injuries

Author: Fabrizio Margheritini

Publisher: Springer

Published: 2019-04-17

Total Pages: 206

ISBN-13: 3662582457

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This book, featuring a practical hands-on format, describes an up-to-date and comprehensive approach to the management of complex knee injuries. The aim is both to equip practitioners with reliable expert guidance and to foster consensus in a field characterized by continuing debate. Initial response and diagnostic evaluation are explained, surgical techniques appropriate for different injuries are fully documented, and advice is provided on the response to injuries in specific scenarios and patient groups. Emphasis is placed on the vital role of precise diagnosis in establishing the optimal treatment approach, and full account is taken of the implications of the most recent anatomical and biomechanical data. Readers will also find recommendations on controversial topics, including the role of early surgical management, the use of autograft or allograft tissue, and the benefits of reconstruction (as opposed to repair alone) of the fibular collateral ligament and posterolateral corner structures. The authors are leading authorities from around the world with extensive clinical and research expertise in the field of knee dislocations.

Knee Ligament Injuries
Knee Ligament Injuries

Author: Roberto Rossi

Publisher: Springer

Published: 2014-05-16

Total Pages: 188

ISBN-13: 884705513X

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Knee ligament injuries are very common and are frequently sports related, although they may arise from trauma experienced during everyday activities. This book provides in-depth descriptions of the extra articular surgical techniques that may be employed when performing ligament reconstruction in patients with injuries involving the posterolateral and posteromedial corners of the knee. It is intended as a practical, “how to” manual that will be of value for both the trainee and the more experienced surgeon. Many of the techniques relate to the central pivot of the knee, i.e. the anterior and posterior cruciate ligaments. For each technique, indications, presurgical planning, postsurgical follow-up and complications are discussed in addition to the surgical details. Numerous tips and pearls are provided and the techniques are clearly depicted in informative high-quality illustrations. ​

Late Reconstructions of Injured Ligaments of the Knee
Late Reconstructions of Injured Ligaments of the Knee

Author: K.P. Schulitz

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 144

ISBN-13: 3642872743

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Different views about the biomechanics of the knee joint and late re construction of ligamentous injuries underline the obstacles impeding the establishment of generally acceptable principles for the treat ment of such lesions. As late as June 1976, HUGHSTON emphasized in the Journal of Bone and Joint Surgery that in spite of excellent anatomic studies, substantial uncertainty still prevails in knee joint surgery. Even the signifi cance of the anterior drawer sign for ruptures of the anterior cru ciate ligament is interpreted quite diversely, as illustrated in a comparison of HUGHSTON, GIRGIS, TORG, and SCHIECK, who give varying opinions concerning the indication related to the age of the patient or possible earlier joint damage as well as concerning the prognosis for untreated knee joints. The question still remains as to how often an intra-articular ligamentous replacement should be carried out in addition to extra-articular techniques (0 'DONOGHUE, SLOCUM, NICHOLAS, HUGHSTON). Lastly the question of synthetic ligament replacement must be clarified. After basic research has well advanced, clinical ex perience must be discussed. Statements concerning the therapeutic value of diverse procedures based solely on knowledge of the literature remain problematic. For this reason a workshop was held at the University of Heidelberg in the Orthopedic Clinic (Head: Prof. Dr. H. COTTA) in June 1977, with the aim of bringing together representatives of the different leading schools in a round table discussion to comment on still unsolved ques tions.

Orthopedic Surgery Clerkship
Orthopedic Surgery Clerkship

Author: Adam E. M. Eltorai

Publisher: Springer

Published: 2017-08-09

Total Pages: 753

ISBN-13: 3319525670

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This quick-reference guide is the first book written specifically for the many third- and fourth-year medical students rotating on an orthopedic surgery service. Organized anatomically, it focuses on the diagnosis and management of the most common pathologic entities. Each chapter covers history, physical examination, imaging, and common diagnoses. For each diagnosis, the book sets out the typical presentation, options for non-operative and operative management, and expected outcomes. Chapters include key illustrations, quick-reference charts, tables, diagrams, and bulleted lists. Each chapter is co-authored by a senior resident or fellow and an established academic physician and is concise enough to be read in two or three hours. Students can read the text from cover to cover to gain a general foundation of knowledge that can be built upon when they begin their rotation, then use specific chapters to review a sub-specialty before starting a new rotation or seeing a patient with a sub-specialty attending. Practical and user-friendly, Orthopedic Surgery Clerkship is the ideal, on-the-spot resource for medical students and practitioners seeking fast facts on diagnosis and management. Its bullet-pointed outline format makes it a perfect quick-reference, and its content breadth covers the most commonly encountered orthopedic problems in practice.

ACL Injuries in Female Athletes
ACL Injuries in Female Athletes

Author: Robin West

Publisher: Elsevier Health Sciences

Published: 2018-12-07

Total Pages: 400

ISBN-13: 0323548407

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This easy-to-read reference presents a succinct overview of clinically-focused topics covering the prevention, treatment, and rehabilitation of ACL injuries in the female athlete. Written by two professional team physicians, it provides practical, focused information for orthopaedic and sports medicine surgeons and physicians. Covers ACL injury risk factors and prevention, including biomechanics, biology, and anatomy of the female athlete. Discusses graft choices, the biology of healing, rehabilitation and return to play, future options for treatment, and more. Addresses special considerations such as pediatric ACL and revision ACL. Consolidates today’s available information and experience in this timely area into one convenient resource.

The Multiple Ligament Injured Knee
The Multiple Ligament Injured Knee

Author: Gregory C. Fanelli

Publisher: Springer Science & Business Media

Published: 2012-08-16

Total Pages: 469

ISBN-13: 0387492895

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The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment.