PURPOSE To report the outcome of a technique combining direct anatomic reconstruction of the anterior talofibular ligament (ATFL) with augmented reconstruction using the peroneus brevis tendon fixed by a bio-absorbable interference screw. METHODS 13 men and 2 women aged 17 to 36 (mean, 24) years with recurrent inversion injuries of the right (n=5) and left (n=10) ankles underwent lateral ankl...

OBJECTIVES To determine the value of clinical tests for accurate diagnosis of ankle syndesmosis injury. DESIGN Systematic review. DATA SOURCES An electronic database search was conducted (to 6 August 2012) of databases such as: MEDLINE, CINAHL, EMBASE, PubMed and Cochrane Databases. References from identified articles were examined and seven authors of eligible studies were contacted for ad...

Background. The injured anterior cruciate ligament (ACL) has a limited healing capacity leading to persisting instability. Hypothesis/Purpose. To study if the application of a brace, producing a dynamic posterior drawer force, after acute ACL injury reduces initial instability. Study Design. Cohort study. Methods. Patients treated with the ACL-Jack brace were compared to controls treated with p...

Background It has been shown that the proper placement of ACL graft during the ACL reconstruction surgery significantly improves the clinical outcomes. This study investigated whether a change in the femoral tunnel position in both axial and coronal planes can significantly alter the postoperative functional and clinical outcomes of the patients. Methods This comparative, retrospective, singl...

BACKGROUND It has been recognized that there is a distinction between shoulder laxity and shoulder instability and that there is a wide range of normal shoulder laxities. Our goals were (1) to evaluate if the ability to subluxate the shoulder over the glenoid rim in patients under anesthesia would be more prevalent than the inability to do so, (2) to determine if patients with a diagnosis of in...

BACKGROUND The lever sign test is a new physical examination tool to diagnose anterior cruciate ligament (ACL) tears. Preliminary results suggest almost 100% sensitivity and specificity to diagnose acute and chronic complete ACL tears and clinically significant partial tears as compared with magnetic resonance imaging (MRI). PURPOSE To assess the sensitivity and specificity of the lever sign ...

The Tibial Tuberosity Advancement (TTA) surgical technique is used in veterinary surgery to limit cranial tibial translation during canine gait, lengthening the lever arm of quadriceps Anterior Cruciate Ligament-deficient (ACL-deficient) stifle joints. It know that after TTA, patellofemoral pressure decreases, but Patellar Tendon (PT) behavior has not been observed experimentally yet. This stud...