The anterior cruciate ligament (ACL) of the knee is an intra-articular ligament that fails to heal after primary repair. The medial collateral ligament (MCL) of the knee is an extra-articular ligament that heals uneventfully in the majority of cases. Why these two ligaments have such different responses to injury remains unclear. In this article, we address two hypotheses: first, that the histo...

In pediatric ankle injury, radiography is the current standard used to differentiate fracture from ligamentous injury; however, the associated cost, increased time, and radiation exposure pose a significant downside to this imaging modality. Point-of-care ultrasound may be an attractive alternative in this setting, as illustrated by this patient case. A 14-year-old boy presented to the emergenc...

A 38-year-old male presented to the Emergency Department (ED) after a motorcycle crash. The patient was unable to walk because of isolated left knee pain. There were multiple abrasions over his left anterior tibia and a deformity of the left knee (Figure 1). The patient had very limited range of motion of his knee because of pain. His pedal pulses were normal bilaterally. The lateral view of th...

introduction lunate fracture is a rare injury. most reports are associated with other wrist injuries such as perilunate dislocation and distal radius fracture. isolated lunate fracture has been reported even more rarely. the choice of treatment and outcomes are consequently undetermined. case presentation in this case report we will describe a lunate avulsion fracture as an isolated injury afte...

The increase in the number of available internal fixation devices for the cervical spine has promoted innovative stabilization of traumatic instability of the craniocervical junction. Traumatic injuries involving the craniocervical junction vary widely because of the complex osseous and ligamentous anatomy. These injuries can be purely ligamentous, such as occipitocervical dislocation, or can i...

BACKGROUND Skeletal and soft tissue damage are often associated with unilateral facet dislocations, which undoubtedly lead to instability of the spine and further increase difficulties in cervical reduction. This type of irreducible facet dislocation is usually accompanied with potential catastrophic consequences including neurological deficit and severe disability. Therefore, a consistent and ...

Central cord syndrome (CCS) is extremely rare as a direct consequence of generalized epileptic seizure. CCS is associated with hyperextension of the spinal cord and has characteristic radiologic findings including posterior ligamentous injury and prevertebral hyperintensity following magnetic resonance imaging (MRI). We experienced the case of a 25-year-old man who suffered CCS after status epi...

Forefoot and midfoot injuries are relatively common and can lead to chronic disability, especially if they are not promptly diagnosed and appropriately treated. A focused history and physical examination must be coupled with a thorough review of imaging studies to identify the correct diagnosis. Subtle radiographic changes can represent significant ligamentous Lisfranc injury. Midfoot swelling ...