We present an extreme rare case of traumatic partial avascular necrosis of the lunate after palmar perilunate dislocation with lunate fracture. A 32-year-old female was injured by motorcycle accident with palmar perilunate fracture dislocation and lunate fracture. Scapholunate and lunotriquetrum dislocations were reduced and fixed temporarily. The torn dorsal ligament was repaired. Considering ...

Reconstruction of the posterolateral corner (PLC) of the knee is essential to restore knee joint function. Controversy exists regarding a standardized nomenclature, the connective attachments and the relationships between them, and the frequency of occurrence among all structures of the PLC. Thirty human cadaveric knee specimens were investigated. The lateral collateral ligament, popliteus tend...

The development of an in vivo animal model of posterolateral knee instability is desired for devising effective interventions for this injury. Sequential sectioning of the popliteus tendon, lateral collateral ligament, and lateral capsule was done in cadaveric goat knees to create knee joint instability, followed by in vivo studies (Studies 1 and 2) of 7 and 3 months duration, respectively. In ...

INTRODUCTION Thumb basal joint arthroplasty with removal of the entire trapezium is often followed by proximal subsidence and impingement of the thumb metacarpal to the scaphoid, which is a common cause of post-operative thumb pain. Treatment of this impingement is a challenge among surgeons. We performed suspension arthroplasty combined with intercarpal ligament reconstruction using a strip of...

It has been demonstrated that mechanical stimulation plays a vital role in regulating the proliferation and differentiation of stem cells. However, little is known about the effects of mechanical stress on tendon/ligament development from mesenchymal stem cells (MSCs). Here, using a custom-made cell-stretching device, we studied the effects of mechanical stretching on the cell morphology and mR...

Normal tendons, normal palmar aponeuroses and palmar aponeuroses from patients with Dupuytren's disease were subjected to elastase or chondroitinase treatment. Young's modulus was derived from the linear portion of stress-strain graph. It showed the lowest value for the apparently normal palmar aponeuroses and the highest value for tendon samples. Elastase treatment caused an increase of extens...

The multiple-ligament injured knee is a complex problem in orthopaedic surgery. Most dislocated knees involve tears of the anterior and posterior cruciate ligaments (ACL/PCL) and at least 1 collateral ligament complex. Careful assessment of the extremity vascular status is essential because of the possibility of arterial and/or venous compromise. These complex injuries require a systematic appr...

BACKGROUND Both trapeziectomy with ligament reconstruction and tendon interposition and trapeziometacarpal arthrodesis are commonly performed procedures for the treatment of trapeziometacarpal osteoarthritis. The purpose of this study was to compare the outcomes of both treatments for symptomatic osteoarthritis of the thumb trapeziometacarpal joint in a randomized trial. METHODS Women who wer...

BACKGROUND Although dynamic stretching is often prescribed before exercise is undertaken, research has rarely been conducted to determine what effects dynamic stretching has on tendon and ligament injury prevention. The hypothesis is that the mechanical properties of tendon and ligament will increase in an ultimate tensile loading test after sinusoid cyclic stretching. METHODS Ten paired rat ...

Lateral ankle instability may be associated with intra-articular ankle pathology and peroneal tendon pathology. This study was conducted to determine the relative incidence of associated pathology identified during lateral ligament repair. This information was analysed to determine if a standard surgical protocol of arthroscopic ankle assessment followed by ligament repair through a longitudina...