Delayed repair of the distal biceps brachii tendon can lead to the formation of scar tissue and coiling of the tendon. Dissection of the scar tissue and unraveling of the tendon may allow for anatomic repair to the radial tuberosity. A 50-year-old man had a distal biceps brachii tendon tear with an intact lacertus fibrosis. Surgery was performed 22 days after injury. On inspection, the distal b...

BACKGROUND To perform closed manual reduction of acute anterior shoulder dislocation using the traction-countertraction technique requires sedation (TCTS) and the participation of 2 people. We studied the modified Milch (MM) technique, a positional reductive maneuver that requires 1 operator, without patient sedation or analgesia. MATERIALS AND METHODS The study comprised 56 prospective nonra...

A 13-year-old right-hand-dominant skeletally immature boy presented to the authors' clinic after being blocked during an overhead dodgeball throw and hearing an abrupt "pop" in the shoulder. He had pain in the subdeltoid region that was most prominent during sports-related activity, particularly throwing. The patient had nonoperative management of a lesser tuberosity avulsion fracture 1 year ea...

Volume 7 • Number 1 of 2 • 2001 Orthopedic Special Edition 25 R otator cuff tears can be effectively treated with acromioplasty and stable repair of the tendon to the tuberosity of the humerus. Rotator cuff surgery reliably decreases pain, and improves motion and function as well as the general health status of the patient. The operative approach for rotator cuff repairs has evolved from the cl...

Hamstring strains are among the most common injuries (and reinjuries) in athletes. Studies combining electromyography with gait analysis have elucidated the timing of activity of the three muscles of the hamstring group; they function during the early-stance phase for knee support, during the late-stance phase for propulsion, and during midswing to control the momentum of the leg. Muscle injury...

BACKGROUND In arthroscopic surgery, the suture anchor technique has become popular for rotator cuff repair. Preoperative evaluation of the bone microstructure is of utmost importance because, especially in elderly patients, osteoporotic changes may cause anchor pullout, which results in failure of rotator cuff repair. Many groups have reported humeral microstructural analysis; however, most stu...

INTRODUCTION Hypertrophic changes at the radial tuberosity have traditionally been related to distal biceps tendon degeneration and rupture. From supination to pronation of the forearm, the space available for the distal biceps tendon between de lateral ulna and radial bicipital tuberosity (RBT) decreases by almost 50%. A hypertrophic change at the radial tuberosity further reduces this space w...

A gold standard for the correct rotation of the tibial component has not been established in total knee arthroplasty (TKA). The target parameter of correct rotation is the facilitation of femorotibial rotation over the entire range of motion with no implant overhang. Although the origin of the lateral collateral ligament is a recognized landmark for determining the rotation of the femoral compo...