Patellar tendon rupture is a rare, but major event that often requires surgical repair in order to reestablish function of the extensor mechanism of the knee. Rupture of the tendon usually occurs in the 3rd or 4th decade of life and results from slip and fall accidents, or powerful contraction of the quadriceps such as during sporting events or weight lifting [1-3]. Anterior Cruciate Ligament (...

BACKGROUND Chronic Achilles tendon tears could hinder patients and represent a challenge to surgeons. Although many different surgical techniques have been proposed for reconstruction of a neglected Achilles tendon rupture, there is no clear evidence to support one technique over the others, but the use of a technique that could allow for an "anatomical" reconstructions seems desirable. METHO...

PURPOSE This study was performed to determine the incidence of acute bone-patellar tendon-bone autograft harvest complications after anterior cruciate ligament (ACL) reconstruction. METHODS Over a nearly 20-year period (September 1986 to April 2006), 1,725 consecutive patients underwent primary ACL reconstruction using bone-patellar tendon-bone autograft by 3 fellowship-trained sports medicin...

Although surgical treatment is the gold standard for chronic patellar tendon rupture, the technique of patellar tendon reconstruction is still difficult. Basically, good clinical results of surgical repair for acute patellar tendon rupture have been reported. However, the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. Some surgical options have bee...

LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Understand the pathomechanical and biochemical basis for thumb trapeziometacarpal joint degeneration. 2. Diagnose and grade trapeziometacarpal joint disease based on presentation, physical examination (including provocative testing), and radiographic evidence. 3. Understand the principles of ligament reconstr...

Rheumatoid arthritis commonly affects the distal radioulnar joint (DRUJ). This can result in pain, instability, or tendon rupture. The goals of surgical reconstruction of the DRUJ are to relieve pain, stabilize the joint, and prevent tendon rupture. We review many of the previously described procedures and report our experience with distal ulna excision and soft tissue reconstruction with a dis...

BACKGROUND Many techniques have been developed for the reconstruction of the Achilles tendon in chronic tears. In presence of a large gap (greater than 6 centimetres), tendon augmentation is required. METHODS We present our method of minimally invasive semitendinosus reconstruction for the Achilles tendon using one para-midline and one midline incision. RESULTS The first incision is a 5 cm ...

Injury to the distal triceps tendon is uncommon and can be difficult to diagnose, especially when a partial rupture or tear occurs. In situations where an incomplete disruption to the musculotendinous unit occurs, a palpable defect or clear functional loss may not be present. Advanced imaging techniques, such as magnetic resonance imaging or ultrasound, can be used to confirm the diagnosis and ...

Loss of Achilles tendon combined with overlying soft tissue loss is a challenging problem. Multiple techniques like tendon graft with coverage by soft tissue flap or composite flaps have been used. All these options are technically demanding. Reports do exist whereby muscle flaps bridging the defect used as cover in course of time could transmit the tendon force across the defect. We are presen...