©2006 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.88B6. 17448 $2.00 J Bone Joint Surg [Br] 2006;88-B:706-11. Dislocation of the knee is a serious injury which can have long-term adverse effects which may impair the patient’s return to physical employment and recreational activity. Vascular disruption and injury to the common peroneal nerve are not unusual and will ...

Injuries to the spinal column are common and road traffic accidents are the commonest cause. Subaxial cervical spine (C3-C7) trauma encompasses a wide spectrum of osseous and ligamentous injuries, in addition to being frequently associated with neurological injury. Multidetector computed tomography (MDCT) is routinely performed to evaluate acute cervical spine trauma, very often as first-line i...

The unique anatomy of the upper cervical spine and the typical mechanisms of injury yield a predictable variety of injury patterns. Traumatic ligamentous injuries of the atlanto-occipital joint and transverse atlantal ligament are relatively uncommon, have a poor prognosis for healing, and often respond best to surgical stabilization. Bony injuries, including occipital condyle fractures, atlas ...

A basic assumption of caring for multi-injured patients is that all patients are suspected of having a cervical spine injury until proven otherwise. It is known that 2% to 4% of all blunt trauma injury patients have a cervical spine injury. Missed or delayed diagnosis of cervical spine injury occurs in 4% to 8% of patients of whom 70% have altered levels of consciousness. When these missed diag...

OBJECTIVES To investigate if ligamentous laxity increases seasonal incidence of injury in male first division club rugby players, and to determine if strength protects against injury in hypermobile and tight players. METHODS Fifty one male first division club rugby players were examined for ligamentous laxity using the Beighton-Horan assessment and graded with an overall laxity score ranging ...

The etiology of os odontoideum has been debated ever since its first description by Giacomini in 1886. There are proponents congenital origin as well reports post-traumatic formation after early childhood craniovertebral junction (CVJ) trauma. We document CVJ ligamentous injury on MRI an 18-month-old child with sequential imaging demonstrating the odontoid formation. Our database 260 surgically...

Pain around the ankle occurs and is one of the most common complaints seen by medical practitioners treating patients with sporting injuries. Although there are many possible causes of ankle pain, common causes include injuries to the bony, ligamentous and tendinous structures around the joint. Injury to the cartilage leading to early arthritis can present as acute pain, swelling and instabilit...