CONTEXT Reconstruction of the anterior cruciate ligament (ACL) is one of the most common surgical procedures, with more than 200,000 ACL tears occurring annually. Although primary ACL reconstruction is a successful operation, success rates still range from 75% to 97%. Consequently, several thousand revision ACL reconstructions are performed annually and are unfortunately associated with inferio...

Selection of a graft type is an important decision for patients undergoing reconstructive surgery for a ligamentous injury. The purpose of this study was to determine the weight of key factors affecting patient selection of graft type for anterior cruciate ligament (ACL) reconstruction and to assess patients' knowledge of their particular graft type. We prospectively enrolled 304 patients who u...

Acromioclavicular joint injuries and, more specifically, separations are commonplace both in general practice and during athletic participation. This article reviews the traditional classification as well as the clinical evaluation of patients with acute and chronic acromioclavicular joint separations. It also highlights many recent advances, principally in the anatomy and biomechanics of the a...

Combat-related musculoskeletal injuries occur commonly during military conflicts, as in Iraq and Afghanistan, and are caused by high-energy blasts. Ligamentous knee injuries resulting from these blasts are often associated with lower extremity fractures or traumatic, transtibial amputations. Ligamentous knee injuries in amputees are often difficult to diagnose for a variety of reasons, includin...

BACKGROUND Generalized ligamentous laxity is defined as an increased range of joint motion compared to that of the general population. It is a predisposing factor for sports injuries, especially in the lower extremities. Nevertheless, there is little evidence about the relationship between generalized ligamentous laxity and sports injuries in the upper extremities. OBJECTIVES To evaluate the ...

INTRODUCTION Inflammation of the sacroiliac joints (SIJ) is a fundamental clinical feature of axial spondyloarthritis (SpA). The anatomy of the irregularly shaped SIJ is complex with an antero-inferior cartilaginous compartment containing central hyaline and peripheral fibrocartilage, and a dorso-superior ligamentous compartment. Several scoring modules to systematically assess SIJ magnetic res...

OBJECTIVES To quantify the changes in the strength of nasal tip support associated with various surgical modifications and to identify the procedures that best maintain or augment tip support. DESIGN Case study in 2 phases. Phase 1 included 10 patients undergoing primary rhinoplasty, 5 undergoing secondary rhinoplasty, and 5 control patients. Fresh cadavers were used in phase 2. A purpose-bui...

Background Complete dislocation of the distal radioulnar joint (DRUJ) is a rare injury. Dislocation can present as uni- or multidirectional, acute or chronic, reducible or irreducible. It can occur due to isolated loss of ligamentous restraints or more frequent in Galeazzi - or Essex-Lopresti-type fractures. Case Description A 28-year-old man sustained a distal radius fracture and presented aft...

The purpose of this investigation was to create a flatfoot model and reconstruct the deformity with a novel static medial ligamentous complex (MLC) and to evaluate its ability to correct talar head subluxation and the radiographic flatfoot deformity. Four pairs of matched cadaveric specimens were sectioned to create a severe flatfoot model. Cyclic preconditioning and axial loading was applied t...