Carpal dislocation and fracture dislocation are uncommon and difficult to treat. Early diagnosis and treatment of such injuries are necessary to prevent progressive carpal instability and traumatic arthritis. Perilunate fracture dislocation is a combination of ligamentous and osseous injuries that involve the 'greater arc' of the perilunate. Despite being severe, these injuries often go unrecog...

Anterior Cruciate Ligament (ACL) injury has been the most controversial ligamentous injuries which have been studied in detail for the past 20 years. Knee instability is a disabling clinical problem. Management of ACL injured patients depends on an early diagnosis and adequate treatment. This article deals with the advent and the progression of various techniques of ACL reconstruction.

The ankle is a common site of sport injuries. These usually have their main manifestations at the ankle joint and are thus easily recognised. However, unstable ligamentous ankle injuries may be associated with a fracture of the proximal fibula which can dominate the clinical picture. This severe uncommon injury complex, known as Maisonneuve fracture, is easily missed and maltreated (Pankovich, ...

BACKGROUND The evaluation of acute knee pain often includes radiography of the knee. OBJECTIVE To synthesize the literature to determine the role of radiologic procedures in evaluating common causes of acute knee pain: fractures, meniscal or ligamentous injuries, osteoarthritis, and pseudogout. DATA SOURCES MEDLINE search from 1966 to October 2002. STUDY SELECTION We included all publishe...

We retrospectively reviewed the hospital records of 68 patients who had been referred with an injury to the posterolateral corner of the knee to a specialist knee surgeon between 2005 and 2009. These injuries were diagnosed based on a combination of clinical testing and imaging and arthroscopy when available. In all, 51 patients (75%) presented within 24 hours of their injury with a mean presen...

BACKGROUND This article describes the development and validation of a self-reported questionnaire, the KQoL-26, that is based on the views of patients with a suspected ligamentous or meniscal injury of the knee that assesses the impact of their knee problem on the quality of their lives. METHODS Patient interviews and focus groups were used to derive questionnaire content. The instrument was ...

DIAGNOSTIC STANDARDS There is insufficient evidence to support diagnostic standards. GUIDELINES In children who have experienced trauma and are alert, conversant, have no neurological deficit, no midline cervical tenderness, and no painful distracting injury, and are not intoxicated, cervical spine x-rays are not necessary to exclude cervical spine injury and are not recommended. In childr...

BACKGROUND Acute lateral ankle ligamentous sprains (ALALS) are common injuries. This injury does not always have a favourable long-term outcome. Studies reporting the prognosis of ALALS after functional treatment are scarce. OBJECTIVE To determine the prognosis of functionally treated ALALS, in terms of recurrent ALALS and residual symptoms. STUDY DESIGN Retrospective cohort study. SETTIN...