Background & Aims: Acute acromioclavicular (AC) joint dislocation is common in shoulder injuries. Considering the biomechanics of this joint, the use of a treatment method, which can restore joint physiology and biomechanics to the extent possible, is important. This study aimed to compare the treatment of acute AC joint dislocation by screw fixation with and without ligament reconstruction. Me...

Posttraumatic sternoclavicular arthritis related to chronic ligamentous instability after posterior sternoclavicular dislocation represents a rare but challenging problem. The current article in the Journal's "Safe Surgical Technique" series describes a successful salvage procedure by partial resection of the medial clavicle and ligamentous reconstruction of the sternoclavicular joint with a fi...

Isolated scaphoid dislocations are extremely rare injuries and are commonly associated with significant ligamentous disruptions. A dorsiflexion-supination force upon the hand consists the commonest mechanism of injury. Different treatment options have been proposed for the management of this uncommon entity, ranging from conservative treatment with closed reduction and casting to a wide range o...

Ligamentous injuries of the knee occur during sports and where there is extensive injury associated with subluxation or dislocation. We present a case of an obese female who sustained spontaneous non-traumatic posterior knee dislocation when she caught her foot while rising from the sitting down position. There was associated peroneal nerve injury but an angiogram confirmed no vascular compromi...

This study measured the changes in moment arm length of thumb motor tendons after simulated ligamentous instability and subsequent reconstruction of the trapeziometacarpal joint. Excursions of thumb motor tendons were measured simultaneously with the trapeziometacarpal joint angulation during flexion to extension and abduction to adduction motion. Tendon moment arms were calculated based on joi...

Twenty-one patients with chronic intercarpal instability were operated on an average of 13.2 months after injury or onset of symptoms. Fourteen had reconstruction via dorsal approaches by use of radial wrist extensor or other tendon graft. Seven patients were approached dorsally and palmarly, three had ligament repair, and four had reconstructions. The average follow-up was 25.4 months. Pain de...

Isolated scaphoid dislocations are extremely rare injuries and are commonly associated with significant ligamentous disruptions. A dorsiflexion-supination force upon the hand is considered as the most common mechanism of injury. Different treatment options have been proposed for the management of this uncommon entity, ranging from conservative treatment with closed reduction and casting to a wi...

Chronic tibial subluxation is a rare and complicated problem that requires careful evaluation and planning to achieve the desired outcome and patient satisfaction. Reconstruction of catastrophic knee injury requires obtaining a balance in 2 opposing goals: stability and range of motion. Complete understanding of the impact of each of the involved ligamentous structures on knee stability and mot...

Posterior cruciate ligament (PCL) injuries are rare, but they often require reconstruction, especially in the setting of combined ligamentous knee injury. Single-bundle transtibial PCL reconstruction is 1 technique for restoring this important ligament. However, this procedure is technically demanding, and complications can occur if poor techniques are used. This article analyzes the potential ...

conclusions generalized ligamentous laxity is an important predisposing factor for acute and chronic shoulder injuries in athletes. prescreening programs for beginners and rehabilitation shoulder programs for sports athletes at high risk are strongly recommended. results group a (with ligamentous laxity) consisted of 43 participants (36.4%) and group b (without ligamentous laxity) consisted of ...