Return to competition following clavicle fractures in professional road cyclists.

Objectives: Clavicle fractures are common injuries sustained by cyclists, but there is little evidence about return to competition times (RTCT) in elite cyclists. Our aim was to investigate this, and risk factors for delayed return.

Method: We identified elite cyclists who sustained clavicle fractures between 2015 and 2020.

The natural orientation of the Anterior Cruciate Ligament compared to the tibial plateau on magnetic resonance imaging scans.

Purpose: Remnant preserving Anterior Cruciate Ligament (ACL) reconstruction requires the graft to be passed through the remnant ACL stump. This requires knowledge of the native alignment of the ACL. We investigated the alignment and orientation compared directly to the tibial plateau on Magnetic Resonance Imaging.

Leiomyosarcoma of the ischiorectal fossa: report of a novel sphincter and sciatic nerve sparing simultaneous trans-abdominal and trans-gluteal resection and review of the literature.

Leiomyosarcomas are rare tumours of smooth muscle origin, and there have been no reported cases of such tumours arising within the ischiorectal fossa. Surgical resection with clear margins remains the gold standard treatment; however, there is limited literature on surgical approaches to the ischiorectal fossa for such tumours. We report a case of a high-grade leiomyosarcoma in a 59-year-old lady, occurring within the ischiorectal fossa that was managed using a novel simultaneous sphincter and sciatic nerve preserving trans-abdominal and trans-gluteal technique.