Unrecognized Isolated Medial Trochlear Fracture Leading to Malunion: A Case Report.

Case: A twenty-year-old woman presented with an isolated intra-articular fracture of the medial part of the trochlea twelve weeks after a traumatic fall. The fracture had gone undetected during the initial twelve weeks following injury, resulting in an anteriorly and superiorly displaced malunion and severe range-of-motion restrictions of the elbow.

Conclusion: Vigilant clinical examination is imperative to avoid missing this uncommon fracture pattern and complication.

A 3-Dimensional Anatomic Study of the Distal Biceps Tendon: Implications for Surgical Repair and Reconstruction.

Background: Complete rupture of the distal biceps tendon from its osseous attachment is most often treated with operative intervention. Knowledge of the overall tendon morphology as well as the orientation of the collagenous fibers throughout the musculotendinous junction are key to intraoperative decision making and surgical technique in both the acute and chronic setting. Unfortunately, there is little information available in the literature.

Accuracy of magnetic resonance imaging in detecting biceps pathology in patients with rotator cuff disorders: comparison with arthroscopy.

Background: There is limited information on the validity of magnetic resonance imaging (MRI) in detection of biceps disease. The purpose of this study was to examine the measurement properties of noncontrasted MRI in diagnosis of biceps disease using arthroscopic surgery as the "gold standard."

Materials And Methods: Prospectively collected surgical data of patients with impingement syndrome or rotator cuff tear, with biceps disease (study group) or without biceps disease (control group), were reviewed.

Venous thromboembolism after shoulder arthroplasty: a report of three cases.

Venous thromboembolism after shoulder arthroplasty is considered a rare phenomenon, but can be a dangerous and life-threatening condition. We report three cases of venous thromboembolism sustained after shoulder arthroplasty. One of the patients had a non-fatal pulmonary embolism.

Short-Term Effectiveness of Precut Kinesiology Tape Versus an NSAID as Adjuvant Treatment to Exercise for Subacromial Impingement: A Randomized Controlled Trial.

Objective: To compare the short-term effectiveness of precut kinesiology tape (PCT) to a nonsteroidal anti-inflammatory drug (NSAID) as adjuvant treatment to exercise physiotherapy in improving pain and function in patients with shoulder impingement.

Design: Randomized, controlled assessor-blind parallel-design trial with 3 groups.

Setting: Academic-community hospital.

Practice patterns of canadian physiotherapists mobilizing patients with external ventricular drains.

Purpose: To describe current mobilization practices of Canadian physiotherapists when treating patients with external ventricular drains (EVDs).

Methods: A quantitative, descriptive, cross-sectional study design using an online questionnaire via SurveyMonkey. An email invitation and questionnaire link was distributed in March 2010 to physiotherapists currently working with this patient population in Neurosurgical Centres across Canada.

Utility of the Pectoralis Major Index in the Diagnosis of Structurally Significant Pectoralis Major Tears.

Background: Diagnosis of pectoralis major tears early in the acute phase is important for optimizing surgical repair and outcomes. However, physical examination of pectoralis major injuries can be misleading, often resulting in a potentially detrimental delay in surgical treatment.

Purpose: To establish and validate a quantifiable clinical diagnostic test for structurally significant pectoralis major tears.

Venous thromboembolism after shoulder arthroplasty: a systematic review.

Background: Shoulder arthroplasty (SA) is a common orthopaedic procedure that is being performed on a more and more frequent basis. Venous thromboembolism (VTE) as a complication has received little attention when it occurs after SA. The literature lacks a comprehensive summary of the incidence, risk factors, and prophylaxis of VTE in this population of patients.

Metacarpophalangeal joint extensor tendon subluxation: a reconstructive stabilization technique.

Extensor tendon subluxation can result from a disruption to the extensor retinacular system and/or the sagittal band at the metacarpophalangeal joint. When conservative treatment is insufficient to correct the subluxation, surgical treatment is necessary and various surgical techniques exist. We present a novel stabilization technique to centralize the extensor tendon using a junctura tendinum to lengthen an extensor digitorum communis tendon graft.