External Rotation of the Shoulder against Resistance as a Clinical Sign to Aid in the Diagnosis of Acromioclavicular Injury.

Introduction: Acromioclavicular joint (ACJ) injuries account for more than 40% of all sports-related shoulder injuries. Early and effective diagnosis is crucial with surgical intervention favored over non-operative management in high-grade injury. At present diagnosis is primarily by plain radiography with a clear lack of good clinical examination techniques.

Outcomes of open subacromial decompression after failed arthroscopic acromioplasty.

Aim. To prospectively assess the effectiveness of revision with open subacromial decompression in patients who had a previous unsatisfactory outcome with the arthroscopic procedure. Methods.

Posterior dislocation of the shoulder with ipsilateral humeral shaft fracture: A case report and review of literature.

Isolated posterior dislocation of the shoulder with ipsilateral humeral shaft fracture is a rare combination. Three cases of such co-existence have been reported so far. We report a fourth case and review the literature.

A long-term review of a modified Evans procedure.

Of 111 primary ankle ligament arthroplasties (modified Evans procedure) performed between 1983 and 1994, we were able to identify 89 patients (94 ankles) for follow-up. All were under 50 years of age. Two had died and one refused to co-operate; 86 patients (91 ankles) were therefore reviewed, 25 by telephone and the remainder by clinical examination with all but three also undergoing radiological review.

Natural history of anterior knee pain: a 14- to 20-year follow-up of nonoperative management.

We describe a consecutive series of girls with idiopathic anterior knee pain in adolescence and who were treated nonoperatively. At a mean follow-up of 16 years, 22% had no pain, 71% thought that their symptoms were better than at presentation, 88% used analgesics rarely or not at all, and 90% continued to participate regularly in sports. Nevertheless, about one in four of the patients continued to have significant symptoms for < or = 20 years after presentation.