A Landmark-Based Technique for Determining an Isometric Femoral Attachment Site for Lateral Extraarticular Tenodesis is Inaccurate.

Purpose: To evaluate the reliability and accuracy of a method of placing the femoral fixation location for lateral extra-articular tenodesis (LET) within a safe isometric area using anatomic landmarks.

Methods: Using a pilot cadaveric specimen, the center of the radiographic safe isometric area for femoral fixation of LET, defined as a 1 cm (proximal-distal) area located proximal to the metaphyseal flare and posterior to the posterior cortical extension line (PCEL), was located using fluoroscopy and found to be 20 mm directly proximal to the center of the fibular collateral ligament (FCL) origin. Using 10 additional specimens, the center of the FCL origin and a location 20 mm directly proximal was identified.

Isolated Rectus Femoris Rupture with Ipsilateral Femoroacetabular Impingement in a Collegiate Track Athlete: A Case Report.

Introduction: Quadriceps ruptures, especially isolated rectus femoris ruptures, are uncommon among young and healthy individuals.

Case Report: We describe an 18-year-old collegiate sprinter with a rectus femoris tendon rupture who continued to have significant pain and dysfunction despite non-operative management. He was concurrently found to have femoroacetabular impingement and a labrum tear as well.

Indications for retrograde intramedullary screw fixation of the distal fibula: a retrospective cohort series.

Introduction: Ankle fractures are a common orthopaedic injury that often require surgical fixation. Because the comorbid population in the United States continues to survive longer, it has become routine to treat comorbid patients with unstable ankle fractures. The literature has identified comorbidities known to increase the risk of ankle fracture complications to include age 55 years or older, body mass index >29.

The Effects of Distal Pole Scaphoid Resection on Wrist Biomechanics.

Background: Distal pole scaphoid resection (DPSR) is an effective way to manage chronic scaphoid non-union with limited degenerative arthritis. Studies have reported positive results in terms of pain relief, wrist range of motion and grip strength, and patient satisfaction. However, the biomechanical consequences of DPSR remain unclear.

The Hip Arthroscopy Post-less Procedure Impingement (HAPPI) Technique: Achieving Distraction With Standard Hip Tables at Zero Additional Cost.

Hip arthroscopy is becoming a more common treatment for femoroacetabular impingement, labral tears, and a variety of other hip pathologies. Unlike arthroscopy of the shoulder and knee, hip arthroscopy requires a significant amount of traction to gain access into the joint. Historically, traction has been achieved with the use of a perineal post.

Medial Femoral Condyle Periosteal Free Flap for the Treatment of Talus Avascular Necrosis.

Background: In patients with avascular necrosis (AVN) of the talus in the precollapse stage unresponsive to conservative measures, joint preservation should be considered. Good results have previously been reported for vascularized bone grafting. The medial femoral condyle (MFC) free flap has recently been introduced, which consists of corticoperiosteal bone.

Comparison of Pulse Oximetry and Handheld Doppler for Assessing Digital Perfusion.

Purpose: The utility of pulse oximetry for evaluating the perfusion of an injured digit is not well established. The goal of our study was to compare the use of a handheld Doppler to the use of pulse oximetry to determine perfusion in the digits of healthy volunteers.

Methods: Fifteen healthy volunteers participated in our study.

Single-Bundle vs Double-Bundle (Anatomical) Reconstruction of the Thumb Ulnar Collateral Ligament: Biomechanical Study.

The goal of this study is to compare the biomechanical properties of anatomic (double-bundle) versus single-bundle reconstruction of the thumb metacarpophalangeal (MCP) joint ulnar collateral ligament (UCL) in a cadaveric model. Twelve fresh frozen cadaver hands were randomly assigned to single- or double-bundle reconstruction groups using a palmaris longus autograft and tenodesis screws. Two blinded examiners performed mechanical testing and measurements using fluoroscopic imaging.

Reliability of the Soong Classification for Volar Plate Position.

Purpose: The purpose of the present study was to assess the inter- and intraobserver reliability of the Soong classification system for volar plate position. Our hypothesis was that the Soong grade would be found to be reliable.

Methods: Four physicians (K.