Incidence of Ipsilateral Femoral Neck and Shaft Fractures in Pediatric and Adolescent Patients.

Objectives: To identify the incidence, patient characteristics, and effectiveness of radiographic screening methods for detecting ipsilateral femoral neck and shaft fractures in pediatric and adolescent trauma patients.

Design: Retrospective cohort study.

Setting: This study was conducted at a tertiary pediatric trauma hospital.

Security of knots tied with ethibond, fiberwire, orthocord, or ultrabraid.

Background: The security of several popular arthroscopic knots to prolonged, incremental, cyclic loads is unknown, as is the security of knots tied with newer, superstrong sutures.

Hypothesis: Some arthroscopic knots are as secure as openly tied square knots, and knots tied with superstrong sutures are more secure than those tied with braided polyester. Some arthroscopic knots are significantly bulkier than openly tied square knots.

Chronic anterior midtibial stress fractures in athletes treated with reamed intramedullary nailing.

Background: A chronic anterior midtibial stress fracture is a serious, difficult-to-treat injury that can adversely affect an athlete's career.

Hypothesis: The use of a reamed intramedullary nail for a chronic anterior tibial stress fracture is a safe and effective treatment for an athlete.

Study Design: Case series; Level of evidence, 4.

Cyclic testing of arthroscopic knot security.

Purpose: Arthroscopic soft tissue repairs undergo many cycles of tensioning and relaxation before significant tissue healing occurs, and knot security under cyclic loads is essential for good results after these repairs. The current study was designed to assess the security of arthroscopic knots under stepwise cyclic loading.

Type Of Study: In vitro materials testing.

Anatomic and radiographic analysis of arthroscopic tack placement into the anteroinferior glenoid.

Tack location within the anteroinferior aspect of the glenoid when performing simulated repairs of anteroinferior capsulolabral avulsions (Bankart lesions) was evaluated anatomically and radiographically. Arthroscopy was performed on six fresh-frozen cadaveric shoulders, and bioabsorbable tacks were placed through an accessory anteroinferior portal coming into the joint just above the subscapularis tendon using an outside-in technique. Tack location was studied after removal of all soft tissues.

Prevalence of ganglion cysts originating from the proximal tibiofibular joint: A magnetic resonance imaging study.

Purpose: To determine the prevalence of proximal tibiofibular ganglion cysts in patients undergoing outpatient magnetic resonance imaging (MRI) of the knee.

Type Of Study: Observational cross-sectional study.

Methods: From November 2000 to June 2001, every MRI of the knee performed at an outpatient imaging center was reviewed by a single examiner for the presence of a proximal tibiofibular ganglion cyst.

Pretibial cyst formation after arthroscopic anterior cruciate ligament reconstruction.

Pretibial cyst formation is a rare occurrence after anterior cruciate ligament (ACL) reconstruction. We report this complication after ACL reconstruction using a hamstring autograft. Bone grafting of the original tibial tunnels during revision surgeries after failed ACL reconstruction could prevent this rare complication.