Fast Bowler's knee - anteromedial articular impingement.

Purpose: To describe a series of impingement lesions found on the anterior aspect of the medial femoral condyle in international cricketers.

Methods: Seven international level fast bowlers presented to our clinic with knee pain in the lead leg between 2005 and 2013. The mean age of the patients was 26.

The influence of full-thickness supraspinatus tears on abduction moments: the importance of the central tendon.

Background: Detachment of the central tendon of the supraspinatus from its insertion is considered to be crucial to functional deficit. The aim of the present study was to assess the function of the supraspinatus in terms of abduction moments by introducing different tear configurations to assess the functional effect of the central tendon insertion.

Methods: Ten fresh frozen shoulders from five cadavers were prepared for testing.

Vitamin D and Calcium Supplementation in Elderly Patients Suffering Fragility Fractures; The Road not Taken.

Background: Calcium and Vitamin D supplementation in elderly patients may decrease the risk of hip fracture by up to one-third. Many patients suffering fragility fractures do not go on to receive this treatment despite clear recommendations from the National Institute for Health and Clinical Excellence (NICE). The aim of this study was to audit the proportion of patients admitted with a hip fracture who had suffered a previous fragility fracture and were taking calcium and vitamin D supplements, with the standard being that all of these patients should have been taking bone protection.

Twenty-Year Outcome of a Longitudinal Prospective Evaluation of Isolated Endoscopic Anterior Cruciate Ligament Reconstruction With Patellar Tendon or Hamstring Autograft.

Background: Long-term prospective studies of isolated endoscopic anterior cruciate ligament (ACL) reconstruction are limited and may include confounding factors.

Purpose: This study aimed to compare the outcomes of isolated ACL reconstruction using the patellar tendon (PT) autograft and the hamstring (HT) autograft in 180 patients over 20 years.

Study Design: Cohort study; Level of evidence, 2.

A Reduction Method for All-Inside Posterior Horn Meniscal Repair.

Obtaining, and maintaining, optimal reduction of a displaced posterior horn can be a difficult and time-consuming procedure. There are many different ways to repair a tear of the meniscus; we describe a quick and simple technique using a readily available meniscal suturing device.

The Natural History of Biointerference Screw Cyst and New Bone Formation in Anterior Cruciate Ligament Reconstruction: 16-Year Follow-up.

Background: A variety of fixation devices are available for anterior cruciate ligament reconstruction (ACLR). Bioabsorbable screws allow imaging postoperatively without image artefact, as with magnetic resonance imaging (MRI). There is also the perceived benefit of screw resorption and subsequent host tunnel bone ingrowth.

Avascular necrosis complicating chondral resurfacing techniques.

Autologous chondrocyte implantation (ACI) and mosaicplasty have become established operations used to treat full-thickness chondral lesions in the knee and elsewhere. Although complications of both have been documented, there are no previous reports of avascular necrosis (AVN) complicating these procedures. Awareness of AVN as a complication of ACI might have prompted an earlier diagnosis, with possible non-surgical treatment or more minor surgery being possible.

Construct Validity and Test Re-Test Reliability of the Forgotten Joint Score.

Consecutive patients undergoing knee arthroplasty completed questionnaires: FJS, Knee Injury and Osteoarthritis Outcome Score (KOOS) and WOMAC Score (mean 39 months after surgery), and were mailed a repeat questionnaire after 4 to 6 weeks. The test-retest reliability was almost perfect for the FJS (ICC = 0.97), and the FJS subdomains (ICC > 0.

Medial meniscal cyst as a cause of painful erosion of the tibial plateau.

Medial cysts are rarely encountered as a cause of bone erosion. It is thought meniscal cysts are present in up to 22 % of meniscal tear operations. MRI is the gold standard for visualisation of meniscal cysts.

Management of osteochondritis dissecans of the knee.

The etiology of osteochondritis dissecans is hypothesized as repetitive microtrauma, resulting in an interruption of blood supply. Due to the location of the most common lesions on the medial femoral condyle, impingement of either the medial tibial spine or inferior pole of the patella against the adjacent medial femur may be responsible. It is much more common in athletic males than other groups.

Periprosthetic supracondylar femoral fractures above a total knee replacement: compatibility guide for fixation with a retrograde intramedullary nail.

The incidence of total knee arthroplasty (TKA) is increasing, as are periprosthetic supracondylar femoral fractures. Treatment is complex and may involve the use of a retrograde intramedullary femoral nail, and it is essential to know the nail will fit through the femoral prosthesis in line with the intramedullary canal. Knowledge of certain measurements is crucial i.

A novel and cheap method of outside-in meniscal repair for anterior horn tears.

Outside-in meniscal repair techniques can involve the use of expensive passing devices that may not be readily available to all orthopaedic surgeons. There are many different ways to repair a meniscus, and we describe a quick and simple technique that requires no special equipment.

A comparison of the degree of retraction of full-thickness supraspinatus tears with the Goutallier grading system.

Background: Tears of the supraspinatus are common and incompletely understood. The degree of fatty infiltration into the muscle is perceived to be a determining factor of successful surgical repair and postoperative function. It is the hypothesis of this study that the degree of central tendon retraction (CTR) as seen on magnetic resonance imaging corresponds to the amount of fatty infiltration classified according to the Goutallier grading system.

An anatomical description of the pennation angles and central tendon angle of the supraspinatus both in its normal configuration and with full thickness tears.

Hypothesis: It is hypothesized that supraspinatus central tendon retraction is related to functional deficit; yet, there is no literature comparing the normal and pathological pennation and central tendon angles using magnetic resonance imaging (MRI). Therefore, the aim of this study was to quantify the anterior and posterior muscle pennation angles, central tendon angle, and retraction of the supraspinatus using MRI.

Methods: Anterior pennation angle (APA), posterior pennation angle (PPA), and central tendon angle (CTA) were measured from 2 groups: no tear (NT, n = 157), full thickness tears (FTT) with retraction (FTT, n = 156).