Surgical treatment of resistant lateral epicondylitis. Follow-up study of 19 patients after excision, release and repair of proximal common extensor tendon origin.

Background: Lateral epicondylitis resistant to conservative treatment is a rare yet disabling condition. When diagnosed, it should be treated surgically. The appropriate surgical treatment relies on a precise diagnosis, usually based on physical examination.

Medium term outcome of the LCS cementless posterior cruciate retaining total knee replacements. Follow up and survivorship study of 35 operated knees.

Mobile bearing knee replacement has been designed to provide an effective prosthetic tool for improving long-term survivorship. Although, its potential long-term superiority has not been proven, an alarming possibility of its early mechanical failure has been previously reported. In the present study on 27 patients with 35 replaced knees due to osteoarthritis, 97.

Re-formation of the coracoacromial ligament after open resection or arthroscopic release.

In 21 (91%) of 23 shoulder revisions after primary surgery involving resection or release of the coracoacromial ligament, there was evidence of a reattached or re-formed coracoacromial ligament. In 9 cases there was no other obvious explanation for symptom recurrence, and in 7 cases the coracoacromial ligament might have influenced progression of rotator cuff pathosis. Electron micrographs of a re-formed ligament showed a substantially large amount of large-diameter (> 100 microns) collagen fibrils resembling those of a normal ligament.

Inferior capsular shift procedure in athletes with multidirectional instability based on isolated capsular and ligamentous redundancy.

Twenty-five athletes (26 shoulders) who underwent an inferior capsular shift procedure for multidirectional glenohumeral instability based on isolated capsular and ligamentous redundancy were evaluated at a median of 54 months (range, 25 to 113) after the operation. Twenty-one athletes (84%) returned to their preinjury activity level at a median of 5 months after surgery. Of 21 athletes involved in sports using overhead motions, 16 (76%) returned to their previous sport after the operation, and 12 (57%) were still active in this sport at the preinjury level at follow-up.

Rupture of the pectoralis major: a meta-analysis of 112 cases.

Of about 150 cases reported in the literature on pectoralis major ruptures, 108 were selected as presenting enough data to be analyzed for cause, rupture site, injury mechanism, and treatment outcome. We added data on four of our own cases reported here. All patients yet reported have been men.

Early repair of inguinal hernia in premature babies.

Inguinal hernia (IH) is relatively common in premature newborn infants, and the timing of surgical correction is controversial. We studied 40 premature infants who developed an IH and who were initially treated in a neonatal intensive care unit. Birth weight (BW) ranged from 492 to 2,401 g; 21 infants had a BW less than 1,000 g.

Sensitivity and specificity of a gamma interferon blood test for tuberculosis infection.

Setting: Victoria, Australia.

Objective: To determine the sensitivity and specificity of a gamma interferon (IFN-gamma) blood test for tuberculosis infection.

Design: Heparinised blood samples from 952 volunteers were analysed using the QuantiFERON-TB blood test.

Postoperative patellar tendon healing: an ultrasound study. VIS Tendon Study Group.

The patellar tendon donor site of 20 patients who underwent anterior cruciate ligament (ACL) reconstruction using the patellar tendon tissue as autograft was examined with high resolution 7.5 MHz ultrasound. The patients were randomly divided into four groups and studied at 3, 6, 9 or 12 months postoperatively.

Traumatic peroneal tendon instability.

To investigate the causes of, pathologic changes associated with, and treatment results after traumatic peroneal tendon subluxation or dislocation, we reviewed 11 cases in 10 patients at a mean followup of 29 months. We also describe a technique of superior peroneal retinacular repair combined with fibular rotational osteotomy. Excellent clinical and functional results were achieved in 9 of the 11 cases, enabling the patients to return to previous competitive sports by 3 months.

Results of Watson-Jones ankle reconstruction for instability. The influence of articular damage.

We reviewed 32 ankles in 30 patients at an average of five years after a Watson-Jones tenodesis. All but one patient had had ankle pain before operation and 19 had had clicking, catching, or locking of the ankle. Eleven of these had an ankle arthrotomy at the time of ligament reconstruction for intraarticular pathology.

Cysts of the medial meniscus. Arthroscopic diagnosis and management.

We report the clinical and arthroscopic findings in 20 cases of medial meniscal cyst with a mean follow-up of 20 months. These were studied prospectively from a series of 7435 knee arthroscopies in which there were 1246 stable non-arthritic knees with medial meniscal tears. The diagnosis on referral was incorrect in seven, and incomplete in seven.

Stress fractures of the tarsal navicular bone: CT findings in 55 cases.

Objective: The purpose of this article is to present the CT findings in 55 cases of tarsal navicular stress fracture before and after treatment and to describe the CT protocol used.

Materials And Methods: Fifty-five navicular stress fractures in 54 patients whose initial and follow-up CT scans were available for study were retrospectively reviewed. In most cases, contiguous 1.

The rubber fat pad retractor: use in arthroscopic anterior cruciate ligament reconstruction.

Arthroscopic anterior cruciate ligament (ACL) reconstruction surgery requires adequate visualization of the anterior intercondylar area. Described is a quick, inexpensive, safe, and easily learned technique. Secondary benefits of the improved visualization provided by the technique include increased ease of the portal entry, facility for dry intraarticular arthroscopy, and harvest of drilled bone for later grafting of donor sites.