scholarly journals Bilateral Tibial Tubercle Sleeve Fractures in a Skeletally Immature Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Rasesh R. Desai ◽  
Shital N. Parikh
Keyword(s):  
Tibial Tubercle ◽  
Skeletally Immature ◽  
Radiographic Evidence ◽  
Rare Injury ◽  
Sleeve Fracture ◽  
Initial Injury ◽  
Final Followup ◽  
Suture Anchor Fixation ◽  
Anchor Fixation ◽  
Skeletally Immature Patient

Tibial tubercle sleeve fracture is a rare injury. In concept, it is similar to the patellar sleeve fracture in a skeletally immature patient. We describe a unique case of simultaneous bilateral tibial tubercle sleeve fractures in a 12-year-old boy. Radiographs and MRI confirmed the injury. The patient underwent open surgical repair of bilateral sleeve fractures with suture anchor fixation. At the final followup, 3 years after his initial injury, the patient demonstrated full knee function bilaterally without radiographic evidence of growth disturbances.

Repair of Chronic Concomitant Avulsion Fractures of the Extensor Carpi Radialis Longus and Brevis

2019 ◽  
Vol 24 (01) ◽  
pp. 100-104
Author(s):  
Bryan G. Beutel ◽  
Eitan Melamed
Keyword(s):  
Surgical Repair ◽  
Operative Management ◽  
Cast Immobilization ◽  
Rare Injury ◽  
Avulsion Fractures ◽  
Acute Setting ◽  
Non Operative Management ◽  
Extensor Carpi Radialis ◽  
Suture Anchor Fixation ◽  
Anchor Fixation

Combined simultaneous radial wrist extensor injuries, namely ipsilateral extensor carpi radialis longus (ECRL) and brevis (ECRB) avulsion fractures, are rare. While non-operative management with cast immobilization has been described, most recommend operative intervention in the acute setting. Surgical repair of chronic injuries, however, has received little attention in the literature. This case describes a 50-year-old male who sustained combined ipsilateral ECRL and ECRB avulsion fractures from the bases of the index and middle metacarpals. Five months after the initial trauma, he underwent surgical repair with lengthening of the tendons using a novel technique and suture anchor fixation. This case demonstrates that successful repair of this rare injury can be achieved with retracted extensor tendons in the chronic setting.

scholarly journals Isolated Vastus Lateralis Rupture and Repair Using Suture Anchor Technique

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Pierce Johnson ◽  
Ryan Digiovanni ◽  
Tony Nguyen
Keyword(s):  
Case Report ◽  
Suture Anchor ◽  
Surgical Repair ◽  
Vastus Lateralis ◽  
Rare Injury ◽  
Case Presentation ◽  
Suture Anchor Fixation ◽  
Anchor Fixation

Introduction. This is a case report of an isolated vastus lateralis rupture identified by MRI and treated successfully with surgical repair. Case Presentation. A 50-year-old male recreational weightlifter who sustained an isolated vastus lateralis rupture while dead lifting and underwent surgical repair using a suture anchor fixation. Conclusion. An isolated vastus lateralis rupture is a rare injury that may be successfully treated with surgical repair allowing return to preinjury activities.

scholarly journals Comparing the Tibial Tuberosity–Trochlear Groove Distance Between CT and MRI in Skeletally Immature Patients With and Without Patellar Instability

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097366
Author(s):  
Zhen-Zhen Dai ◽  
Lin Sha ◽  
Zi-Ming Zhang ◽  
Zhen-Peng Liang ◽  
Hao Li ◽  
...  
Keyword(s):  
Patellar Instability ◽  
Intraclass Correlation ◽  
Mean Difference ◽  
Tibial Tubercle ◽  
Control Group ◽  
Trochlear Groove ◽  
Skeletally Immature ◽  
Bony Landmarks ◽  
The Difference ◽  
Ct And Mri

Background: The tibial tubercle–trochlear groove (TT-TG) distance was originally described for computed tomography (CT), but it has been measured on magnetic resonance imaging (MRI) in patients with patellar instability (PI). Whether the TT-TG measured on CT versus MRI can be considered equivalent in skeletally immature children remains unclear. Purpose: To investigate in skeletally immature patients (1) the effects of CT versus MRI imaging modality and cartilage versus bony landmarks on consistency of TT-TG measurement, (2) the difference between CT and MRI measurements of the TT-TG, and (3) the difference in TT-TG between patients with and without PI. Study Design: Cross-sectional study; Level of evidence, 3. Methods: We retrospectively identified 24 skeletally immature patients with PI and 24 patients with other knee disorders or injury but without PI. The bony and cartilaginous TT-TG distances on CT and MRI were measured by 2 researchers, and related clinical data were collected. The interrater, interperiod (bony vs cartilaginous), and intermethod (CT vs MRI) reliabilities of TT-TG measurement were assessed with intraclass correlation coefficients. Results: The 48 study patients (19 boys, 29 girls) had a mean age of 11.3 years (range, 7-14 years). TT-TG measurements had excellent interrater reliability and good or excellent interperiod reliability but fair or poor intermethod reliability. TT-TG distance was greater on CT versus MRI (mean difference, 4.07 mm; 95% CI, 2.6-5.5 mm), and cartilaginous distance was greater than bony distance (mean difference, 2.3 mm; 95% CI, 0.79-3.8 mm). The TT-TG measured on CT was found to increase with the femoral width. Patients in the PI group had increased TT-TG distance compared with those in the control group, regardless of landmarks or modality used ( P > .05 for all). Conclusion: For skeletally immature patients, the TT-TG distance could be evaluated on MRI, regardless of whether cartilage or bony landmarks were used. Its value could not be interchanged with CT according to our results; however, further research on this topic is needed.

Suture Anchor Fixation for Scaphoid Nonunions With Small Proximal Fragments: Report of 11 Cases

2014 ◽  
Vol 39 (8) ◽  
pp. 1494-1499 ◽  
Author(s):  
Reza Shahryar Kamrani ◽  
Leila Oryadi Zanjani ◽  
Mohammad Hossein Nabian
Keyword(s):  
Suture Anchor ◽  
Suture Anchor Fixation ◽  
Anchor Fixation

Preoperative 3-D MRI planning of tunnel placement in ACL reconstruction for a skeletally immature patient: A case report

2019 ◽  
Vol 24 (6) ◽  
pp. 1144-1148 ◽  
Author(s):  
Kanji Osaki ◽  
Satoshi Hamai ◽  
Ken Okazaki ◽  
Yasutaka Tashiro ◽  
Yukihide Iwamoto
Keyword(s):  
Case Report ◽  
Acl Reconstruction ◽  
Skeletally Immature ◽  
Tunnel Placement ◽  
Skeletally Immature Patient

scholarly journals Treatment of Anterior Cruciate Ligament Injury in Skeletally Immature Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Joshua L. Hudgens ◽  
Diane L. Dahm
Keyword(s):  
Cruciate Ligament ◽  
Treatment Options ◽  
Cartilage Damage ◽  
Functional Results ◽  
Patient Treatment ◽  
Ligament Injury ◽  
Minimal Risk ◽  
Skeletally Immature ◽  
Increased Risk ◽  
Skeletally Immature Patient

The incidence of ACL tears is rising in the pediatric and adolescent populations as these individuals succumb to traumatic and nontraumatic athletic injuries. Management of this condition in the skeletally immature patient poses a challenge and is controversial. Operative reconstruction carries the concern for damage to the physis with resultant limb length inequality and angular joint deformity but provides stability to the knee and allows return of function in most patients. On the other hand, nonoperative treatment has been shown to carry an increased risk of meniscal and articular cartilage damage and is difficult from a compliance standpoint in this demographic. For the majority of skeletally immature patients, operative treatment is recommended as it has shown good clinical and functional results with minimal risk of growth disturbance. This paper aims to address the natural course of ACL injuries in the skeletally immature patient, treatment options with associated complications, and current preventative strategies.

An Avulsion of the Subscapularis in a Skeletally Immature Patient

2004 ◽  
Vol 32 (1) ◽  
pp. 246-249 ◽  
Author(s):  
Robby S. Sikka ◽  
Mark Neault ◽  
Carlos A. Guanche
Keyword(s):  
Skeletally Immature ◽  
Skeletally Immature Patient

Suture anchor fixation of displaced olecranon fractures in the elderly: a case series and surgical technique

2015 ◽  
Vol 24 (7) ◽  
pp. 1090-1097 ◽  
Author(s):  
Dexter K. Bateman ◽  
Jonathan D. Barlow ◽  
Corinne VanBeek ◽  
Joseph A. Abboud
Keyword(s):  
Surgical Technique ◽  
Suture Anchor ◽  
Case Series ◽  
The Elderly ◽  
Suture Anchor Fixation ◽  
Anchor Fixation ◽  
Olecranon Fractures
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