scholarly journals Successful Nonoperative Treatment of Isolated Popliteus Tendon Avulsion Fractures in Two Adolescents

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Scott D. McKay ◽  
Andrew Holt ◽  
Thomas Stout ◽  
Viola Qafalijaj Hysa
Keyword(s):  
Pediatric Population ◽  
Knee Injuries ◽  
Nonoperative Treatment ◽  
Popliteus Tendon ◽  
Avulsion Fractures ◽  
Immature Male ◽  
Male Patients ◽  
Ligamentous Instability ◽  
Lateral Structures ◽  
Tendon Avulsion

Isolated popliteal tendon avulsion fractures are relatively uncommon in the pediatric population as other posterolateral lateral structures are often involved. This report describes two skeletally immature male patients who presented with knee injuries without ligamentous instability and were subsequently diagnosed with isolated popliteus tendon avulsion fractures. Both of these patients were managed nonoperatively and had subjectively full recoveries. As the treatment for isolated popliteal tendon avulsion fractures is still unclear, the report here may contribute to strategies regarding conservative treatment of these injuries.

The Frequency of Random Findings on Abdominal / Pelvis Computed Tomography in Pediatric Trauma Patients

2020 ◽  
Vol 16 ◽  
Author(s):  
Betül Tiryaki Baştuğ
Keyword(s):  
Computed Tomography ◽  
Incidental Findings ◽  
Pediatric Population ◽  
Pediatric Trauma ◽  
Trauma Patients ◽  
Injured Child ◽  
Level 3 ◽  
Male Patients ◽  
Clinically Significant ◽  
Discharge Summaries

Aims: In this study, we aimed to find the percentage of random pathologies and abdominopelvic region anomalies that are not related to trauma in pediatric patients. Background: An abdominal assessment of an injured child usually involves computed tomography imaging of the abdomen and pelvis (CTAP) to determine the presence and size of injuries. Imaging may accidentally reveal irrelevant findings. Objectives: Although the literature in adults has reviewed the frequency of discovering these random findings, few studies have been identified in the pediatric population. Methods: Data on 142( 38 female, 104 male) patients who underwent CTAP during their trauma evaluation between January 2019 and January 2020 dates were obtained from our level 3 pediatric trauma center trauma records. The records and CTAP images were examined retrospectively for extra traumatic pathologies and anomalies. Results: 67 patients (47%) had 81 incidental findings. There were 17 clinically significant random findings. No potential tumors were found in this population. Conclusion: Pediatric trauma CTAP reveals random findings. For further evaluation, incidental findings should be indicated in the discharge summaries.

Isolated popliteus tendon avulsion in skeletally immature patients

2008 ◽  
Vol 63 (7) ◽  
pp. 824-828 ◽  
Author(s):  
L.D. Wheeler ◽  
E.Y.P. Lee ◽  
D.C.F. Lloyd
Keyword(s):  
Popliteus Tendon ◽  
Skeletally Immature ◽  
Tendon Avulsion

scholarly journals MR Imaging of Intra- and Periarticular Cyst-Like Lesions of the Knee Joint in Workers with Occupational Kneeling

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Søren Rytter ◽  
Lilli Kirkeskov Jensen ◽  
Jens Peter Bonde ◽  
Niels Egund
Keyword(s):  
Knee Joint ◽  
Regression Models ◽  
Anterior Part ◽  
Knee Injuries ◽  
Posterior Part ◽  
Popliteus Tendon ◽  
Cystic Lesions ◽  
Logistic Regression Models ◽  
Significant Difference ◽  
Fluid Collections

Objective. To determine the risk of intra- and periarticular cyst-like lesions of the knee joint in occupational kneeling.Methods. Magnetic resonance imaging of both knees (n=282) was conducted in 92 male floor layers and 49 male graphic designers (referents), with a mean age of 55.6 years (range 42–70 years). The prevalence of cyst-like lesions was computed among floor layers and graphic designers, respectively, and associations with occupation summarized by odds ratio (OR) with 95% confidence intervals (CIs). Using logistic regression, models were adjusted for age, body mass index, knee injuries, and knee-straining sports.Results. Floor layers had a significantly higher prevalence of cyst-like lesions in the posterior part of the knee joint compared to graphic designers (OR 2.70, 95% CI 1.50–4.84). Floor layers also had a higher prevalence of fluid collections in the popliteus tendon recess (OR 2.17, 95% CI 0.99–4.77) and large cystic lesions of the popliteus muscle (OR 3.83, 95% CI 0.78–18.89). The prevalence of cystic lesions in the anterior part of the knee joint was low among floor layers (8.7%) and there was no significant difference between the two trade groups (P=0.34).Conclusions. Occupational kneeling increases the risk of cyst-like lesions in the posterior part of the knee joint.

Risk Factors for Failed Nonoperative Treatment and Rerupture in Acute Achilles Tendon Rupture

2018 ◽  
Vol 39 (6) ◽  
pp. 694-703 ◽  
Author(s):  
Aleksi Reito ◽  
Hanna-Liina Logren ◽  
Katri Ahonen ◽  
Heikki Nurmi ◽  
Juha Paloneva
Keyword(s):  
Risk Factors ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Case Series ◽  
Nonoperative Treatment ◽  
Activity Level ◽  
Factors Associated ◽  
Increased Risk ◽  
Male Patients

Background: Nonoperative treatment is feasible in most patients with acute Achilles tendon rupture. Risk factors associated with failed nonoperative treatment are poorly understood. We investigated risk factors associated with rerupture after nonoperative treatment and otherwise failed nonoperative treatment of Achilles tendon rupture. Methods: All patients diagnosed with acute Achilles tendon rupture between January 2009 and June 2016 and who underwent 8 weeks of nonoperative treatment with functional rehabilitation were included in the study. Patients with rerupture or otherwise failed nonoperative treatment were identified retrospectively. Time to rerupture and association of age, sex, time from injury, diabetes, and visits to the physiotherapist for cases of reruptures and otherwise failed nonoperative treatment were investigated. A total of 210 patients were included in the study. Results: Fifteen patients sustained a rerupture. Rerupture incidence was 7.1%. Incidence of late reruptures, those occurring after return to daily activities at 12 weeks, was 1.9%. Six patients had otherwise failed nonoperative treatment. Median time to rerupture was 23 days (6 to 61) after the end of the treatment. The incidence of all-cause failure was 10.0%. Male gender was associated with reruptures ( P = .013) and failed nonoperative treatment for any reason ( P = .029). Conclusion: It is important to highlight the increased risk of rerupture in male patients during the first month after the end of the nonoperative treatment. Age alone, even in male patients, was a poor indication for operative treatment since it did not predict early failure. Further studies will hopefully clarify the influence of activity level on the risk of rerupture. Level of Evidence: Level IV, retrospective case series.

scholarly journals Bilateral Simultaneous Quadriceps Tendon Rupture in a 24-Year-Old Obese Patient: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Fahad H. Abduljabbar ◽  
Abdulaziz Aljurayyan ◽  
Bayan Ghalimah ◽  
Lawrence Lincoln
Keyword(s):  
Case Report ◽  
Knee Injuries ◽  
Quadriceps Tendon ◽  
Knee Extension ◽  
Delayed Treatment ◽  
Basketball Game ◽  
Tendon Ruptures ◽  
Male Patients ◽  
Magnetic Resonance Imaging Mri

Introduction. Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. It can be associated with one or more predisposing risk factors like obesity, steroids use, and hyperparathyroidism. The main focus of this paper is to review SBQTR in obese patients. Case Report. We are reporting the youngest patient in the literature to date, a 24-year-old obese male patient, who presented to the emergency department complaining of bilateral knee pain and inability to walk after a fall during a basketball game. His clinical examination revealed the presence of a palpable suprapatellar gap and loss of knee extension bilaterally. Magnetic resonance imaging (MRI) confirmed that both of his quadriceps tendons were ruptured. A day after his diagnosis, the patient underwent successful operative repair followed by rehabilitation. At the two-year follow-up, the patient had full strength of both quadriceps muscles with no extension lag. Conclusion. The diagnosis of SBQTR can be challenging. Early diagnosis and treatment are associated with better functional outcome compared to delayed treatment. Physicians should have a high index of clinical suspicion in order not to miss such an injury and achieve favourable outcomes.

Reconstructions of the Knee Following Combined Injury to the Posterior Cruciate Ligament and the Posterior Lateral Structures

2004 ◽  
Author(s):  
Michael J. Askew ◽  
William B. Wiley ◽  
Arne Melby ◽  
Donald A. Noe
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Cartilage Degeneration ◽  
Surgical Reconstruction ◽  
Combined Injury ◽  
Rotary Instability ◽  
Lateral Structures ◽  
Tibial Translation ◽  
Combined Injuries

The posterior cruciate ligament (PCL) provides primary restraint to posterior tibial translation (1). Knee injuries involving only the PCL usually result in minimal disability, and are commonly treated non-surgically (2). However, combined injuries of the PCL and the posterior lateral structures (PLS) in the knee can result in considerable abnormal posterior laxity and posterolateral rotary instability leading to rapid cartilage degeneration (3). There is consensus that, in most cases, knees with this combined injury require surgical reconstruction.

Small Cartilage Defect Management

2020 ◽  
Vol 33 (12) ◽  
pp. 1180-1186
Author(s):  
Brittney A. Hacken ◽  
Matthew D. LaPrade ◽  
Michael J. Stuart ◽  
Daniel B. F. Saris ◽  
Christopher L. Camp ◽  
...  
Keyword(s):  
Knee Injuries ◽  
Patient Characteristics ◽  
Lesion Size ◽  
Nonoperative Treatment ◽  
Osteochondral Allograft ◽  
Treatment Modalities ◽  
Cartilage Defects ◽  
Tissue Healing ◽  
Osteochondral Autograft Transfer ◽  
Surgical Options

AbstractCartilage defects in the knee are common resulting in significant pain and morbidity over time. These defects can arise in isolation or concurrently with other associated injuries to the knee. The treatment of small (< 2–3 cm2) cartilage deficiencies has changed as our basic science knowledge of tissue healing has improved. Advancements have led to the development of new and more effective treatment modalities. It is important to address any associated knee injuries and limb malalignment. Surgical options are considered when nonoperative treatment fails. The specific procedure depends on individual patient characteristics, lesion size, and location. Debridement/chondroplasty, microfracture, marrow stimulation plus techniques, fixation of unstable osteochondral fragments, osteochondral autograft transfer, and osteochondral allograft transplantation, all have roles in the treatment of small cartilage defects.

scholarly journals Kickball and Its Underappreciated Pediatric Injury Burden: An 18-Year Retrospective Epidemiological Study

2019 ◽  
Vol 7 (4) ◽  
pp. 232596711983589 ◽  
Author(s):  
Kevin Pirruccio ◽  
Daniel Weltsch ◽  
Keith D. Baldwin
Keyword(s):  
Emergency Departments ◽  
Injury Risk ◽  
Pediatric Population ◽  
The United States ◽  
Associated Injuries ◽  
Injury Surveillance System ◽  
Pediatric Injury ◽  
National Estimates ◽  
Male Patients ◽  
Injury Burden

Background: Kickball is a popular childhood game most frequently played during gym class or recess at schools throughout the United States (US). Despite this, the national health burden of injuries associated with kickball has never been explored in the US pediatric population. Purpose: To report national estimates and demographic characteristics of pediatric patients presenting to US emergency departments between 2000 and 2017 with kickball-associated injuries. Study Design: Descriptive epidemiology study. Methods: This study retrospectively analyzed the National Electronic Injury Surveillance System (NEISS) database (2000-2017) to identify annual cases of injuries associated with playing kickball presenting to US emergency departments in the pediatric population (age ≤18 years). Results: On average, 10,644 (95% CI, 8671-12,618) pediatric kickball-associated injuries presented to US emergency departments each year. There was no significant change in the number of injuries between the years 2000 (n = 10,331; 95% CI, 7781-12,881) and 2017 (n = 9407; 95% CI, 7233-11,582) ( P = .64). Patients frequently sustained sprains, strains, or muscle tears (34.4%; 95% CI, 32.4%-36.5%) and fractures (24.8%; 95% CI, 23.1%-26.5%); these injuries most commonly affected the ankle (13.7%; 95% CI, 12.2%-15.2%) and the fingers of the hand (17.1%; 95% CI, 15.5%-18.7%). The greatest proportion of injuries occurred in male patients (60.7%; 95% CI, 58.7%-62.7%) who were 10 to 12 years of age (44.8%; 95% CI, 43.0%-46.6%), with over half of kickball-associated injuries occurring at school (54.1%; 95% CI, 50.7%-57.5%). Conclusion: Despite kickball’s ubiquity as a schoolyard game, its associated injuries remain largely underappreciated. This is particularly unjustified when considering that the annual pediatric injury burden associated with playing kickball surpasses that of other sports acknowledged as carrying a high injury risk, such as martial arts or tennis.

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