AIM To describe an approach to anterior cruciate ligament (ACL) reconstruction using autologous hamstring by drilling via the anteromedial portal in the presence of an intramedullary (IM) femoral nail. METHODS Once preoperative imagining has characterized the proposed location of the femoral tunnel preparations are made to remove all of the hardware (locking bolts and IM nail). A diagnostic a...

Flexor digitorum brevis is an intrinsic muscle of the sole of the foot that lies immediately superior to the central part of the plantar aponeurosis and inferior to the tendons of flexor digitorum longus. Its flat spindle shaped muscle belly arises as a thin tendon from the medial process of tuber calcanei, proximal part of plantar aponeurosis, intermuscular septa and other adjacent fascial lay...

The aim of this investigation was to study the effect of non-involved-side exercise on the involved (paretic) leg-muscle of patients with stroke. Each of the ten adults studied attempted to perform, while seated, a predetermined sequence of the following actions : (1) a voluntary knee extension on the involved side; (2) a maximal, isometric knee-flexion on the non-involved side; (3) a maximal, ...

Introduction Occasional difficulty is experienced in mobilizing the posterior horn of the medial meniscus, in spite of the use of the special cartilage knives and snares that have been designed to overcome this. The purpose of this paper is to describe a modification of the standard meniscectomy procedure and thereby simplify it. The modification consists of the section of the posterior attachm...

Weight training is an integral part of most athletic conditioning programs; yet, the effect of these programs on neuromuscular function remains unclear. To examine the neuromuscular effects of training and conditioning at the knee joint, 32 volunteers (16 men and 16 women; average age, 25.4 years) were placed into one of four groups: isokinetic, isotonic, agility, or control. Each group trained...

BACKGROUND Anatomical reconstruction techniques that can restore normal joint kinematics without increasing surgical complications could potentially improve clinical outcomes and help manage anterior cruciate ligament injuries more efficiently. HYPOTHESIS Single-tunnel double-bundle anterior cruciate ligament reconstruction with anatomical placement of hamstring tendon graft can more closely ...

Previous research indicates that both the extent and timing of muscular activation at the knee can be influenced by muscle activity state, joint angle, weight-bearing status and trunk position. However, little research to date has evaluated protective neuromuscular response times and activation patterns to an imposed perturbation with the knee joint in a functional, weight-bearing stance. Hence...

The use of hamstring tendons for ACL reconstruction has become more accepted in the recent years. Many authors have shown good results using semitendinosus and gracilis grafts (1, 2, 3) while others have had similar results using the quadrupled semitendinosus alone (4, 5, 6). Some, however, have been concerned about the possibility of muscular weakness and its effects on strength and stability ...

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