We describe a rare case of a patellar tendon "re-rupture" at the opposite end of a previous proximal tendon repair. A 32-year-old male with a history of surgically repaired right proximal patellar tendon rupture presented with an acute non-traumatic right knee pain and instability during sports. Magnetic resonance imaging confirmed a complete rupture of his distal patellar tendon at the tibial ...

Limited evidence is available on the optimal treatment of complex fractures of the proximal humerus. No randomized prospective studies have compared hemiarthroplasty, open reduction internal fixation and/or conservative treatment. Two systematic reviews are available but they do not include angle-stable plate osteosynthesis or third-generation prosthetic designs. We conducted a systematic revie...

BACKGROUND This study compared the outcomes between patients with proximal humerus fractures (PHF) who underwent acute reverse total shoulder arthroplasty (RSA) to those who underwent an alternative initial treatment before requiring (secondary) RSA. METHODS Patients who underwent RSA after suffering a PHF were identified. Two year clinical follow-up was required for inclusion. Patients were ...

Treatment options for massive irreparable rotator cuff tears (RCT) in younger active adult patients are those intended to induce a biologic response and provide mechanical effect. Cellular augmentation such as platelet-rich matrices stem cells may platform healing. The effect of superior capsule reconstruction, tendon transfers, bridging grafts mitigate migration the humerus stable fulcrum arm ...

Although various implants exist for 3- and 4-part fractures, few implants are appropriate for isolated greater tuberosity fractures. This retrospective study evaluated the efficacy of AO X-shaped midfoot locking plates for greater tuberosity fractures. Between May 2008 and September 2009, nineteen patients with displaced greater tuberosity fractures were treated with open reduction and internal...

Avulsion calcaneal tuberosity fracture is an uncommon but potentially serious condition. Recent studies on the epidemiology of these specific fractures have demonstrated that avulsed calcaneal fractures account for 1.3% of all calcaneal fractures.It is therefore understandable that little has been written about these fractures. This type of injuries is usually caused by sudden muscular contract...

BACKGROUND The accessory navicular bone is one of the most common accessory ossicles, which sometimes become symptomatic. Abnormalities in magnetic resonance (MR) image, e. g. edema-like bone marrow pattern, have been reported for symptomatic accessory navicular. However, it has not been completely understood the edema-like bone marrow pattern correlates to the symptom of navicular tuberosity. ...

BACKGROUND Osteoporosis may complicate surgical fixation and healing of proximal humerus fractures and should be assessed preoperatively. Peripheral quantitative CT (pQCT) and the Tingart measurement are helpful methods, but both have limitations in clinical use because of limited availability (pQCT) or fracture lines crossing the area of interest (Tingart measurement). The aim of our study was...

OBJECTIVE To evaluate and compare healing, with and without the use of bone graft, of the gap created during tibial tuberosity advancement (TTA). STUDY DESIGN Prospective study and case series. ANIMALS Dogs treated with TTA (n=67). METHODS Prospective study: Mediolateral radiographic projections (6 weeks and 4 months) after TTA without use of bone graft (group I, n=14) were compared with ...

OBJECTIVES To describe the surgical technique and report short-term outcome for combined tibial plateau levelling osteotomy and tibial tuberosity transposition (TPLO-TTT) as an option in the treatment of cranial cruciate ligament insufficiency with concomitant medial patellar luxation. METHODS Medical records were reviewed (2011-2013) of dogs that underwent a standard tibial plateau levelling...