The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Jun 1998
Preoperative indicators of motion loss and weakness following anterior cruciate ligament reconstruction.
Loss of motion and knee extension weakness are recognized as significant complications following anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to determine 1) what degree of preoperative motion loss represents a risk for postoperative motion problems and 2) if preoperative weakness (deficit > or = 20%) affects return of strength following surgery. Measurements of range of motion and strength were made on 102 patients (56 men, 46 women; age = 31 +/- 1 years) within 2 weeks prior to ACL reconstruction (preop) and repeated 6 months following surgery (postop). ⋯ Preop strength was not a good predictor of residual weakness following ACL reconstruction. The magnitude of the preop extension loss appears not to be a risk factor. It is the presence or absence of full extension equal to the contralateral leg that identifies risk for postop problems regaining extension.
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J Orthop Sports Phys Ther · Jun 1998
Case ReportsScapular avulsion fracture of a high school wrestler.
This case study details a rare injury managed conservatively with aggressive therapy with early return to competition. A 17-year-old high school wrestler suffered indirect trauma to the right upper extremity. The patient was forced to the mat where he felt pain in the posterior aspect of his shoulder and was point tender over the inferior pole of his right scapula. ⋯ The patient was able to wrestle in the state tournament 3 weeks after initial injury. At the 6-month follow-up, the patient had no clinical tenderness, full range of motion, and no motor deficits. The outcome resulted in clinical and radiological healing of the fracture and no functional deficits.