Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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Case Reports
Acute rupture of the anterior cruciate ligament and patellar tendon in a collegiate athlete.
In rare incidences of combined ruptures of the ACL and patellar tendon, either the patellar tendon ruptures or the associated ACL tear is often initially missed. Even when recognized, there is no established treatment regimen. We report a case of an intercollegiate football player with a combined rupture of the ACL and patellar tendon that was successfully treated by primary augmented repair of the patellar tendon along with ACL reconstruction. ⋯ Superior displacement of the patella with a palpable defect of the patellar tendon, a positive Lachman test, and an inability to perform terminal knee extension noted during the on-field examination indicated the combined injury. Magnetic resonance and radiographic imaging confirmed conclusions from the on-field examination. The patient also underwent safe early mobilization and weight bearing following surgical repair.
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Randomized Controlled Trial
Arthroscopic rotator cuff repair with and without subacromial decompression: a prospective randomized study.
Our purpose was to evaluate the role of subacromial decompression in the arthroscopic repair of full-thickness rotator cuff tears in a prospective randomized clinical study. ⋯ Level I, randomized controlled trial with no significant difference but narrow confidence intervals.
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Surgeons have noticed an increased incidence of finger lacerations associated with arthroscopic knot tying with solid-core suture material. This study examines glove perforations and finger lacerations during arthroscopic shoulder surgery. ⋯ This study addresses surgeon and patient safety during arthroscopic shoulder surgery.
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Pudendal nerve palsy is a reported complication of hip arthroscopy. We report a technique using a deflated taped beanbag rather than a perineal post. The patient is placed in the supine or lateral position on a fracture table. ⋯ The superior margin of the deflated beanbag remains firm, preventing compression of the thorax and avoiding compromised ventilation. The arm on the operative side is placed across the chest and secured to avoid obstruction of the operative field. This patient positioning provides sufficient stability for adequate traction and good visualization while minimizing the risk of a pudendal nerve palsy.