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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We report on a series of 7 patients who presented with patella dislocation and were found to have osteochondral fracture (OCF) of the weight-bearing portion of the lateral femoral condyle either through preoperative studies or by identification of the lesion during arthroscopy. Treatments included open reduction and internal fixation, debridement, and microfracture of the lateral femoral condyle. ⋯ The surgeon who treats known patellofemoral dislocations should be aware of this uncommon lesion to ensure detection and appropriate treatment. Also, in the case of uncertainty about the mechanism of injury, recognition of this lesion should heighten suspicion of patellofemoral dislocation.
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We present a prospective analysis to review talus dome chondral and osteochondral lesions treated with autogenous bone-cartilage transplantation harvested from the ipsilateral knee since 1998. The clinical outcome of osteochondral defects is investigated by using a method for resurfacing that supplies hyaline cartilage. The outcome analysis also considers defect size and the number of transplanted osteochondral cylinders. ⋯ Level IV.
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We performed a prospective study of meniscal repair using a new all-inside suture meniscal repair device to evaluate its clinical efficacy. ⋯ Level IV.
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Intra-articular glenohumeral injections are an important part of orthopaedic practices, and the therapeutic benefit and diagnostic information of certain injections is based on the premise of the injection reaching its desired target. This study assessed the accuracy of an anterior intra-articular injection in awake subjects without radiologic assistance. ⋯ Level IV.
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We report the very rare case of an 8-year-old boy who accidentally fell on the ground, causing the lead of a pencil to penetrate his left knee joint cavity. After radiographic diagnosis, the pencil was removed by a physician at a private clinic and the boy was referred to our department for further evaluation. We performed arthroscopic retrieval of the pencil lead through standard arthroscopic portals without an accessory portal. Postoperatively, the patient had a quick recovery without problematic sequelae.