Sports medicine and arthroscopy review
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Various techniques have been described to repair the distal biceps tendon. The optimal technique would incorporate a limited 1-incision technique with maximal strength and minimal gapping of the repair to allow early range of motion. We describe a modified use of a cortical button, the tension-slide technique, which allows for a transverse anterior incision and the ability to tension and dock the repair through the anterior incision. There is no need to predetermine the length of suture between the button and the biceps and elimination of the technical concern for the button flipping.
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Sports Med Arthrosc · Sep 2008
ReviewInterference screw with Cortical button for distal biceps repair.
The management of distal biceps tendon ruptures has been the source of considerable research over the last decade. Many of the techniques used to secure tendon to bone have been applied to the distal biceps tendon. ⋯ The current account describes a technique that repairs the distal biceps with combined interference screw and Cortical button fixation through a single incision, which permits immediate active postoperative motion for early return to activity and a decrease in postoperative stiffness or heterotopic ossification. The presented technique offers the surgeon many new options in treatment of these injuries and emphasizes biologic, anatomic, and biomechanical principles of tendon healing.
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Sports Med Arthrosc · Mar 2008
ReviewFunctional rehabilitation of lumbar spine injuries in the athlete.
Athletic injuries to the lumbar spine are relatively common, depending upon the specific sport. With proper management, the majority of injuries resolve quickly and allow for rapid return to sport. ⋯ A comprehensive rehabilitation program should include correction of flexibility and strength deficits, with subsequent progression to functional and sports-specific exercises. The purpose of this paper is to review current concepts regarding core stability and rehabilitation in the athlete.
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Numerous surgical techniques have been described to address episodic patellar dislocations. Some of them involve the soft tissues whereas others primarily address a bony correction. Four principal anatomic factors have been identified that increase the risk for episodic patellar dislocations: trochlear dysplasia, patella alta, patellar tilt, and an excessive tibial tubercle-trochlear groove distance. ⋯ The tibial tuberosity can be transferred distally or medially or more frequently a combination of both. It will realign the extensor mechanism and increase patellofemoral stability. This procedure may be associated with a medial patellofemoral ligament reconstruction in case of excessive patellar tilt or rarely with a trochleoplasty for major abnormal patellar maltracking.
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The medial patellofemoral ligament has been recognized as the most important medial structure preventing lateral dislocation or subluxation of the patella. Numerous surgical techniques have been described to reconstruct this important structure in patients with patellofemoral instability. This paper reviews the relevant anatomy and biomechanics, published reconstruction options, and describes the surgical technique used at our institution using semitendinosus autograft to reconstruct the medial patellofemoral ligament.