OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Sports Medicine

Arthrofibrosis

Courtesy: Dr C Ranawat, Ashok Shyam TV, Ortho Introduction Arthrofibrosis is an uncommon but frustrating complication after total knee arthroplasty (TKA). Incidence: < 2% following primary TKA. Defined as: Functional impairment with restricted knee motion. Important distinction: Not all stiff knees are arthrofibrotic. Definition of a Stiff Knee Knee flexion < 75° generally considered stiff. […]

Bilateral Quadriceps Tendon Rupture

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Quadriceps Tendon Rupture Introduction Quadriceps tendon rupture is a serious injury involving disruption of the knee extensor mechanism. The injury most commonly occurs in: Middle-aged and older adults and may occasionally present as: Bilateral quadriceps tendon rupture which is rare but clinically important. Early diagnosis […]

Posterior Labral Tear and Shoulder Instability

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Posterior Labral Tear & Posterior Shoulder Instability Introduction Posterior labral tears are injuries involving the: Posterior glenoid labrum and are commonly associated with: Posterior shoulder instability Patients may present with: Posterior subluxation Painful instability Rarely, frank posterior dislocation Posterior instability is often subtle and frequently missed […]

Subscapularis Muscle Tear

Courtesy: Prof Nabil Ebraheim, Unviersity of Toledo, Ohio, USA   Subscapularis Tendon Tear Introduction The subscapularis tendon is an essential component of the rotator cuff and plays a major role in: Internal rotation of the shoulder Anterior shoulder stability Subscapularis tears are commonly: Underdiagnosed Missed clinically especially when associated with: Biceps tendon instability Combined rotator […]

Sports OITE Review

Courtesy: CMC Ortho Residency   ACL, PCL and Meniscus Injuries: High-Yield Sports Medicine Review Introduction Injuries involving the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), and meniscus are among the most common conditions encountered in sports medicine and knee surgery. These structures play a vital role in: Knee stability Load transmission Rotational control Shock […]

Tackling failures in ACL Reconstruction

Courtesy: Abhay Narvekar, Ashok Shyam,IORG and OrthoTV   ACL Reconstruction Failure and Revision Surgery Introduction Failure after anterior cruciate ligament (ACL) reconstruction remains a significant challenge in sports medicine and knee surgery. Reported failure rates range from: 10% to 35% making revision ACL reconstruction a relatively common clinical scenario. Successful revision surgery requires: Identification of […]

Surgical Treatment of Cartilage Injuries

Courtesy: Dr. João Espregueira Mendes (Portugal) and ASPETAR   Surgical Management of Articular Cartilage Lesions Introduction Articular cartilage injuries are an important cause of: Knee pain Swelling Functional limitation Early osteoarthritis These lesions are especially significant in: Athletes Young active individuals Patients involved in pivoting sports High-demand sports such as football and other pivoting activities […]

Cartilage Injuries in Football- Epidemiology and Trauma Mechanisms

Courtesy: Matts Britberg, Sweden and ASPETAR, Qatar   Cartilage Injuries in Football: Epidemiology and Trauma Mechanisms Introduction Football is the most widely played sport in the world, with more than 300 million participants globally. As participation and athletic intensity continue to increase, the burden of musculoskeletal injuries—particularly articular cartilage injuries—has become increasingly significant. Cartilage lesions […]

Current Concepts in Treating Meniscal Injuries

    Current Concepts in Treating Meniscal Injuries Introduction Management of meniscal injuries has evolved significantly over the past few decades. Earlier treatment philosophies favored meniscectomy, but increasing understanding of meniscal biomechanics and long-term joint preservation has shifted modern practice toward meniscal preservation whenever possible. Current treatment strategies emphasize: Preservation of meniscal tissue Restoration of […]

Hamstring tendon harvest for ACL Reconstruction

Courtesy: Donald Rose MD, NewYork School of Medicine, NY, USA   Hamstring Tendon Harvest for ACL Reconstruction Introduction Hamstring tendon harvest is one of the most commonly performed graft harvesting techniques in anterior cruciate ligament (ACL) reconstruction. The tendons typically harvested include: Semitendinosus tendon Gracilis tendon Proper harvesting technique is essential to ensure: Adequate graft […]

Radiological Evaluation of ACL Tears

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA ACL Tear: Clinical and Radiological Diagnosis Introduction Anterior cruciate ligament (ACL) injury is one of the most common ligament injuries of the knee, particularly in athletes involved in pivoting sports. Early and accurate diagnosis is essential to: Restore knee stability Prevent secondary meniscal injury Reduce long-term […]