bone patellar tendon bone (BTB) and hamstring tendon (HT) grafts, especially skeletally mature patients with ACL. For skeletally immature ACL patients with significant growth remaining, physeal-sparing techniques are often utilized. The most well-studied physeal-sparing technique to date is the
Dai Sugimoto, Benton E. Heyworth, Jeff J. Brodeur, Dennis E. Kramer, Mininder S. Kocher and Lyle J. Micheli
The present case describes the conservative treatment of a supraspinatus tendon tear with accompanying scapular dyskinesis in a synchronized ice skater. While rotator cuff injuries are present in ice skating, 20 , 21 to the author’s knowledge, this is the first case study detailing a successful
Jay R. Ebert, Kate E. Webster, Peter K. Edwards, Brendan K. Joss, Peter D’Alessandro, Greg Janes and Peter Annear
return to sport (RTS). 4 , 5 Traditionally, a bone–patellar tendon–bone (BPTB) graft has been the preferred method of ACLR, 6 though systematic reviews over the past 10–15 years have demonstrated the lack of superiority of BPTB over hamstring autografts, 7 with less postoperative complications
Ian J. Dempsey, Grant E. Norte, Matthew Hall, John Goetschius, Lindsay V. Slater, Jourdan M. Cancienne, Brian C. Werner, David R. Diduch and Joseph M. Hart
discharge from PT (yes and no), graft type (bone-patellar tendon-bone [BPTB] and hamstring tendon [HT]), meniscectomy status (yes and no), and meniscus repair status (yes and no). Dependent variables included PT questionnaire item response, IKDC subjective knee form, knee extensor maximum voluntary
Genki Hatano, Shigeyuki Suzuki, Shingo Matsuo, Satoshi Kataura, Kazuaki Yokoi, Taizan Fukaya, Mitsuhiro Fujiwara, Yuji Asai and Masahiro Iwata
technique commonly used to acutely increase ROM. 11 – 14 The proposed mechanisms for this include an increased stretch tolerance due to altered sensation 12 , 14 , 15 and a change in the stiffness/viscoelastic properties of the muscle–tendon unit, 12 – 14 , 16 – 18 which result in improved movement and
Pier Paolo Mariani, Luca Laudani, Jacopo E. Rocchi, Arrigo Giombini and Andrea Macaluso
autologous bone-patellar tendon-bone graft, and (6) physical therapy carried out at same center with the same protocol for 3 months. Another reason to limit our investigation to the early postoperative period was because it is difficult to have a homogenous cohort of patients who follow the same protocol of
Özlem Feyzioğlu, Özgul Öztürk, Bilsen Sirmen and Selim Muğrabi
return to preinjury performance and functional level of professional athletes or injured individuals. 8 ACLR can be performed using a hamstring or patellar tendon autograft. In surgical techniques using hamstring tendon grafts, anterior knee pain, loss of proprioception, decrease of hamstring muscle
In the article by Joseph MF et al, “Incidence of Morphologic Changes in Asymptomatic Achilles Tendons in an Active Young Adult Population,” in J Sport Rehabil. 21(3), 249–252, 3 authors were omitted from the byline. The full list of authors is Michael F. Joseph, Thomas H. Trojian, Jeffrey M. Anderson, John Crowley, Lindsay Dilieto, Brian O’Neil, and Craig R. Denegar.
Isabelle Schöffl, Thomas Baier and Volker Schöffl
After a pulley rupture, most climbers regain the full function of their previously uninjured fingers. However, in some cases of pulley rupture, a persistent inflammation of the tendon sheath is observed. In this study, 16 cadaver fingers were loaded until pulley rupture and then studied for the rupturing mechanism. In addition, two patients with this pathology were investigated using ultrasound and MRI, and received surgery. In 13 fingers, a rupture of one or several pulleys occurred and almost always at the medial or lateral insertion. In one finger, a capsizing of the pulley underneath the intact tendon sheath was observed, leading to an avulsion between tendon and tendon sheath. A similar pathology was observed in the ultrasound imaging, in MRI, and during surgery in two patients with prolonged recovery after minor pulley rupture. In cases of prolonged tenosynovitis after minor pulley rupture, a capsizing of the pulley stump is probably the cause for constant friction leading to inflammation. In those cases, a surgical removal of the remaining pulley stump and sometimes a pulley repair may be necessary.
Steffen Willwacher, Wolfgang Potthast, Markus Konrad and Gert-Peter Brüggemann
The purpose of this study was to investigate the effect of heel construction on ankle joint mechanics during the early stance phase of running. Kinematic and kinetic parameters (ankle joint angles, angular velocities and joint moments, lever arms of ground reaction force, triceps surae muscle tendon unit lengths, and rates of muscle tendon unit length change) were calculated from 19 male subjects running at 3.3 m/s in shoes with different heel constructions. Increasing heel height and posterior wedging amplified initial plantar flexion velocity and range. The potential for a muscle to control the movement of a joint depends upon its ability to produce joint moments. Runners in this study showed decreased external eversion moments and an increase in eversion range. Maximum eversion angles were not significantly affected by shoe conditions. Without considerable tendon prestretch, joint moment generation potentials of triceps surae and deep plantar flexors might be inhibited due to rapid plantar flexion based on the force–velocity relationship. It could be speculated that increasing ankle inversion at heel strike could be a strategy to keep maximum eversion angles inside an adequate range, if joint moment generation potentials of deep plantar flexors are inhibited due to rapid plantar flexion.