Complete Pectoralis Major Tendon Rupture in a Calisthenics Athlete: A Case Report

@#We report a rare case of pectoralis major rupture during a body weight calisthenics exercise that was treated surgically. We highlighted the rehabilitation protocol which enabled him to regain full strength and return to his sport in three months.

Treatment of Anchor Suture with Kirschner Wires Fixation for Chronic Perilunate Dislocation

Chronic lunate dislocations are very rare injuries comprising of less than 10% of all wrist injuries. Volar lunate dislocations account for less than 3% of perilunate dislocations. We present a case of a missed volar lunate dislocation for 6months after initial injury. He fell down and had hyperextension injury during his sports activity. When the patient visit in our hospital, neurologic symptom was developed in distribution of median nerve. Tingling sensation and radiation symptom was found in affected hand. A plain radiograph revealed a volar lunate dislocation. Nerve conduction studies confirmed compression of the median nerve at the wrist, carpal tunnel level. Operation was performed with open reduction of lunate, fixation with K-wires and anchor suture. The outcome was excellent in relieving pain, function, range of motion, grip strength. There was improvement in Mayo wrist score and disabilities of the arm, shoulder and hand score. So we report a patient and a operation technique which can be considered in similar cases.

Treatment of Chronic Ankle Lateral Instability using Modified Brostrom Procedure with Anchor suture&Arthroscopy / 대한족부족관절학회지

PURPOSE: To evaluate the result of modified Brostrom procedure with anchor suture and explore associate lesion under arthroscopy for chronic lateral instability. MATERIALS AND METHODS: From May 2005 to March 2009, Retrospective analysis of 126 patients with chronic lateral instability who underwent modified Brostrom procedure with anchor suture and arthroscopic procedure was done. Mean follow-up period was 13 months. RESULTS: Chronic lateral instability of the ankle almost had local synovitis by arthroscopic examination. There were osteochondral lesion of talus on the anteromedial aspect in 63 cases, on the anterolateral aspect in 25 cases, osteochondral lesion of tibia side in 8 cases, fat hypertrophy of tibiofibular space in 120 cases, anterior fat impingement in 26 cases, intra-articular loose body in 13 cases. Mean Karlsson scoring scale was improve from 53 preoperatively to 91 postoperatively, There were 70 cases excellent, 27 cases good, 26 cases fair, 3 cases poor result according to the Sefton procedure. CONCLUSION: Modified Brostrom procedure with anchor suture and arthroscopic procedure are reliable treatment method for chronic ankle lateral instability which has intraarticular pathology.