Lateral Knee Pain after Outside-in Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Using the TightRope RT

The anterior cruciate ligament (ACL) TightRope RT (TR) was recently introduced as a novel cortical suspension device for ACL reconstruction. It has an adjustable graft loop that gives the surgeon some advantages during ACL reconstruction. We report three patients who required removal of the TR after an outside-in anatomical ACL reconstruction because of lateral knee pain. We assumed that the knee pain was associated with friction between the TR button of the posterolateral bundle and iliotibial band (ITB). Placing the TR button close to the lateral epicondyle and tissue interposition between the TR button and lateral femoral cortex may be potential risk factors for ITB irritation. Therefore, we recommend not placing the TR button close to the top of the lateral epicondyle and reducing the tissue interposition between the TR button and lateral femoral cortex as much as possible.

Complaints in the Cervical Region of Tea Bickers in Hilly Areas / 日本農村医学会雑誌

In the central part of Shizuoka Prefecture, tea growing is carried out on hillsides. From the posture taken by farmers while they are picking tea-leaves, it is assumed that a heavy load is laid on the cervical region and that they must have complaints in that region frequently.<BR>On this assumption, we have conducted a survey covering a total of 228 persons working in tea plantations, with 42 persons living in plains as a control group.<BR>Of the total, 172 persons filled out a questionnaire and the remaining 56 underwent a physical checkup.<BR>Of those surveyed, 92.8% said that they feel fatigued from work. Complaints in the cervical region were filed by 69.5% of the males and 89.0% of the females.<BR>X-ray pictures revealed abnormal signs in 69.5% of the males and 89.0% of the females. Radiographic observation suggested that 77.0% of the abnormalities have some bearing on their complaints. It was also found that the stiffness in the shoulders accounted for most of the complaints.<BR>From these findings, we have keenly felt it is necessary for us to continue to engourage them into practicing calisthenics designed to prevent the stiffness in the shoulders.