ABSTRACT
Intraarticular ganglions are rare and they are usually incidental findings of MRIs and arthroscopies. We report the case of a male athlete with this condition affecting the anterior cruciate ligament. The most frequent symptoms include pain that worsens with activity, and motion limitations. The MRI shows the typical signs of a ganglion and it is the most specific and sensitive test. Arthroscopy is used for both the diagnosis and the treatment of this condition. A late diagnosis turns arthroscopic resection into a complicated or impossible procedure that at times warrants extensive debridement of the anterior cruzate ligament.
Subject(s)
Anterior Cruciate Ligament , Ganglion Cysts , Adolescent , Ganglion Cysts/diagnosis , Ganglion Cysts/surgery , Humans , MaleABSTRACT
INTRODUCTION: Anterior tibial tubercle fractures are relatively infrequent and occur mainly in young athletes 14 to 17 years old. Most fractures result from jumping during sports activities. METHODS: We describe two cases of anterior tibial tubercle fractures. The latter were Ogden IIIA and IIIB. In both cases treatment consisted of open reduction and internal fixation with cannulated screws. DISCUSSION: The mechanism of injury in the first case is more common than the one in the second case. The first case occurred after jumping to receive a pass during a basketball game. The second one occurred while playing soccer. The patient was kicked on the quadriceps musculature. Both cases involved functional disability. CONCLUSION: Biomechanically, the mechanism of injury in the second case increased the tension on the extensor apparatus. We performed synthesis with cannulated screws and obtained good results without complications.
Subject(s)
Tibial Fractures , Adolescent , Humans , Male , Radiography , Tibial Fractures/diagnostic imaging , Tibial Fractures/surgeryABSTRACT
Se presenta el caso de una paciente de 75 años de edad que, tras caída sobre rodilla, sufrió una luxación intraarticular de rótula. La luxación presentó una incarceración del polo proximal rotuliano en el surco intercondíleo femoral. Se realizó una reducción abierta bajo anestesia comprobando la integridad del aparato extensor. Tras dos semanas de inmovilización reinició movilidad sin recidiva ni otro tipo de complicaciones (AU)
The case of a patient aged 75 years who,following a fall,suffered an acute intraarticular dislocation in the knee is presented. This dislocation presented incarceration of the proximal kneecap pole in the femoral intercondylar groove. An open reduction was carried out under general anaesthetic . This surgical check ruled out associated lesions to the extensor apparatus. Following two weeks of immobilisation the patient restarted mobility without relapse or other type of complication (AU)
