The Stener Lesion: Historical Perspective and Evolution of Diagnostic Criteria.

BACKGROUND: In 1962, Bertil Stener first described the anatomy and treatment of the displaced ulnar collateral ligament of the metacarpophalangeal joint, later called the Stener lesion. Since Stener's publication, treatment algorithms for ulnar collateral ligament rupture have aided in preoperative diagnosis, yet the best diagnostic method to assess ligament displacement remains largely undefined. METHODS: An extensive literature search was performed to explore the treatment evolution of the Stener lesion and explore how technical development has influenced Stener lesion diagnosis. We also sought to illuminate the life and work of Bertil Stener. RESULTS: Studies evaluating the use of magnetic resonance imaging (MRI) and ultrasound (US) technology have suggested that these modalities have improved Stener lesion diagnosis. CONCLUSION: Despite the utility of developing MRI and US technology, consensus for one superior diagnostic tool for Stener lesions does not currently exist.

[History of surgery of the anterior cruciate ligament]. / Geschichte der Chirurgie des vorderen Kreuzbandes.

Early comments on the anterior cruciate ligament were found in ancient literature, and the first scientific reports were published in the nineteenth century. The first surgical treatment of a ruptured anterior cruciate ligament was carried out in 1895 by Robson performing a primary suture of the torn ligament. In 1903 F. Lange suggested a complete replacement of the injured ligament using silk ligaments and in 1914 Grekow was probably the first who recommended autogenous transplants by using a fascia lata strip. In 1917 Hey-Groves presented his surgical technique that was the fundament for reconstruction surgery in the following years. Today, the autogenous transplant is accepted to be the golden standard for replacement of the injured anterior cruciate ligament. The bone-tendon-bone transplant of the patellar ligament and the semitendinosus or gracilis tendon are recommended by most surgeons. In the history of anterior cruciate ligament surgery, the surgical technique of the operative procedures has also changed. The evolution started with open arthrotomy followed by mini-arthrotomy and led to arthroscopically assisted replacement of the anterior cruciate ligament.

A historical perspective on meniscal repair.

The treatment of meniscal injuries has changed drastically over the past 50 years. This evolution has been fueled by research on the natural history, basic science, and biomechanics of meniscal injury and by the advent of arthroscopy. This article presents a brief overview of these developments.

Historical overview of operations for anterior cruciate ligament rupture.

The evolution of the surgical management of anterior cruciate ligament rupture is critically reviewed. Special attention is paid to obsolete techniques or concepts which were once accepted with enthusiasm and important work that passed unnoticed.