RESUMO
A rare case of acute avulsion of both posterior meniscal roots concomitant with an acute anterior cruciate ligament (ACL) tear in a professional soccer player is described. While avulsion of the lateral meniscal root has been extensively reported in association with ACL injuries, medial root avulsion has never been reported in association with acute ACL. A review of the video documentation of the match accident revealed the exact mechanism of injury was a forceful external rotation of the standing limb.
Assuntos
Lesões do Ligamento Cruzado Anterior , Traumatismos do Joelho/diagnóstico , Traumatismos do Joelho/etiologia , Futebol/lesões , Lesões do Menisco Tibial , Humanos , Traumatismos do Joelho/cirurgia , Masculino , Adulto JovemRESUMO
This study describes three cases of simultaneous ruptures of the patellar tendon (PT) and the anterior cruciate ligament (ACL). The treatment and the pathogenesis of this rare lesion are discussed. All three cases demonstrated lesions of all structures at the medial compartment. Unlike other reported cases, where an eccentric contraction of the quadriceps was present, the patients of the present study had sustained a forceful valgus injury with external rotation. We detected no displacements of the patella in any patients. All cases underwent a staged surgical procedure. Repair of the PT and of medial peripheral structures was performed immediately after injury; then, once the patients regained a full range of motion (ROM), they underwent an arthroscopic reconstruction of the ACL with ipsilateral hamstrings. At the follow-up stage, all cases showed a stable knee without restricted ROM.
Assuntos
Lesões do Ligamento Cruzado Anterior , Ligamento Patelar/lesões , Adolescente , Ligamento Cruzado Anterior/cirurgia , Reconstrução do Ligamento Cruzado Anterior , Traumatismos em Atletas/complicações , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Ligamento Patelar/cirurgia , Ruptura/etiologia , Ruptura/cirurgia , Adulto JovemRESUMO
A valgus knee is a disabling condition that can affect patients of all ages. Antivalgus osteotomy of the knee is the treatment of choice to correct the valgus, to eliminate pain in the young or middle age patient, and to avoid or delay a total knee replacement. A distal femoral lateral opening wedge procedure appears to be one of the choices for medium or large corrections and is particularly easy and precise if compared to the medial femoral closing wedge osteotomy. However, if the deformity is minimal, a tibial medial closing wedge osteotomy can be done with a faster healing and a short recovery time.
Assuntos
Artroplastia/métodos , Deformidades Articulares Adquiridas/cirurgia , Articulação do Joelho/cirurgia , Osteotomia/métodos , Tíbia/cirurgia , Artroplastia/instrumentação , Placas Ósseas , Humanos , Fixadores Internos , Deformidades Articulares Adquiridas/etiologia , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/patologia , Osteoartrite do Joelho/complicações , Osteoartrite do Joelho/cirurgia , Osteotomia/instrumentação , Dor/fisiopatologia , Dor/cirurgia , RadiografiaRESUMO
Lateral compartment arthrosis from congenital valgus or the result of previous lateral meniscectomy can be a disabling condition. Realignment osteotomy, which may avoid or delay the need for a total knee replacement, is appropriate for young or middle-aged patients suffering from a painful valgus knee. Medium or large corrections can be managed with distal femoral lateral opening wedge osteotomy while minimal deformities are best treated with medial closing wedge tibial osteotomy.
