RESUMO
Intersection syndrome of the forearm is a painful condition in the area where the muscle bellies of the abductor pollicis longus and extensor pollicis brevis cross the common wrist extensors. A similar case of the foot with marked fibrosis at the interconnection of flexor hallucis longus and flexor digitorum tendons is reported and the fibrous interconnection was extended proximally. This was successfully treated with endoscopic release of the master knot of Henry.
Assuntos
Artroscopia/métodos , Traumatismos do Pé/cirurgia , Tendinopatia/terapia , Traumatismos dos Tendões/cirurgia , Acidentes de Trânsito , Anti-Inflamatórios não Esteroides/uso terapêutico , Fibrose , Humanos , Masculino , Modalidades de Fisioterapia , Síndrome , Tendinopatia/etiologia , Adulto JovemRESUMO
UNLABELLED: Interposition arthroplasty reportedly improves outcomes after traditional salvage procedures for advanced hallux rigidus. We hypothesized this procedure can provide pain relief and satisfactory function with few complications. We examined 18 patients with severe articular cartilage loss who received 21 interposition arthroplasties. The patients a mean age was 56 years. They had a mean followup of 38 months. All patients had substantial loss of articular cartilage when examined intraoperatively. Patients were evaluated using the American Orthopaedic Foot and Ankle Society and Short Form-36 scores. All 18 patients had pain relief, and 17 of 18 patients said they would have the procedure again. The mean postoperative increase in range of motion of the first meta-tarsophalangeal joint was 37 degrees . The mean American Orthopaedic Foot and Ankle Society and Short Form-36 scores were 78.4 and 96.3, respectively. The complication rate was 6%. Results of our study indicate that interposition arthroplasty relieves pain and restores motion in patients with advanced hallux rigidus and may offer a reliable option to fusing the joint. LEVEL OF EVIDENCE: Therapeutic study, Level IV (case series).
Assuntos
Artroplastia/métodos , Hallux Rigidus/cirurgia , Adulto , Idoso , Feminino , Hallux Rigidus/fisiopatologia , Indicadores Básicos de Saúde , Humanos , Articulação Metatarsofalângica/fisiopatologia , Pessoa de Meia-Idade , Amplitude de Movimento Articular , Estudos RetrospectivosRESUMO
We report a case of simultaneous rupture of the patellar tendon and the anterior cruciate ligament. This condition was rarely reported in the literature and clinical diagnosis can be difficult. It is frequently associated with injuries of other knee structures. The preferred treatment is immediate primary repair of the patellar tendon and delayed reconstruction of the anterior cruciate ligament.
