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The simultaneous ACL and patellar tendon during a skiing accident, is a rare lesion. The initial diagnosis is often difficult and there is no consensus on treatment. We present 2 patients who experienced ACL injuries, patellar tendon and meniscus following a skiing accident
The first case was a 43-year-old suffered a skiing accident with injury in his right knee. The diagnosis was initially posed a serious knee sprain with isolated ACL tear. The initial treatment was orthopedic. In the absence of clinical improvement, the patient took a second opinion. Clinical examination was difficult with a knee inexaminable, widespread pain and a large hematoma. MRI (done at 28 days) showed a complete rupture of LCAE, a laceration of the patellar tendon, peripheral avulsion internal and external meniscus. The patient was operated on urgently: repair and suturing of the patellar tendon, exploration knee arthroscopy, excision of ACL fibers and bi-meniscal suturing. After rehabilitation and consolidation, a second procedure was performed 8 months later with type hamstring ligament. The postoperative protocol and rehabilitation were the same as for an isolated LCAE. A 3 year follow-up, the patient has recovered a normal knee.
The second case was almost identical after a skiing accident in a woman of 24 years. The initial diagnosis was also an isolated lesion LCAE. The MRI done at 10 days showed a lesion LCAE associated with a laceration of the patella tendon, a double meniscal tear and damage LLI. The treatment took place in 2 stages with repair of the patellar tendon and suture the two menisci in emergency then type hamstring ligament in 6 months. At last follow 2 years she has a good functional outcome.
The simultaneous rupture of the patellar tendon and LCAE is very rare and poorly known. There are very few cases in the published literature. The initial diagnosis is often not made and requires urgent MRI. The operating program should be in two stages to prevent fibrosis and postoperative stiffness after complex knee surgery. In these 2 patients supported their have given satisfactory results.
The main objective of the study was to compare the performance of GNRB® and that of Telos ™ in the diagnosis of a partial tear of the anterior cruciate ligament (ACL) methods. A prospective study from January to December 2011 included all patients with partial or complete tear of the ACL reconstruction without prior with a healthy contralateral knee. The anterior laxity was measured in all patients by the ™ Télos and GNRB®. read lsuite ...
The rupture of the anterior cruciate ligament (ACL) is one of the most common injuries in athletes. Many studies have shown that equivalent practical level the risk of ACL injury in women was four to seven times higher than in men [1-4]. In the US, approximately 38,000 ACL injuries in female athletes occur per year .
Women have four to eight times more likely than men to have a ruptured anterior cruciate ligament (ACL). This risk seems more important during the pre-ovulatory phase of the menstrual cycle than during the post-ovulatory phase. The main objective of the study was to describe the distribution of ACL injuries during the menstrual cycle in a large recreational skiers population.
The main goal of this study Was to compare the results of the GNRB arthrometer To Those of Telos TM in the diagnosis of partial thickness tears of the anterior cru- ciate ligament (ACL). A prospective study Performed January- December 2011 included all patients presenting with a partial or full-thickness tears ACL without ACL recon- struction and with a healthy contralateral knee. Anterior laxity Was Measured in all patients by the Telos TM and GNRBÒ devices.
The high and complete rupture of the hamstring tendons, tendon avulsion, at the ischial is rare. The severity of the injury is often underestimated. There is no consensus on treatment. Functional treatment of these lesions simply by immobilization in a splint flexion knee gives bad results, unlike the early surgical treatment and / or late.
The meniscus is a small wedge between the two knee bones. At the top is the femur, the thigh bone. Downstairs there is the tibia, the leg bones. The bottom of the femur is rather round and the top of the tibia appears much flatter. These two bones do not fit together well. The menisci that allow a better insertion of the tibia on the femur. There are two menisci in each knee.