One hundred eighty-seven patients who had undergone intraarticular anterior cruciate ligament reconstruction using either a fresh-frozen allogeneic tendon or central third autogenous pateller 3 to 89 months previously were arthroscopically evaluated. The focus was on secondary changes of the patellofemoral joint at time second-look arthroscopy. Overall, 93 knees deteriorated, 74 remained unchanged, and 14 improved. deteriorative predominantly located around ridge patellae, although all but...

In patients with traumatic anterior shoulder instability, a large Hill-Sachs lesion is risk factor for postoperative recurrence. However, there no consensus regarding the occurrence and enlargement of lesions.To investigate influence number dislocations subluxations on prevalence size lesions evaluated by computed tomography (CT) 3-dimensional reconstruction.Cohort study (diagnosis); Level evidence, 2.The were preoperatively CT in 142 shoulders (30 primary instability 112 recurrent...

Superior labral tears of the shoulder involve biceps tendon and labrum complex which may be detached, displaced inferiorly, interposed between glenoid humeral head. We have treated ten young athletes with painful shoulders due to this lesion by arthroscopic stapling. Arthroscopy at time staple removal, after three six months, showed that all lesions had been stabilised. Clinical review over 24 months an excellent or good result in 80%. The two relative failures were one residual subacromial...

Abstract Using the number of joints with erosion in a total 68 throughout body, we studied population patients rheumatoid arthritis whose disease duration was 10–15 years. Three groups, each showing Poisson distribution, were found: subset least erosive (LES), more (MES), and mutilating (MUD). The mean 10.9 LES, 32.2 MES, 53.5 MUD. In articular changes primarily limited to peripheral smaller joints. larger axial also involved. Almost all extensively damaged During early period disease,...

We investigated the clinical efficacy of Bankart procedure augmented by coracoid transfer for traumatic anterior shoulder instability in athletes playing contact sports. Eighty-three (85 joints) with who underwent combined were studied. The mean patient age at surgery was 21 years, and follow-up period 5.8 years (range, 2 to 12). According Rowe scoring system, results graded as excellent 58 shoulders, good 21, fair 5, poor 1, an average score 91 points. overall success rate 93%. A complete...

We studied the natural course and possibility of making prognoses about shoulder joint destructions in 83 patients with rheumatoid arthritis (RA) (166 joints). For this purpose, we used radiographic patterns 2 indices (upward migration medial displacement). The destruction were classified into 5 groups: 1) non-progressive type (n 74) normal radiographs, only osteopenia or small erosions even after 15-20 years RA; 2) erosive 22) showing marginal but no collapse; 3) collapse 34) subchondral...

Giant or large intracranial aneurysms are the vascular neurosurgeon's greatest challenge. At our department, we have treated one hundred and thirty nine patients with giant between 1975 2001. These included 37 partially thrombosed aneurysms. 75 were (> 2.5 cm) 64 (2 - cm). Three-dimensional computed tomography angiograms performed in besides MRI angiography digital subtraction angiography. found to be very valuable preoperative assessment of surgical anatomy aneurysm respect branch arteries...

Bennett lesions are often observed in throwing athletes, and, although usually asymptomatic, they can sometimes become painful and disturb an athlete's ability. Because it is clinically difficult to determine whether a lesion symptomatic or pain from another lesion, the outcome of surgical treatment variable.Arthroscopic resection diagnosed according our criteria arthroscopic associated performed simultaneously were effective for baseball players with lesions.Prospective cohort study.The...

Background: A midsubstance complete capsular tear is one of the well-known causes anterior glenohumeral instability. However, its prevalence and clinical picture have not been well elucidated. The purpose this study was to examine isolated tears assess features as results surgical treatment recurrent instability caused by such tears. Methods: Three hundred three shoulders underwent surgery treat at our institution during a five-year period. Twelve (4.0%) these had an main pathological...

The purpose of this study was to evaluate mid- and long-term clinical radiologic outcomes arthroscopic coracoclavicular ligament reconstruction (ACCLR) with an artificial for acute dislocation the acromioclavicular joint (ACJ).Twelve male patients (average age at time surgery: 40.8 years, range: 21-64 years) underwent ACCLR ACJ type III or V according Rockwood classification. Arthroscopic surgery performed patient under general anesthesia interscalene brachial plexus block in beach-chair...

We examined the location of rotator cuff tears, associated labral injuries, and notches on greater tuberosity humeral head in shoulders throwing athletes. Arthroscopic findings (rotator tear, condition, notch) as well other factors (duration playing baseball, range motion, joint laxity) 61 baseball players were retrospectively studied. The presence a notch was also evaluated for by plain radiographs. Forty patients had articular-side partial most which occurred interval between supraspinatus...