Specialists

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Biomechanical Factors Specific to Rotator Cuff Repair

RTC repair using an open technique has been clinically successful in terms of repair, although arthroscopic techniques are now more common. Arthroscopy for RTC repair is popular for several reasons:

(a) exploration of the joint space for degenerative disease and loose bodies;

(b) lower patient morbidity, with earlier relief of pain and return to activity; […]

Ankle

The ankle joint is a remarkable example of the functional interplay between bones, joints, and ligamentous structures, with their protective action upon one another. The ankle joint is maintained by the wedge-shaped talus and its sculptured fit between the tibia and fibula. In the neutral position of the ankle, there are strong osseous (bony) constraints. […]

Articular cartilage injuries

Injuries to the articular cartilage (chondral) surfaces can affect the joint surfaces of the femur, the tibia, and the patella. Such injuries are often disregarded as they can be difficult to identify. They may result from direct impact against the knee joint, but can also occur in association with meniscal and ligament injuries. Indeed, any […]

Trochanteric Bursitis

Over the upper lateral part of the femur, beneath the fascia lata, lies a superficial bursa, with a deeper one between the tendon of the gluteus medius muscle and the posterior surface of the greater trochanter. In cases of falls or blows affecting the hip, the superficial bursa can become the site of bleeding, sometimes […]

Other causes of Pain in the Hip and Groin

Overuse injury or rupture of other groin muscle-tendon units

A number of muscles and tendons affecting the groin region, including the pectineus, the sartorius, the tensor fasciae latae, and the gluteus medius, can be damaged during sporting activity. The precise location of the pain, together with an assessment of muscle function, can elucidate the diagnosis.

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Snapping Hip

‘Snapping hip’ syndrome can be caused by injuries both within the joint and outside the joint. The condition is not well defined. Causes are as follows.

1. Lateral snapping: the thickened iliotibial band riding over the greater trochanter or a thickened bursa.

2. Anterior deep snapping:

• the iliopsoas tendon passing over the anterior aspect […]

Osteochondritis Dissecans (Loose Bone Cartilage)

In throwing movements the lateral part of the elbow joint is exposed to considerable loads, because of compression due to valgus loads. This can cause the convex upper articular surface of the radius in the forearm to come into violent contact with, and even to injure, the lateral outer portion of the articular surface of […]

Elbow Injuries in Children

Elbow injuries in children

Unique bony problems of the elbow are seen in children and adolescents. The pathology of these problems corresponds to each stage in the development of the elbow—that is, prior to the appearance of all the secondary centers of ossification in children; prior to fusion of the ossification centers in adolescents; and […]

Types of Elbow Injury

Elbow injuries in adults

Elbow injuries can be grouped into those occurring in medial, lateral, posterior or anterior areas.

Medial injuries

Medial injuries include medial epicondylitis, injury to the common flexors (myositis or acute rupture), compression of the hypertrophied pronator teres by the overlying fascia, chronic elongation and/or rupture of the medial collateral ligament with […]

Hemorrhagic Bursitis

The usual cause of bleeding into a bursa is a direct impact such as a fall. It may also be caused indirectly by tendon rupture or by bleeding within a joint to which the bursa is connected. Blood within the bursa causes chemical irritation, and in severe cases, may clot and cause adhesion of connective […]