Corey G Solman | PubMed Health

PubMed2003

Hamstring tendon harvesting. Reviewing anatomic relationships and avoiding pitfalls.

The gracilis and semitendinosus tendons remain popular grafts for many reconstructive procedures, including anterior cruciate ligament reconstruction. Surgeons who use other grafts for ACL reconstruction should have the hamstring tendon techniques in their arsenal in the event other grafts are unavailable or undesirable. Detailed knowledge of the anatomy of the medial side of the knee is paramount to avoid potential pitfalls and ensure a successful tendon harvest.

Anterior Cruciate Ligament↗

PubMedDate not supplied

Painful os acromiale (or unfused acromial apophysis) in athletes.

Twelve male competitive athletes (fourteen shoulders) presented with persistent shoulder pain that interfered with athletic participation. Patient ages ranged from 18 to 25 years. Symptoms included impingement-like pain with overhead activity and weightlifting. Local tenderness was present over the acromion near the same coronal plane as the posterior border of the clavicle. In each case, plain radiographs revealed the presence of an unfused anterior meso-acromial fragment. Magnetic resonance images were obtained in 5 shoulders and revealed edema at the junction of the anterior acromial fragment and the body of the acromion. Nine patients (eleven shoulders) were treated with arthroscopic excision of the anterior acromial fragment. They were followed up for a minimum of 2 years after the procedure. All surgically treated patients were able to return to full athletic participation by 14 weeks after surgery. Isokinetic testing at the latest follow-up revealed no significant deficits in abduction, internal rotation, or external rotation strength compared with the opposite side.

Acromion↗