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At least 19 recordsLinked to original sources
PubMed1979

Arthrography--a diagnostic aid to knee injury.

Injuries of the knee often present diagnostic problem. Using double contrast arthrography, each segment of the two menisci can be studied in detail. In addition, ligamentous tears can be detected. This method is particularly useful when the clinical signs are non-specific and the symptoms atypical. In the present series, double contrast arthrography was performed in 100 cases of suspected internal derangement of the knee. Abnormal radiological findings were recorded in 31 cases. Confirmation of the diagnosis was available in 17 out of 21 patients, subjected to surgery, giving a pre-operative diagnostic accuracy of 81%. This figure could be improved with experience and can be further enhanced, if used in conjunction with arthroscopy.

Humans↗
PubMedDate not supplied

Knee injury in skiing. A multifaceted approach.

During the past four ski seasons, all 1,141 ski injuries which occurred in a large northern Vermont ski area were evaluated prospectively. Of these injuries, 21.6% involved knee ligaments and 18.6% involved sprains of the medial collateral ligament. Females sustained a disproportionately high incidence of Grade I medial collateral sprains, but suffered the more severe sprains at a rate similar to that of males. Individuals who were smaller, younger, less experienced, and less skilled sustained a higher incidence of Grade I injuries. Skiers suffering complete tears of the medial collateral ligament were no smaller, younger, or less skilled or experienced than our control population. Medial collateral sprains are produced primarily by external rotation and valgus forces. Two-mode release bindings are insensitive to several loading configurations which could produce knee sprains. Bindings which allow release in roll, shear, and twist at the heel, as well as twist at the toe and forward lean, appear to be necessary to protect the knee.

Athletic Injuries↗
PubMed1979

Changes in bone mineral content following ligamentous knee injuries.

In 44 patients with clinical signs of ligamentous injuries to the knee-joint without fracture, the bone mineral content was measured by gamma absorptiometry in the proximal end of the tibia and the fibula. The injuries caused a loss of an average 10% in those patients who had no signs of complete tears of knee ligaments and were therefore treated only with an ace-bandage and for a shortime, whereas the loss was 18% in those who were operated on with repair of ligamental injuries followed by plaster immobilization. Repeated injuries did not seem to cause further loss of mineral. There were no signs of restoration within the first year. The pre-injury bone mineral content was in these patients above that of an unselected control population, however, the post-traumatic loss of mineral brought the values down into a normal range.

Adolescent↗
PubMed1979

Knee ligament injuries.

Since acute surgical repair is vastly superior to any form of reconstructive procedure available, it is extremely important that acute ligamentous injuries of the knee do not go unrecognized. Chronic symptomatic instability after untreated major ligament injury marks "the beginning of the end' for the knee, and reconstruction is indicated. The classical stress tests for knee ligament disruption are generally reliable, and the interested doctor should have little difficulty in accurately diagnosing and classifying acute injuries or chronic instability. The technique of examination and classification of knee instability is described. The techniques of acute repair, as well as of selected reconstructive procedures, are described. Reconstruction for anteromedial subluxation is confined to advancement of the medial collateral ligament and posteromedial capsule as a single cuff, moving its tibial attachment distally and anteriorly. Fascia lata reconstruction is used for repair of anterolateral subluxation. Both these extra-articular anterior reconstructions can, in severe cases, be improved by the addition of a midline procedure, using the patellar tendon as an intra-articular graft. Transfer of the medial head of the gastrocnemius muscle is used for symptomatic posterior subluxation.

Humans↗
PubMed1979

Knee ligament injuries in children.

Nine children who were less than fourteen years old and had open physes and ligament injuries of the knee were studied. Despite an initial thorough physical and roentgenographic evaluation, the full extent of the lesion was determined only at operation in seven of the nine patients. The intercondylar eminence of the tibia was avulsed in five patients, four of whom had associated collateral ligament injuries and a positive anterior drawer sign. Despite surgical repair, all nine patients demonstrated some degree of postoperative ligament instability. This was increased in those patients in whom menisectomy had been performed concomitantly with ligament repair. Although none of the children were symptomatic at the time of writing, development of degenerative arthritis in the future must be considered. Ligament injury must be considered in the differential diagnosis of the child suffering from knee trauma. The association of avulsion of the tibial spine and collateral ligament injury is emphasized.

Adolescent↗
PubMed1979

Ligament injuries in the knees of children.

Injuries of the medial collateral ligament in children are rarely reported. We are describing six tears of the medial collateral ligament in which an operative repair was done. The patients' ages were six to eleven years. Five were boys and one, a girl. The follow-up (seven months to thirteen years) showed normal results in three; good, in two; and fair, in one. Three patients also had had an injury to the anterior cruciate ligament or an avulsion injury to the anterior tibial spine.

Child↗