MEDICAL ENGLISH ARTICLES

Authors: Martyna Jankowska, Houssam Ghazzawi   Abstract We present a rare and noteworthy case of bilateral quadriceps tendon rupture in a fit and healthy middle-aged man who required an urgent surgical intervention of a bilateral open repair of the quadriceps mechanism. Early recognition and appropriate surgery resulted in a good outcome and allowed the return to his previous mobility status and lifestyle. Through this case we are hoping to highlight how important the right diagnosis and management is, and how rare this type of injury is in a view of no significant past medical history. Summary A healthy 56 year old male presented to Emergency Department (ED) with bilateral knee pain, swelling and reduced range of movement. The onset of symptoms was sudden and occured when the patient was performing his routine set of excercises involving weighted squats. On examination patient was unable to straight leg raise and there was a palpable gap above both patellas. The patient was otherw...

  ABSTRACT The authors report on a case of tibial shaft fracture associated with ankle injury. The clinical, radiological and surgical characteristics are discussed. Assessment of associated injuries is often overlooked and these injuries are hard to diagnose. When torque occurs in the lower limb, the ankle becomes susceptible to simultaneous injury. It is essential to make careful assessment based on clinical, radiographic, intraoperative and postoperative characteristics in order to attain functional recovery. INTRODUCTION The first description of the association of diaphyseal tibial fractures with additional ankle injury was made by Weber 1  in 1972. As the tibial injury is visible and obvious, a potential associated ankle injury may be neglected. Distal tibiofibular syndesmosis instability may lead to subluxation of the talus. Once undiagnosed, ankle arthrosis may take place even if the treatment for the diaphyseal tibial fracture has provided excellent reduction, stabiliz...

  A 71-year-old woman sustained a fall onto her anterior left knee. Following this, she reports having 10 months of subjective instability during activities of daily living before seeking orthopedic evaluation. The patient denied having any significant associated pain, but she had apprehension with knee flexion and extension. Of note, the patient had prior bilateral patellectomies for patellofemoral pain at age 15 years and, more than 15 years prior to her current presentation, she underwent contralateral total knee arthroplasty. She was in otherwise good health, ambulating and living independently. 1. Anteroposterior and lateral views of the left knee are shown. Examination of the left knee was notable for 0° to 110° range of motion, which was similar to the contralateral limb. However, at 30° flexion the extensor mechanism was felt to consistently dislocate laterally over the trochlea. This was painless, but reproducible during the flexion-extension cycle. She had no effusion, no...

HISTORY The patient is a 75-year-old female who underwent right total knee replacement in 1998 by her local surgeon. She did well until 4 years ago when she began to have knee pain. Radiographs indicated loosening of the tibial component (Fig 1). Evaluation at the time revealed that no infection was present. She was informed of the findings and component revision was recommended. Due to medical and social reasons, the patient chose not to have revision surgery. In particular, she had multiple lower spine surgeries and now requires chronic pain medications for her back pain. Radiographs show progression of loosening over time (Figs 2, 3). She now presents 4 years after her initial consultation. PREOP At this stage, the patient has increased pain and leg deformity. Her leg alignment is in a greater degree of varus alignment. She realizes that her deformity is worsening as it affects her walking ability. She requires a walker to ambulate and can hardly perform her activities of daily livi...