1/9. Bilateral metachronous rupture of the patellar tendon.We present a case of a 37-year-old man who sustained a rupture of his left patellar tendon approximately 48 hours after rupturing his right patellar tendon. This temporal pattern illustrates two important aspects of patellar tendon injury-that rupture of the degenerated patellar tendon may occur without any prodromal warning and that it may elude detection even if the patient is examined by several physicians.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/9. Traumatic disruption of the anterior tibial tendon while cross-country skiing. A case report.Closed spontaneous rupture of the anterior tibial tendon is an uncommon injury that occurs after relatively minor trauma in middle-aged and elderly men. A 72-year-old retired physician sustained a complete anterior tibial tendon rupture while he was skiing cross-country. Direct primary repair of the tendon resulted in satisfactory restoration of muscle strength and return to an active life-style.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/9. An underdiagnosed hip pathology: apropos of two cases with gluteus medius tendon tears.Until recently, gluteus medius tendon tears have been the sort of hip pathology that is relatively unknown in the realm of rheumatology. Their diagnosis can pose a serious challenge to physicians, despite diligence. In this report we summarize two relevant cases and put forward some hints for their evaluation. magnetic resonance imaging is quite beneficial in demonstrating the pathology and ruling out other likely pathologies after a prompt physical examination. physicians should exercise care and vigilance in order not to overlook these cases, in which prompt physical examination and radiological interventions remain a prerequisite in the diagnostic algorithm.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/9. Gluteus medius tendon rupture as a source for back, buttock and leg pain: case report.A 67-year-old woman with chronic lumbosacral and hip symptoms involving gluteus medius tendon rupture and strain injury is presented here. We report her work-up and management. Although this is an uncommonly reported pathology, many patients with back, buttock and leg pain see physicians who often focus on lumbar spinal stenosis, lumbar radiculopathy or hip/knee osteoarthritis. Careful physical examination guided us to this patient's diagnosis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/9. sports-induced spontaneous rupture of the extensor pollicis longus tendon.Two cases of spontaneous extensor pollicis longus tendon rupture are presented. One occurred in a 17-year-old diver and the other in a 69-year-old physician tennis player. Neither patient experienced pain, and only the diver had premonitory wrist discomfort. The diver was treated by an extensor indicis proprius transfer. The physician denied any disability and elected to have no treatment.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |
6/9. Dislocation of the posterior tibial tendon: a literature review and presentation of two cases.Dislocation of the posterior tibial tendon has rarely been reported in the English literature. The most common mechanism is a traumatic injury. We present two patients with a traumatic dislocation. One patient was delayed in presentation to the treating physician by seven months. The second patient presented within one week. Both underwent surgical stabilization with repair of the torn retinaculum and deepening of the groove posterior to the medial malleolus. They have both returned to their pre-injury level of activity without any recurrence of dislocation.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/9. Bone scintigraphic findings in recruits after short periods of nonweight-bearing ambulation. A report of two cases.Two military recruits with suspected stress fractures underwent scintigraphy after brief periods of nonweight-bearing ambulation. Their scans showed a dramatic, diffuse increase of activity over the asymptomatic weight-bearing foot, with areas of increased focal activity. Our reported cases illustrate how gait changes can be reflected in scintigraphy and the difficulty in evaluating areas of increased focal scintigraphic activity in the feet. The physician should see the bone scan and not rely on a written report when evaluating a trainee for possible stress fracture.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/9. rupture of the triceps tendon with olecranon bursitis. A case report with a new method of repair.rupture of the triceps tendon is rare, and no previous report of its association with olecranon bursitis was found in the literature. A previously healthy 72-year-old man fell from a stationary bicycle and was examined by his family physician. Calcification over the olecranon area with an intact triceps tendon was revealed. Two months later the patient presented with triceps rupture and weakness of elbow extension with olecranon bursitis. Grossly, the pathologic lesion consisted of synovial frond proliferation and invasion of the cut end of a tendon. A "collar stud-shaped" bursa was found in front of and behind the triceps tendon and across a 3-cm gap in the tendon. The advancement was completed by splitting the tendon in partial thickness proximal to the cut end. The flap was turned down and anchored to the olecranon through drill holes. The end result was good return of function. patients with chronic olecranon bursa problems should be carefully examined for triceps function. The gap in the tendon can be treated by mobilizing the tendon in the manner described.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
9/9. achilles tendon rupture. Is casting enough?rupture of the achilles tendon is relatively uncommon, but most primary care physicians are occasionally faced with evaluation and treatment of such an injury. diagnosis is not difficult and is based almost solely on the history and physical findings. To avoid misdiagnosis, the Thompson test should be performed in any evaluation of ankle pain. The three management options are casting, open surgical repair, and percutaneous surgical repair. incidence of rerupture is slightly higher with casting, but the greater costs and higher risk of complications with surgical treatment seem to outweigh the benefits. Because there is no conclusive evidence that functional activity is any better with surgical repair, we recommend casting for a minimum of 8 weeks. After this, the patient should wear a heel lift and begin a supervised physical rehabilitation program.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |