YOU ARE NOW CONNECTED TO THE TOXLINE (1981 FORWARD, NON-ROYALTY) FILE. ==KNEE AND CRUCIATE PULL== 7 AUTHOR Mirovsky Y AUTHOR Halperin N AUTHOR Hendel D TITLE Abduction-traction injury of the knee. SOURCE J Bone Joint Surg [Br]; VOL 66, ISS 2, 1984, P201-5 ABSTRACT Disruption of the major ligaments of the knee was seen in six young men, five parachutists and a house painter, after what we have termed abduction-traction injury. This unusual complaint results from the application of a sudden block to the ankle while falling head first, leading to traction and abduction of the knee. All the patients underwent operations, generally with unsatisfactory results. At operation tears of the anterior cruciate ligament, medial collateral ligament and posterior oblique ligament were seen in each case; in four patients the posterior capsule and in three the posterior cruciate ligament also were torn. In one patient the lateral collateral ligament was torn and the lateral meniscotibial ligament was avulsed. The compression component is absent in this type of injury and consequently the menisci and the osteochondral surfaces of the tibia and femur remained intact in each case. 2 AUTHOR Biundo JJ Jr AUTHOR Mipro RC Jr AUTHOR Djuric V TITLE Peripheral nerve entrapment, occupation-related syndromes, sports injuries, bursitis, and soft-tissue problems of the shoulder. SOURCE Curr Opin Rheumatol; VOL 7, ISS 2, 1995, P151-5 (REF: 28) ABSTRACT In this review, three areas are highlighted: knee injuries due to athletic events, carpal tunnel syndrome, and shoulder problems, especially glenoid labral tears. In patients with chronic anterior cruciate ligament insufficiency, an increasing incidence of meniscal tears was seen. A Finnish study showed that athletes from all types of competitive sports are at a slightly increased risk of requiring hospital care because of osteoarthritis of the hip, knee, or ankle. A number of studies on the electrodiagnosis of carpal tunnel syndrome were published, and some of these are reviewed. The shoulder continues to be an intriguing but troublesome joint both to patients and physicians. A biopsy study of the subacromial bursa is reviewed, and several cases of suprascapular nerve entrapment were presented this year, again calling attention to this underrecognized entity. Finally, several articles on tears of the glenoid labrum are reviewed here, especially those focusing on the tear of the superior segment of the labrum from the anterior to the posterior aspects. 1 AUTHOR Hull ML TITLE Analysis of Skiing Accidents Involving Combined Injuries to the Medial Collateral and Anterior Cruciate Ligaments SOURCE American Journal of Sports Medicine, Vol. 25, No. 1, pages 35-40, 25 references, 1997 ABSTRACT Using data from previous research on knee ligament injuries sustained by alpine skiers, a study was undertaken to assess the ability of two mode release ski bindings to protect alpine skiers against injuries to the medial collateral ligament (MCL) and anterior cruciate (ACL) ligament. The loads transmitted by the knee during falls in which combined injury to the MCL and ACL occurred were determined. The damage potential of different load types were assessed, as was also the ability of heel/toe ski bindings to release when damaging loads were encountered. External axial and valgus moments were the loads found to most often cause knee injuries in alpine skiers. The MCL was found to be the primary restraint to both load moment components. When the MCL is damaged, the ACL becomes the primary restraint although it is weaker.Heel/toe binding releases were found to be sufficiently sensitive to respond to potentially damaging loads. The author concludes that two mode release bindingsdo offer protection against injuries to the MCL and ACL, but must be properly adjusted for maximum benefit. 3 AUTHOR Anderson LJ TITLE Knee Disorders SOURCE Occupational Injuries. Evaluation, Management, and Prevention, T. N. Herington and L. H. Morse, Editors; Mosby-Year Book, Inc., St. Louis, Missouri, pages 181-208, 16 references, 1995 ABSTRACT Knee disorders occurring on the job were discussed, considering the anatomy of the knee, specifically the femur, tibia, and patella which comprise the skeletal components of the knee joint; and extraarticular structures including anterior structures, lateral structures, medial structures, posterior structures, intraarticular structures (suprapatellar and medial plicae, anteriorand posterior cruciate ligaments). The usefulness of careful history taking, physical examination, diagnostic tests (X-ray films, arthrograms, magnetic resonance imaging study, and bone scans), evaluation and treatment of common knee injuries (contusions, prepatellar bursitis, lacerations, extensor mechanisminjuries, rupture of the quadriceps tendon, ruptures of the patellar tendon, patellar dislocation and subluxation, anterior knee pain syndromes, iliotibial bone syndrome, popliteal (Baker's) cysts, meniscal injuries, injuries of the ligaments, inflammatory conditions, and knee aspiration) were discussed. 12 AUTHOR Puddu G AUTHOR Ferretti A AUTHOR Mariani P AUTHOR La Spesa F TITLE Meniscal Tears And Associated Anterior Cruciate Ligament Tears In Athletes: Course Of Treatment SOURCE American Journal of Sports Medicine, Vol. 12, No. 3, pages 196-198, 4 references, 19841984 ABSTRACT A rating system was developed to determine the need for combining meniscectomy with ligament reconstruction in athletes with knee injuries. The subjects included 62 patients who underwent surgical repair of a tear of the medial meniscus and who also were found to have absent or non functioning anterior cruciate ligaments during surgical intervention. In 37 patients, the medial meniscus had a bucket handle tear, and this damaged area was removed. In the other patients, the tear was localized to the posterior horn. In these cases, meniscectomy was performed through a double incision and the posterior oblique ligament was advanced. After a mean of 52 months, 51 of the patients were examined. Twenty four had returned to full sports activity, whereas 27 reported incidents of knee giving way or having completely given up sports because of instability. Of the 24 who had returned fully to sports, 7 had been treated with meniscectomy combined with advancement of the posterior oblique ligament and 17 had been treated for a bucket handle lesion. In the 27 patients who still complained of knee problems, the meniscal tear was of the bucket handle type in 10 cases and localized to the posterior horn in 17 cases. A proposed rating system for reconstruction of the anterior cruciate ligament or a lateral extraarticular construction was based on three variables. The first involved objective evaluation after meniscectomy, including a jerk test to indicate stability. The second considered the type of meniscal tear, noting that bucket type tears appear to have a better prognosis. The third considered the type of sport and the associated knee stress involved. The authors conclude that use of the evaluation scheme may reduce the incidence of poor surgical repair results in knee injuries.