Management
Operative management
Options
Arthroscopic labral repair +/- Remplissage
results
Cruciate ligament ganglion
Location
- 85 intra-articular ganglions
- 49 ACL, 16 PCL
- 12 from anterior horn meniscus, 3 posterior horn meniscus
- 3 from fat pad
Cruciate ligament ganglion
Technique
Surgical technique PDF using trans-septal portal
Vertical Shear
Definition
Unstable injuries
Complete disruption of both the anterior and posterior ring
5 - 20% of pelvic fractures
Mechanism
Axial load
Motor vehicle accident
Fall from height
Pathology
Anterior ring
Internal snapping hip
Cause
Movement of iliopsoas tendon over femoral head / iliofemoral ridge / iliofemoral ligament
Pectoralis Major Tears
Epidemiology
Middle age men
Steroids / Growth Hormone
Aetiology
Usually occurs in gym
Bench Press
Clinical
Significant bruising in the acute phase
In chronic setting, ask patient to adduct against hip / resistance
Fixation
Definition
Garden 1 / 2
Algorithm
ORIF
- ~ 15% displacement rate with non operative management
- increased risk of non union
- reduced hospital in patient stays
Options
Cannulated screws
DHS + derotation screw
3 cannulated screws