Incidental Arthroscopic Finding of Rheumatoid Arthritis in a Post-traumatic Ligamentous Injury to Knee Joint.

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Abstract

Conflict of interest statement: Conflict of Interest: Nil 12. J Knee Surg. 2013 Dec;26 Suppl 1:S123-7. doi: 10.1055/s-0032-1324810. Epub 2012 Sep 21. Nonoperative management of a partial patellar tendon rupture after bone-patellar tendon-bone graft harvest for ACL reconstruction. Benner RW(1), Shelbourne KD(2), Freeman H(2). Author information: (1)Department of Orthopaedic Surgery, UT-Memphis/Campbell Clinic, Memphis, Tennessee. (2)Shelbourne Knee Center, Indianapolis, Indiana. This is a case report of a young athlete who sustained a partial tear of the patellar tendon after anterior cruciate ligament (ACL) reconstruction with a bone-patellar tendon-bone (BPTB) autograft. The injury, diagnostic workup, and decision-making process that lead to the choice of nonsurgical treatment are described. Furthermore, the rehabilitation process is described in detail. The patient returned to his previous level of sports activity and had a good clinical outcome as measured by range of motion, isokinetic quadriceps muscle strength testing, single leg hop testing, and the modified Noyes survey. In the absence of extensor mechanism incompetence or radiographic evidence of significant patella alta, partial ruptures of the patella tendon after ACL reconstruction using a BPTB autograft may be treated nonoperatively. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. DOI: 10.1055/s-0032-1324810