M. Vanhees

Objectives: To determine the relationship between lateral tibial slope and probability of early graft failure in patients who have undergone anterior cruciate ligament (ACL) reconstruction. Methods: Fifty-eight patients were initially identified who experienced graft failure following primary ACL reconstruction and were revised between 1989 and 2009. Exclusion criteria were: clinical follow-up of less than four years, graft failure occurring greater than two years from primary surgery, skeletal immaturity, deep infection, lack of availability of preoperative MRI imaging, and history of previous trauma to the proximal tibia. This left 35 cases of early (within 2 years) failure of primary ACL reconstruction. These cases were matched to 35 controls that had undergone ACL reconstruction with a minimum of 4 years of clinical follow-up and no evidence of graft failure. Patients were matched by age, gender, date of primary surgery, and graft type. Lateral tibial slope was then determined o...

Snapping triceps syndrome is a rare and therefore often unknown cause of medial elbow pain. It is a condition in which the distal portion of the triceps dislocates over the medial epicondyle during flexion and extension of the elbow. It can occur, with or without ulnar neuropathy symptoms. The available literature on this subject is scarce and consists mainly of case reports. This report reviews the current literature and will provide guidance in diagnosis and treatment of this uncommon condition.