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Quadriceps tendon impingement from a femoral interference screw

      Abstract

      Interference screws are a popular method of securing tendon grafts during anterior cruciate ligament reconstruction. This report describes the case of a patient with anterior knee pain, limited flexion, and partial-thickness tear of the quadriceps tendon caused by a protruding femoral interference screw following hamstring tendon anterior cruciate ligament reconstruction. The interference screw was radiolucent, requiring magnetic resonance imaging to visualize its location. Removal of the protruding portion of the interference screw and debridement of the partial-thickness tear of the quadriceps tendon led to rapid restoration of knee flexion and alleviation of the anterior knee pain.
      Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 4 (April), 2003: pp E34–E34

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      References

        • Brown CH
        • Hecker AT
        • Hipp JA
        • et al.
        The biomechanics of interference screw fixation of patellar tendon anterior cruciate ligament grafts.
        Am J Sports Med. 1993; 21: 880-886
        • Johnson DL
        • Fu FH
        Anterior cruciate ligament reconstruction: Why do failures occur?.
        Instr Course Lect. 1995; 44: 391-406
        • Kurosaka M
        • Yoshiga S
        • Andrish JT
        A biomechanical comparison of different surgical techniques of graft fixation in anterior cruciate ligament reconstruction.
        Am J Sports Med. 1987; 15: 225-229
        • Corry IS
        • Webb JM
        • Clingeleffer AJ
        • Pinczewski LA
        Arthroscopic reconstruction of the anterior cruciate ligament: A comparison of patellar tendon autograft and four-strand hamstring tendon autograft.
        Am J Sports Med. 1999; 27: 444-454
        • Jomha NM
        • Raso J
        • Leung P
        Effect of varying angles on the pullout strength of interference screw fixation.
        Arthoscopy. 1993; 9: 580-583
        • Mathews LS
        • Soffer SR
        Pitfalls in the use of interference screws for anterior cruciate ligament reconstruction: Brief report.
        Arthroscopy. 1989; 5: 225-226
        • Tuompo P
        • Partido EK
        • Jukkala-Partio K
        • et al.
        Strength of the fixation of patellar tendon bone grafts using totally absorbable self-reinforced poly-L-lactide expansion plug and screw: An experimental study in a bovine cadaver.
        Arthroscopy. 1996; 12: 422-427