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The Bone & Joint Journal
Vol. 105-B, Issue 12 | Pages 1244 - 1251
1 Dec 2023
Plastow R Raj RD Fontalis A Haddad FS

Injuries to the quadriceps muscle group are common in athletes performing high-speed running and kicking sports. The complex anatomy of the rectus femoris puts it at greatest risk of injury. There is variability in prognosis in the literature, with reinjury rates as high as 67% in the severe graded proximal tear. Studies have highlighted that athletes can reinjure after nonoperative management, and some benefit may be derived from surgical repair to restore function and return to sport (RTS). This injury is potentially career-threatening in the elite-level athlete, and we aim to highlight the key recent literature on interventions to restore strength and function to allow early RTS while reducing the risk of injury recurrence. This article reviews the optimal diagnostic strategies and classification of quadriceps injuries. We highlight the unique anatomy of each injury on MRI and the outcomes of both nonoperative and operative treatment, providing an evidence-based management framework for athletes.

Cite this article: Bone Joint J 2023;105-B(12):1244–1251.


The Journal of Bone & Joint Surgery British Volume
Vol. 93-B, Issue 3 | Pages 285 - 292
1 Mar 2011
Cash DJW Jones JWM

This paper describes the presence of tenodesis effects in normal physiology and explores the uses of operative tenodesis in surgery of the upper limb.


The Journal of Bone & Joint Surgery British Volume
Vol. 92-B, Issue 8 | Pages 1045 - 1053
1 Aug 2010
Phillips CL Silver DAT Schranz PJ Mandalia V

Many radiographic techniques have been described for measuring patellar height. They can be divided into two groups: those that relate the position of the patella to the femur (direct) and those that relate it to the tibia (indirect). This article looks at the methods that have been described, the logic behind their conception and the critical analyses that have been performed to test them.


The Journal of Bone & Joint Surgery British Volume
Vol. 90-B, Issue 7 | Pages 827 - 832
1 Jul 2008
Rees JL

This review discusses the pathogenesis and surgical treatment of tears of the rotator cuff.


The Journal of Bone & Joint Surgery British Volume
Vol. 91-B, Issue 2 | Pages 143 - 150
1 Feb 2009
Toms AD Mandalia V Haigh R Hopwood B

The management of patients with a painful total knee replacement requires careful assessment and a stepwise approach in order to diagnose the underlying pathology accurately. The management should include a multidisciplinary approach to the patient’s pain as well as addressing the underlying aetiology. Pain should be treated with appropriate analgesia, according to the analgesic ladder of the World Health Organisation. Special measures should be taken to identify and to treat any neuropathic pain. There are a number of intrinsic and extrinsic causes of a painful knee replacement which should be identified and treated early. Patients with unexplained pain and without any recognised pathology should be treated conservatively since they may improve over a period of time and rarely do so after a revision operation.


The Journal of Bone & Joint Surgery British Volume
Vol. 91-B, Issue 8 | Pages 987 - 996
1 Aug 2009
Alsousou J Thompson M Hulley P Noble A Willett K

Although mechanical stabilisation has been a hallmark of orthopaedic surgical management, orthobiologics are now playing an increasing role. Platelet-rich plasma (PRP) is a volume of plasma fraction of autologous blood having platelet concentrations above baseline. The platelet α granules are rich in growth factors that play an essential role in tissue healing, such as transforming growth factor-β, vascular endothelial growth factor, and platelet-derived growth factor. PRP is used in various surgical fields to enhance bone and soft-tissue healing by placing supraphysiological concentrations of autologous platelets at the site of tissue damage. The easily obtainable PRP and its possible beneficial outcome hold promise for new regenerative treatment approaches.

The aim of this literature review was to describe the bioactivities of PRP, to elucidate the different techniques for PRP preparation, to review animal and human studies, to evaluate the evidence regarding the use of PRP in trauma and orthopaedic surgery, to clarify risks, and to provide guidance for future research.


The Journal of Bone & Joint Surgery British Volume
Vol. 92-B, Issue 1 | Pages 1 - 6
1 Jan 2010
Clifton R Ng CY Nutton RW

We have reviewed the literature to establish the role of lateral retinacular release in the management of disorders of the extensor apparatus of the knee. The scientific evidence for intervention is explored and reports on outcome are discussed.


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 7 | Pages 889 - 895
1 Jul 2005
Deehan DJ Cawston TE


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 5 | Pages 593 - 603
1 May 2005
Harvey A Thomas NP Amis AA


The Journal of Bone & Joint Surgery British Volume
Vol. 90-B, Issue 3 | Pages 265 - 271
1 Mar 2008
Mandalia V Eyres K Schranz P Toms AD

Evaluation of patients with painful total knee replacement requires a thorough clinical examination and relevant investigations in order to reach a diagnosis. Awareness of the common and uncommon problems leading to painful total knee replacement is useful in the diagnostic approach. This review article aims to act as a guide to the evaluation of patients with painful total knee replacement.


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 7 | Pages 841 - 851
1 Jul 2006
Lee EH Hui JHP


The Journal of Bone & Joint Surgery British Volume
Vol. 89-B, Issue 6 | Pages 709 - 716
1 Jun 2007
Mulford JS Wakeley CJ Eldridge JDJ

Chronic patellofemoral instability can be a disabling condition. Management of patients with this condition has improved owing to our increased knowledge of the functional anatomy of the patellofemoral joint. Accurate assessment of the underlying pathology in the unstable joint enables the formulation of appropriate treatment. The surgical technique employed in patients for whom non-operative management has failed should address the diagnosed abnormality. We have reviewed the literature on the stabilising features of the patellofemoral joint, the recommended investigations and the appropriate forms of treatment.


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 9 | Pages 1171 - 1177
1 Sep 2005
Trieb K


The Journal of Bone & Joint Surgery British Volume
Vol. 89-B, Issue 8 | Pages 995 - 1000
1 Aug 2007
Siapkara A Duncan R

Talipes equinovarus is one of the more common congenital abnormalities affecting the lower limb and can be challenging to manage. This review provides a comprehensive update on idiopathic congenital talipes equinovarus with emphasis on the initial treatment. Current management is moving away from operative towards a more conservative treatment using the Ponseti regime. The long-term results of surgical correction and the recent results of conservative treatment will be discussed.


The Journal of Bone & Joint Surgery British Volume
Vol. 91-B, Issue 6 | Pages 705 - 712
1 Jun 2009
Ng CY Oliver CW

Fractures of the proximal interphalangeal joint include a wide spectrum of injuries, from stable avulsion fractures to complex fracture-dislocations. Stability of the joint is paramount in determining the appropriate treatment, which should aim to facilitate early mobilisation and restoration of function.


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 5 | Pages 562 - 575
1 May 2006
Boileau P Sinnerton RJ Chuinard C Walch G


The Journal of Bone & Joint Surgery British Volume
Vol. 91-B, Issue 1 | Pages 1 - 7
1 Jan 2009
Robinson AHN Pasapula C Brodsky JW

A comprehensive review of the literature relating to the pathology and management of the diabetic foot is presented. This should provide a guide for the treatment of ulcers, Charcot neuro-arthropathy and fractures involving the foot and ankle in diabetic patients.


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 2 | Pages 141 - 148
1 Feb 2006
Sarmiento A Latta L


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 8 | Pages 981 - 987
1 Aug 2006
Ramachandran M Eastwood DM


The Journal of Bone & Joint Surgery British Volume
Vol. 92-B, Issue 12 | Pages 1622 - 1627
1 Dec 2010
Nathan ST Fisher BE Roberts CS

Coccydynia is a painful disorder characterised by coccygeal pain which is typically exaggerated by pressure. It remains an unsolved mystery because of the perceived unpredictability of the origin of the pain, some psychological traits that may be associated with the disorder, the presence of diverse treatment options, and varied outcomes. A more detailed classification based on the aetiology and pathoanatomy of coccydynia helps to identify patients who may benefit from conservative and surgical management.

This review focuses on the pathoanatomy, aetiology, clinical features, radiology, treatment and outcome of coccydynia.