Posterior tibial slope (PTS) has been proposed as a potential risk factor for ACL injury; however, studies that examined this relationship have provided inconclusive and sometimes contradictory results. Further characterization of this relationship may enable the medical community to identify individuals at greater risk for ACL injury and possibly characterize an anatomic target during surgical reconstruction. Medical records of 20 patients who underwent MRI of the knee and athroscopy procedure between August 2016 and March 2017 were reviewed. Patients were separated into 2 groups: a study group of those subjects who had undergone surgery for ACL injury (n =10) and a control group of patients diagnosed without ACL Injury (n = 10). Demographic data were collected, and MRI images from both groups were analyzed using protactor android imaging software to obtain PTS measurements. Data then analyzed using SPSS v20. Data analysis demonstrated that the ACL injury group had significantly greater values for PTS (14.4 SD ± 3.5) compared with controls (10.1 SD ± 2.6). After stepwise elimination of non significant variables, the final t test independent determined that PTS (p value 0.08; p < 0.1) had statistically significant relationships with ACL injury. INW ratio, age, and sex were not demonstrated to be significant predictors of ACL injury in this final model. This study showed a relationship between increased PTS and ACL injury, which corroborates the findings of previously published studies. INW ratio, sex, and age showed no significant relationship with ACL injury.

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Background: Pediatric urinary tract infection (UTI) should become attention due to high prevalence, severe complication, and high cost treatment. Bacterial pattern and its susceptibility are different in every region.The objective of this study was to discover pattern of bacteria causing UTI and their susceptibility to antibiotics.

Background: Quadriceps muscle rupture is second common cause of disrupted extensor mechanism by directly affect lower limb function by hinders knee extension drastically. Ideally, patient with quadriceps tendon rupture and undergo primary surgical repair in first 48–72 hours after injury to achieve good outcome then decrease morbidity and disability. Chronic untreated quadriceps tendon rupture with adverse progression of gap cause by muscle contraction, scarred muscle body, degenerative calcification, or decreased tendon end vascularity lead to pain in contraction, worsening morbidity and disability as well makes surgical repair more technically challenging. We report one case of chronic untreated quadriceps muscle rupture, our management, and outcomes. Clinical case: 27 years old male with right quadriceps rupture that occurred accidently while he was descending stairs. The patient then went to bonesetter and just went to the hospital after a long time of complaints of pain and are not getting better. In the right knee, the neglected quadriceps rupture was managed with polypropylene mesh and collacure to shorthen the gap. Discussion: Management goal is to reduce large gap at quadriceps tendon to reach both end of the muscle in tension free manner and not only increasing regeneration of tendon but also increasing the strength of the tissues after healing by polypropylene mesh and collacure. Conclusion: Quadriceps reconstruction with polypropylene mesh and collacure have a fair result for extensor mechanism. Further research is required to determine best approach to quadriceps reconstruction in reducing gap.