We compared motor control function in 50 patients who had undergone anterior cruciate ligament reconstruction using a bone-tendon-bone graft to that in 50 normal controls. Surgical subjects patients had undergone reconstruction with a one- (n=37) or two-incision (n=13) technique with the same rehabilitation protocol; mean time from the index surgery was 6.1 years (range of 5-8 years). For inclusion patients required an excellent outcome, category A IKDC score, and a KT-1000 side-to-side difference of 3 mm or less. Motor control evaluations were conducted using the KAT 2000 with static and dynamic tests. Normal controls had substantially better scores than did the surgical patients. There was no statistical difference the single-limb static test between scores of operated and nonoperated limbs. However, the operated limb scores were slightly better overall than those for the nonoperated limb, and the right knee scores tended to be better than those for the left knee. This may be explained by limb dominance. The test method employed in this investigation shows that anterior cruciate ligament reconstructed patients had a clear motor control deficit compared to normal control subjects even after several years.

Introduction Morton’s neuroma (MN) is a neuropathic metatarsalgia that causes pain in the plantar aspect of the forefoot generally between the third and fourth metatarsal heads. Treatment can be nonoperative or surgical. Among nonoperative procedures, alcohol injections are still commonly used as considered simple, relatively safe and well-tolerated treatment. However, they present transient and minor complications. Methods Two hundred patients with a diagnosis of MN underwent ultrasound-guided injections with a 47.5% alcohol solution between 2013 and 2020. We reviewed the current literature to highlight the known complications of this treatment, comparing them to the complications developed by our patients. Results Three patients out of 200 patients, developed necrosis of skin and subcutaneous tissue not described in previous studies about MN. Conclusions Our study focuses attention on the complications subsequent to the alcohol injection therapy for MN. Patients and surgeons should be aware that in a small number of cases this therapy can be burdened by necrotic complications of the skin.

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