Isolated popliteus tendon avulsion

Avery, Anthony; Samad, Adil; Cohen, Jason; Bade, H.

doi:10.1097/bco.0b013e3182312297

Cited by 3 publications

(12 citation statements)

References 9 publications

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“…Pain to the lateral aspect of the knee was reported in 96% (n = 26/27) of athletes, with swelling ranging from mild to marked effusion in 85% (n = 23/27) of cases § and calf swelling in 1 athlete. 4 Other reported symptoms included the sensation of knee instability, 27,28 inability to bear weight, 2 and restricted knee range of motion because of pain. 2,7 Four athletes reported minimal pain 4 or were reported to have continued play for at least several minutes after injury.…”

Section: Resultsmentioning

confidence: 99%

“…4 Other reported symptoms included the sensation of knee instability, 27,28 inability to bear weight, 2 and restricted knee range of motion because of pain. 2,7 Four athletes reported minimal pain 4 or were reported to have continued play for at least several minutes after injury. 4,5,13,20 Six athletes were unable to continue play because of a sensation of instability 21,22 or pain while running, jumping, or twisting.…”

Section: Resultsmentioning

confidence: 99%

“…Five intrasubstance injuries were noted to be incomplete tears, 20,24,28,37 with 3 reported as complete tears. 4,5,9 Treatment Nonoperative management was performed in 52% (n ¼ 14/27) of isolated popliteus injuries, consisting of a combination of rest, 13,24,28,37 bracing, 1,2,36 and massage 27,28 (Table 2). Bracing times were specified in 2 studies as 4 weeks 2 and 6 weeks.…”

Section: Tear Locationmentioning

confidence: 99%

“…Injury mechanism was not reported in 19% (n ¼ 5/27) of injuries. 22,36 The most commonly reported involved sports were American football (n ¼ 7), 2,4,8,10,28,33,36 soccer (n ¼ 6), 1,5,11,14,20,36 and rugby (n ¼ 3). 13,27,36 Presentation…”

Section: Mechanismmentioning

confidence: 99%

“…Athletes with intrasubstance tears returned at a mean of 5.6 ± 3.0 weeks, compared with 15.4 ± 8.5 weeks for athletes with avulsion injuries. 2 Bony avulsion (complete) XR, MRI Long-leg hinged knee brace, no ROM or weightbearing restrictions. Concurrent PT for 4 mo Burstein (1990) 4 Intrasubstance (complete) MRI Initial treatment with PT and return to play, arthroscopy after persistent effusion and pain, no further surgical treatment.…”

Section: Return To Sportmentioning

confidence: 99%

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Prevalence, Mechanisms, and Return to Sport After Isolated Popliteus Injuries in Athletes: A Systematic Review

Morrissey

Knapik

2022

Orthopaedic Journal of Sports Medicine

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Background: Injuries to the posterolateral corner of the knee are commonly reported in athletes, although the prevalence of isolated injuries to the popliteus in athletes is largely unknown. Purpose: To systematically review the literature to better understand the prevalence, mechanisms, sporting activities, tear characteristics, management, outcomes, and return-to-sport rate and timing in athletes who have sustained isolated popliteus injuries. Study Design: Systematic review; Level of evidence, 4. Methods: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, the authors searched the PubMed, OVID, MEDLINE, Biosis Previews, SPORTDiscus, PEDRO, and EMBASE databases for studies from January 1988 to August 2021 on athletes who sustained isolated popliteus injuries during sporting activities. Results: A total of 19 studies consisting of 27 athletes with isolated popliteus injuries sustained during sport were identified. The mean athlete age was 19.9 ± 10.5 years, while 89% (n = 24/27) were male. Traumatic/contact mechanisms were reported in 67% (n = 18/27) of injuries, with American football and soccer being the most common sports. Lateral-sided knee pain was the most frequent complaint, with 85% (n = 23/27) of athletes reporting swelling. Avulsion injuries off the lateral condyle were present in 67% (n = 18/27) of cases. Nonoperative management was performed in 52% (n = 14/27) of athletes. Operative treatment consisted primarily of arthroscopic or open fixation of the osseous fragment. When reported, all athletes successfully returned to sport at a mean of 10.8 ± 8.2 weeks after injury. Conclusion: Isolated injuries to the popliteus remain rarely reported in athletes, and athletes are typically evaluated after they experience forced external rotation of the tibia relative to the femur, present with lateral-sided knee pain and effusion, and undergo a stable ligamentous examination. Injuries occurred primarily in male athletes and were the result of traumatic/contact mechanisms, most commonly involving avulsion injuries off the lateral femoral condyle.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Tear Locationmentioning

confidence: 99%

Section: Mechanismmentioning

confidence: 99%

Section: Return To Sportmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence, Mechanisms, and Return to Sport After Isolated Popliteus Injuries in Athletes: A Systematic Review

Morrissey

Knapik

2022

Orthopaedic Journal of Sports Medicine

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Unstable osteochondral fragment of the lateral femoral condyle containing the popliteus tendon origin. Report of three cases

et al. 2014

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We report a series of three cases of unusual locations of chronic osteochondral fragments arising from the posterolateral aspect of the lateral femoral condyle, presenting acutely in young adults, in which the unstable fragment contained the origin of the popliteus tendon, with MRI and arthroscopic correlation. Although atypical, we hypothesize that these cases represent adult osteochondritis dissecans with extension to a popliteus tendon origin. Preoperative diagnosis of popliteus tendon involvement may influence clinical management in patients with an unstable osteochondral fragment in this location.

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Isolated femoral avulsion of the popliteus tendon: a systematic review of the literature

HEYLEN,

DEMEY,

MOUSATI

2023

Acta Orthop Belg

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The popliteus tendon is an important part of the posterolateral corner of the knee. Isolated injuries to the posterolateral corner are very rare, as most injuries occur in multiligamentous knee trauma. Purely isolated popliteus tendon injuries are even more rare. There is very little evidence for treatment of isolated popliteus tendon avulsion injuries. The aim of this systematic review is to report on all publications regarding isolated popliteus tendon avulsion injuries and hopefully provide some guidance for future treatment algorithms. A systematic review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Studies were included if they documented isolated popliteus tendon avulsion injuries. Exclusion criteria were studies with popliteus injuries in combination with other knee ligamentous injuries and popliteus tendon injuries other than femoral avulsion injuries. Twenty-eight studies were included which mentioned in total 38 patients with isolated popliteus tendon avulsion injuries. 24 patients (63%) were treated operatively. 3 (8%) patients were diagnosed arthroscopically but did not receive any surgical treatment. 9 patients (24%) were treated conservatively. In two publications, there was no mention of treatment. We found no clear recommendations in the literature for treatment of this rare injury.

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Isolated popliteus tendon avulsion

Cited by 3 publications

References 9 publications

Prevalence, Mechanisms, and Return to Sport After Isolated Popliteus Injuries in Athletes: A Systematic Review

Prevalence, Mechanisms, and Return to Sport After Isolated Popliteus Injuries in Athletes: A Systematic Review

Unstable osteochondral fragment of the lateral femoral condyle containing the popliteus tendon origin. Report of three cases

Isolated femoral avulsion of the popliteus tendon: a systematic review of the literature

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