Isolated Popliteus Tendon Avulsion Fracture

Algazwi, Diyaa Abdul Rauf; Tian, Quek Swee; Elizabeth, Gartner Louise; Ellis, Eide Sterling; Teng, Victor Sheng Yeow; Hallinan, James Thomas Patrick Decourcy

doi:10.1097/phm.0000000000001181

Cited by 6 publications

(11 citation statements)

References 2 publications

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“…Bracing times were specified in 2 studies as 4 weeks 2 and 6 weeks. 1 Physical therapy was frequently prescribed, 1,4,9,11,13,36,37 with an emphasis on knee range of motion exercises and strengthening programs that target the gastrocnemius-soleus complex, hamstrings, and quadriceps. Static and dynamic proprioceptive retraining to facilitate progressive return to running was reported in 1 professional athlete.…”

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%

“…Tables 2 and 3 provide injury and treatment information for the included studies. Initial radiography was performed on 74% (n ¼ 20/27) of injuries, followed by MRI 1,2,9,11,13,33,36,37 or diagnostic arthroscopy 8,10,21,22 to confirm the diagnosis of an isolated popliteus injury. Injuries most commonly involved avulsions of the popliteus tendon from the lateral femoral condyle (67%; n ¼ 18/27), followed by intrasubstance muscular or tendonous tearing (30%; n ¼ 8/27) 4,5,9,20,24,28,37 or tearing at the musculotendinous junction (4%; n ¼ 1/27).…”

Section: Tear Locationmentioning

confidence: 99%

“…The purpose of this study was to systematically review the current literature to evaluate the prevalence, mechanism, sporting activities, tear characteristics, management, outcomes, and RTS rate and timing in athletes who have sustained isolated popliteus injuries. Based on prior studies, we hypothesized a low prevalence of injuries 1,30 that occur primarily because of traumatic/contact injuries sustained during competition, 13,24 with most patients treated nonoperatively 11,13,20 and with a high rate of RTS. 37…”

mentioning

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: Tear Locationmentioning

confidence: 99%

Section: Mechanismmentioning

confidence: 99%

Section: Tear Locationmentioning

confidence: 99%

mentioning

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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Knee Disorders: Extra-Articular

Mostoufi,

Saulle,

George

et al. 2022

Clinical Guide to Musculoskeletal Medicine

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Isolated Popliteus Tendon Avulsion: Fully Arthroscopic Repair with Suture Anchor

Koukoulias

Dimitriadis

Boutovinos

et al. 2020

JBJS Case Connector

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Case: Isolated popliteus tendon avulsion is an extremely rare injury with no consensus in the literature, regarding the therapeutic approach. In our case, the patient presented with rotational instability of the knee, and he was treated surgically. A fully arthroscopic technique with suture anchors was used, and this is the first report of such a repair in the literature. Knee stability was successfully restored, and the patient remains asymptomatic 2 years postoperatively. Conclusion: Isolated popliteus tendon avulsion can result in knee instability. Arthroscopic repair with suture anchors is an efficient way of treatment.

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Isolated Popliteus Tendon Avulsion Fracture

Cited by 6 publications

References 2 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

Knee Disorders: Extra-Articular

Isolated Popliteus Tendon Avulsion: Fully Arthroscopic Repair with Suture Anchor

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