Rotula bipartita: trattamento artroscopico in atleta professionista

La rotula bipartita rappresenta una patologia non frequente, con una incidenza tra lo 0,2% ed il 6% nella popolazione adulta. Il suo riscontro avviene spesso in occasione di accertamenti radiografici per un generico trauma al ginocchio. \uc8 solitamente asintomatica e solo in una percentuale inferiore al 2% diventa sintomatica. Descriviamo un caso di rotula bipartita sintomatica in una giovane praticante attivit\ue0 sportiva agonistica, evidenziando i vantaggi del trattamento artroscopico in caso di bipartitismo sintomatico non responsivo al trattamento conservativ

Functional study of glenohumeral ligaments.

BACKGROUND: The glenohumeral ligaments are passive stabilising anatomical structures of the shoulder which, in synergy with the other active and passive stabilising structures, enable joint movement and cohesion. The purpose of this study is to analyse the isolated and synergic function of the glenohumeral ligaments by using a tetrapolar detection system with computer analysis. METHODS: In a study performed on cadavers after anatomical dissection, detector electrodes were positioned on the individual ligaments and recordings were made of bioelectric impedance and, consequently, the resistance, which is an indicator of the state of tension or relaxation of the ligamentous complex. Predefined positions of the upper limb were adopted--neutral adduction, adduction with external rotation, abduction at 45\ub0 with neutral and external rotation, and abduction at 90\ub0 with neutral and external rotation. RESULTS: The superior glenohumeral ligament is important in stabilisation of the glenohumeral joint in adduction and external rotation. The middle glenohumeral ligament is an important stabilising structure in the positions of adduction and external rotation and abduction up to 45\ub0 in external rotation. The resistance, and therefore tension, of the inferior glenohumeral ligament, which is negligible in positions of neutral adduction and adduction in external rotation, increases in value for angles between 45\ub0 and 90\ub0, indicating the important stabilising function of this ligament in those positions. CONCLUSION: Our experimental study on cadavers, which involved evaluating the resistance of the glenohumeral ligaments by means of tetrapolar detection and computer analysis of the results, contributes to our knowledge of the functional activity of the anterior portion of the joint capsule