Publications by authors named "Dave Yee Han Lee"

Meniscus root tears are increasingly being studied due to their importance in meniscus function. Meniscus root tears can increase the joint contact pressure significantly, similar to a total meniscectomy. This may cause rapid progression of joint degeneration and produce inferior clinical outcome.

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Background: This systematic review aims to determine the best modality for the management of meniscal cysts and its associated meniscus tear; whether the meniscal cyst treated via arthroscopy or open methods and whether meniscal debridement or repair achieves better results.

Methods: This systematic review was performed using PRISMA guidelines. A literature search of PubMed, EMBASE and Cochrane was carried out in July 2020 using the search terms 'meniscal cyst' and 'treatment'.

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Purpose: Patella alta is an established risk factor for recurrent lateral patella dislocations. Medial patellofemoral ligament (MPFL) reconstruction has been shown to reduce patella height. Our hypothesis is that isolated MPFL reconstruction corrects patella alta, thereby reducing the risk of recurrent patella dislocation.

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Introduction: Arthroscopic Bankart repair is a widely accepted procedure to treat recurrent shoulder dislocation. This study aims to describe our experience with arthroscopic Bankart repair and its functional outcome.

Methods: 107 patients who underwent arthroscopic Bankart repair from 2008 to 2013 were followed up for a minimum of three years and reviewed by an independent observer.

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Article Synopsis
  • The study investigates the risks of combining lateral extra-articular tenodesis (LET) with anterior cruciate ligament reconstruction (ACLR), particularly concerning femoral tunnel interference.
  • It utilized twelve cadaveric knees to determine safe drilling depths and angles for LET without damaging the ACL graft.
  • Results indicated a collision risk at a mean depth of 23.6 mm, showing no significant correlation between drilling angles and the likelihood of tunnel interference.
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Case: The authors report a case of piriformis pyomyositis in a teenage female patient with fever and left hip pain. Her pain migrated to the knee with concurrent near resolution of hip pain. Imaging revealed an abscess in the left piriformis with pus tracking along the sciatic nerve sheath.

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Purpose: We aimed to identify the anterolateral ligament (ALL) tears in anterior cruciate ligament (ACL)-deficient knees using standard 1.5-Tesla magnetic resonance imaging (MRI).

Methods: We included all patients who underwent primary ACL reconstruction at our center between 2012 and 2015.

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Purpose: To compare the distance from the device tip to the neurovascular structures during an all-inside medial and lateral meniscal repair using anteromedial and anterolateral portals in a fresh-frozen cadaveric study.

Methods: Ten fresh-frozen cadaveric knees were studied. The popliteal artery, popliteal vein, and tibial nerve were identified after dissection via a posterior approach.

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Article Synopsis
  • The study compared the accuracy of magnetic resonance (MR) imaging to arthroscopy in identifying meniscal and cartilage injuries in patients with anterior cruciate ligament (ACL) deficiencies.
  • A total of 206 patients were analyzed, with findings showing that MR imaging effectively detected medial meniscus tears but struggled with lateral meniscus tears and certain cartilage injuries, especially in complex cases.
  • Results indicated that age and the presence of prior injuries influenced MR imaging accuracy, highlighting the challenges in diagnosing specific knee injuries accurately using this imaging technique.
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