Michal Jakub Drwiega

• Head of Department at Mirai Clinic

Suture manipulation is a key point in arthroscopic surgery. Sutures are mainly used in shoulder surgeries. However, during meniscal repairs, some ankle and elbow arthroscopic procedures surgeons need ability of suture manipulation. In this chapter, we will focus on suture manipulations during shoulder arthroscopies such as basic suture handling and...

Abstract: Background: Postoperative magnetic resonance imaging (MRI) evaluation of anterior cruciate ligament (ACL) graft maturity is a useful and practical tool that allows for assessment of graft status and remodeling stage. The purpose of this study was to evaluate and compare previously described methods of graft evaluation in MRI. We identify...

This article describes the case of an 18-year-old male after hip dislocation caused by snowboard injury, which resulted in osteochondral fracture of the head of femur with displacement of a loose body. CT as well as MRI confirmed the presence of a loose osteochondral fragment (20x14x4mm) fractured from the weight-bear­ing superoanterior part of hea...

Anterior cruciate ligament (ACL) reconstruction is commonly performed and has been for many years. Despite this, the technical details related to ACL anatomy, such as tunnel placement, are still a topic for debate. In this paper, we introduce the flat ribbon concept of the anatomy of the ACL, and its relevance to clinical practice.

Purpose: Recently, the configuration of the anterior cruciate ligament (ACL) from its direct femoral insertion to midsubstance was found to be flat. This might have an important impact for anatomical ACL reconstruction. The purpose of this anatomical study was to evaluate the macroscopic appearance of the ACL from femoral to midsubstance. Methods...

An anatomical cadaveric study was performed in 111 knees to evaluate the macroscopic appearance of the tibial midsubstance of the ACL and its tibial insertion. The ACL was flat like a ribbon with a “C”-shaped tibial insertion along the medial tibial spine to the anterior aspect of the anterior horn of the lateral meniscus. Three variations of the t...

Recently the configuration of the anterior cruciate ligament (ACL) from its direct femoral insertion to the midsubstance was found to be flat. This might have an important impact on anatomical ACL reconstruction.

Pain localized around the groin is a common serious diagnostic and therapeutic problem in people with a high level of physical activity. The development of a contact sportsman’s career frequently depends on correct diagnostic and treatment management. Pain may be caused by injury to the joint or the bone. With sport injuries, one usually thinks in...

A complete slip of the cartilage of the inferior angle of the scapula was diagnosed in a 5-year-old boy who fell inside a wooden construction at a kindergarten playground. Radiographs of the scapula were normal, and ultrasound demonstrated complete cartilage detachment, which was displaced deep and laterally. Computed tomography (CT) additionally d...

Sport activity is a well known factor of increased risk of knee injury. There are indirect and direct injuries. One can be sure of serious intra-articular damage, if the joint swell fast and the fluid can be palpated during physical examination. The most common causes of intra-articular bleeding are: a torn off cartilage-osseous fragment after pate...