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Anterior cruciate ligament injuries are serious conditions which can affect human life, that is the reason numerous investigates have been led to discover peril factors whether modifiable or unmodifiable to stamp out individuals in danger. Thus, the reason for our investigation is to see if expanded back femoral condyle profundity evaluated as back condyle counterbalance and proportion is a danger factor that may influence rate of ACL wounds . The diagrams of 100 successive patients who went through arthroscopic foremost cruciate tendon medical procedure performed by muscular specialists at Banha college emergency clinic and al Haram emergency clinic from 2017 to 2019 were reflectively looked into. Another 100 patients who were not griping of any knee wounds or shakiness were screened as control group.After patients were screened for qualification, they were partitioned into 2 gatherings: 1. A benchmark group comprising of patients with no neurotic association of the ACL. 2. Patients with ACL injury. Control bunch was coordinated to the investigation bunch by age, sex, stature, weight, and BMI. A patient couldn't be associated with the two gatherings. Applicants were incorporated just in the event that they had excellent standard radiographs, incorporating a horizontal view with 67.8 was related with expanded ACL injury with 76% affectability and 74% particularity. In this way, an expanded back femoral condyle proportion of the distal portion of the femur was essentially connected with expanded pervasiveness of ACL wounds. This investigation found that expanded femoral condyle profundities evaluated as (back femoral condyle counterbalance and back femoral condyle proportion) is related with expanded commonness of ACL wounds.

Fractures of the proximal or distal thirds of the tibia are one of the most challenging injuries in orthopedic. A few strategies have been portrayed m the decision of procedure relies upon numerous elements including crack arrangement, bone quality, delicate tissue injury and accessible equipment.Intramedullary nailing might be powerful in dealing with these breaks even with straightforward articular augmentation, yet care should be taken with decrease and sufficient screws locking to forestall malalignment and ceaseless knee agony may likewise be an issue. This investigation included 20 patients with distal and proximal tibial breaks rewarded with intramedullary nail with multidirectional proximal and distal locking screws (Expert tibial nail). The time of follow up was up to 6months utilizing certain scoring frameworks. The suggestive and useful assessment results were reviewed by the models by Johner and Wruh's Criteria According to Johner and Wruh's measures, 45.0% of patients indicated great rules, 30.0% were brilliant, 15.0% were reasonable and just 10.0% were poor. Two cases created deferred association (10%), two cases built up Sudeck's decay (10%), one case created malunion (5%), one case created nonunion(5%) and foremost knee torment was found in four cases (20%). So front knee torment spoke to the most widely recognized intricacy in this study.Treatment of proximal and distal thirds tibial cracks utilizing master tibial intramedullary nail (with multidirectional locking screws) is a protected and acknowledged strategy option in contrast to customary nail and plating procedure. This structure of the embed helps in accomplishing stable obsession and improved securing most extraarticular tibial cracks.

The Long Head of Biceps originates at the supraglenoid tubercle and the superior glenoid labrum. It inserts distally, along with the short head of the biceps, onto the radial tuberosity, with an attachment to the fascia of the medial forearm via the bicipital aponeurosis.The site of the LHB origin from the glenoid labrum is variable; in most cases, it arises either mostly posterior or completely posterior [55.4% and 27.7%, respectively]. Type I lesions are treated with conservative debridement of the frayed labrum. Type II lesions are repaired using a single-anchor, double-suture technique. Type III lesions are treated by initial resection of the unstable bucket-handle labral fragment, followed by inspection of the biceps anchor attachment for stability. Type IV lesions are treated as type III lesions unless the biceps tendon split is severe. When more than approximately 30% of the tendon is included with the displaced labral tear one must consider either repairing the tendon , or releasing it and repairing the labrum as with a type II SLAP , or performing a biceps tenodesis . the decision depends on the age and activity level of the patient and the condition of the remainder of the biceps tendon.