title: Arthroscopic roofplasty: a method for correcting an extension deficit caused by roof impingement of an anterior cruciate ligament graft.
abstract: Intercondylar roof impingement should be suspected in any patient having difficulty regaining knee extension following an anterior cruciate ligament (ACL) reconstruction. An arthroscopically performed roofplasty can eliminate the clinical complaints. The extent of bone removal can be planned from studying a lateral radiograph taken with the knee in terminal extension. Extension exercises or passive extension devices should not be used in patients with extension deficits caused by roof impingement because they may further damage the graft.
authors.affiliation: SGHT/David Grant Medical Center, Travis AFB, California.
authors.forename: S M
authors.initials: SM
authors.lastname: Howell
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology*; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D012086:Reoperation; D012421:Rupture; D013710:Tendons / Q000637:transplantation*