Anterior cruciate ligament (ACL) tears are serious knee injuries, whether partial or total. ACL injuries are most typically diagnosed in the clinic settings using a combination of a detailed history, physical examination and corroborated with an appropriate imaging modality. Magnetic resonance imaging (MRI) is highly sensitive for identifying intra-articular knee pathology. This combination has been demonstrated to be effective and non-invasive in diagnosing ACL injury. The reliability of MRI for diagnostic purposes, on the other hand, is not always ideal. This might be due to various factors, including low-quality MRI magnets, post-surgical tissue changes, metallic artifacts, patient movement during procedure, and static rather than dynamic structural evaluation. Nevertheless, office-based diagnostic arthroscopy offers an alternative to imaging modalities by allowing clinicians to visualize large joints safely, painless, high-quality images, and time-efficient approaches. Furthermore, the risk of major and minor complications of office-based diagnostic arthroscopy is comparable to or lower than any standard office-based injection. This is the first office-based needle arthroscopy (OBNA) performed in Malaysia to evaluate intra-articular knee symptoms. Thus, we aim to understand and overview OBNA to identify intra-articular knee pathology by reporting this case report.
Anterior Cruciate Ligament Injuries

Background: To identify determinant(s) and evaluate the relationship between quality of life (QoL) and satisfaction with life (SWL) of the Malaysian elite disabled athletes. Methodology: We conducted a cross-sectional study on 86 disabled athletes located at Pusat Kecemerlangan Sukan Paralimpik Malaysia, Kampung Pandan using universal sampling. Online survey consisting of socio-demographic form, the SWL scale and the World Health Organization QoL short questionnaire were delivered to the athletes of different physical and mental disabilities who participated in adapted sports. Results: A moderately strong correlation was demonstrated between the subdomains of physical health, psychological health, social relationship, and environment of QoL with SWL scale (P ≤ 0.05). Gender and ethnicity were found to be potential determinants of QoL and SWL among these disabled athletes. Conclusions The discrepancies in QoL and SWL between ethnics and gender need solution to ensure inclusivity in disabled sports.
Quality of Life

Type 1 and type 2 anterolateral ligament (ALL) or meniscocapsular tears are frequently treated conservatively. However, the initiation of the healing process of these tears could take up to six weeks, and about 70% of acute ALL injuries demonstrated poor healing at the 1-year follow-up. This case report describes the successful treatment of an MRI-confirmed ALL tears by direct injection of platelet-rich plasma (PRP) into the ALL and adjacent anterolateral meniscocapsular tears under ultrasound guidance. This treatment yielded excellent outcome with complete relief of pain six weeks after the injection, and repeated ultrasound examination showed 80% restoration of the torn tissues.
Ligaments