1,536 results match your criteria Arthroscopy techniques[Journal]


Excision of a Posterior Cruciate Ligament Cyst Using an Arthroscopic Trans-septal Approach.

Arthrosc Tech 2020 Apr 27;9(4):e581-e585. Epub 2020 Mar 27.

Centre Orthopédique Santy, FIFA Medical Center of Excellence, Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Lyon.

Posterior cruciate ligament (PCL) cysts are rare. Although they are usually asymptomatic and benign, in a few cases they may cause knee discomfort and restricted movements. Nonsurgical treatment is the initial approach, with medication and corticosteroid injections. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189734PMC

Cable Graft: Simple Superior Capsule Reconstruction Technique for Irreparable Rotator Cuff Tear Using a Teflon Patch.

Arthrosc Tech 2020 Apr 3;9(4):e575-e580. Epub 2020 Apr 3.

Kasumigaura Medical Center, Tsuchiura, Ibaraki, Japan.

We describe a simple superior capsule reconstruction technique for irreparable rotator cuff tear using a Teflon patch. In this technique, a triple-folded Teflon patch, suture tape, and a strong suture penetrating through the graft are fixed to the glenoid and greater tuberosity using a suture anchor. This allows for reconstruction of the superior capsule while simultaneously playing a role as a spacer. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189774PMC

Medial Patellofemoral Ligament Reconstruction With Growth Modulation in Children With Patellar Instability and Genu Valgum.

Arthrosc Tech 2020 Apr 31;9(4):e565-e574. Epub 2020 Mar 31.

Department of Orthopaedic Surgery, Cincinnati, Ohio, U.S.A.

Patellar instability is common in the second decade, and genu valgum is a risk factor for patellar instability. In skeletally immature patients, genu valgum can be gradually corrected using less-invasive, well-established, growth-modulation techniques. For skeletally immature patients with patellar instability and genu valgum, it would be desirable to address both instability and deformity. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189796PMC

Endoscopic Approach to Posterior Ankle via Lateral Portals.

Arthrosc Tech 2020 Apr 27;9(4):e559-e563. Epub 2020 Mar 27.

Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China.

Posterior ankle pain is a common foot and ankle problem faced by orthopaedic surgeons. It can have many causes, including posterior ankle joint pathologies (synovitis or osteochondral lesion), ankle impingement (posterior, posterolateral, or posteromedial), flexor hallucis longus pathologies, peroneal tendon problems, posterior tibial tendinopathy, Achilles tendon pathology, posterior subtalar tarsal coalition, or tarsal tunnel syndrome. Most of these pathologies can be managed effectively by an endoscopic approach. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189622PMC

Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder.

Arthrosc Tech 2020 Apr 3;9(4):e553-e558. Epub 2020 Apr 3.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

Anterior labroligamentous periosteal sleeve avulsions represent a diagnostic and treatment challenge. They are associated with a higher number of preoperative dislocations, as well as longer chronicity, and commonly result in a scarred and medialized labrum and periosteal sleeve complex. Anterior labroligamentous periosteal sleeve avulsion lesions therefore may be commonly overlooked. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189567PMC

The Finochietto Sign as a Pathognomonic Finding of Ramp Lesion of the Medial Meniscus.

Arthrosc Tech 2020 Apr 31;9(4):e549-e552. Epub 2020 Mar 31.

Hospital Universitario Virgen de la Victoria, Málaga, Spain.

Ramp lesions are considered hidden injuries of the medial meniscus and are very difficult to diagnose. The Finochietto jump sign is a very specific finding that could be considered pathognomonic regarding ramp lesions. This sign consists of a sudden jerk that appears when the free edge of the posterior horn of the medial meniscus is dislocated anteriorly due to the medial condyle interposition when an anterior drawer test is performed on a knee with a ramp lesion, especially when it is associated with an anterior cruciate ligament tear. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189623PMC

Arthroscopic Reconstruction of the Anterior Tibiotalar Ligament Using a Free Tendon Graft.

Arthrosc Tech 2020 Apr 24;9(4):e541-e547. Epub 2020 Mar 24.

Department of Orthopaedic Surgery, Kitasato University School of Medicine, Kanagawa.

Deltoid ligament injuries account for 5.1% to 15.8% of ankle sprains and occur with concomitant lateral ankle sprains. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189568PMC

Technique for Arthroscopic Debridement and Microfracture of Unstable, Contained Osteochondritis Dissecans Lesions of the Capitellum.

Arthrosc Tech 2020 Apr 24;9(4):e535-e539. Epub 2020 Mar 24.

Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.

Osteochondritis dissecans of the capitellum is an overuse injury that occurs primarily in adolescent athletes that causes pain and motion loss and can lead to chronic dysfunction. When diagnosed in its early stages, most lesions can be treated conservatively and without long-term consequences. Many osteochondritis dissecans lesions, however, continue to cause progressive symptoms despite nonoperative measures or are too advanced at the time of initial clinical presentation to be effectively treated without surgical intervention. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189419PMC

Superior Capsular Reconstruction with Achilles Tendon Allograft.

Arthrosc Tech 2020 Apr 24;9(4):e527-e533. Epub 2020 Mar 24.

Department of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey, U.S.A.

Superior capsular reconstruction (SCR) has become an increasingly popular choice in the treatment of massive, irreparable rotator cuff tears, pseudoparalysis, and in cases in which revision of previous rotator cuff repair is indicated. The SCR procedure is intended to restore the superior stabilizing forces of a deficient rotator cuff. This technique is accomplished by substituting an autograft or allograft between the superior glenoid and the greater tuberosity of the humerus, thus keeping the humeral head centered in the glenoid during shoulder forward flexion and abduction. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189387PMC

Office-Based Needle Arthroscopy: A Standardized Diagnostic Approach to the Shoulder.

Arthrosc Tech 2020 Apr 23;9(4):e521-e525. Epub 2020 Apr 23.

Kansas City University, Kansas City, Missouri, U.S.A.

In-office needle arthroscopy offers the potential advantage of reduced injury to intervention time, without the need for advanced imaging. It is particularly appropriate for those with contraindications to advanced imaging and also may reduce the risk of incorrect diagnoses in those situations in which imaging is associated with low sensitivity/specificity. The purpose of this article is to provide a standardized diagnostic approach to needle arthroscopy of the shoulder. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189211PMC

Arthroscopic Trillat Procedure: A Guided Technique.

Arthrosc Tech 2020 Apr 23;9(4):e513-e519. Epub 2020 Apr 23.

Department of Orthopedic Surgery, Centre Osteo-Articulaire des Cedres, Echirolles, France.

The Trillat procedure is a surgical treatment for recurrent anterior shoulder instability in the setting of significant or irreparable rotator cuff tears in elderly patients. The procedure comprises an inferior closing wedge partial osteotomy of the coracoid process with fixation to the glenoid neck. This results in a lowered and medialized coracoid process that acts as a bone block and the conjoint tendon is brought closer to the glenohumeral joint, thus closing the subcoracoid space, which blocks humeral dislocation. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189268PMC

Open Acromioclavicular Joint Reconstruction With Semitendinosus Allograft Utilizing the Cerclage Technique.

Arthrosc Tech 2020 Apr 13;9(4):e505-e511. Epub 2020 Mar 13.

Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, Michigan, U.S.A.

Acromioclavicular (AC) joint injuries most commonly occur in young males after a direct injury at the acromion. General consensus stresses nonoperative treatment for type I and II injuries and surgical treatment for types IV through VI, whereas management of type III injuries is more controversial. If surgery is indicated, there are multiple techniques including hook plate, screw fixation, coracoclavicular fixation, and anatomic and nonanatomic reconstruction. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189343PMC

All-Arthroscopic Osteochondral Autograft Transfer Technique for Osteochondritis Dissecans of the Talus.

Arthrosc Tech 2020 Apr 13;9(4):e499-e503. Epub 2020 Mar 13.

Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, U.S.A.

Juvenile osteochondritis dissecans of the talus can be a challenging condition to treat in young patients. Previously described osteochondral autograft transfer techniques for medial talar lesions have been done via open approach, often requiring medial malleolus osteotomy. The purpose of this article is to present an all-arthroscopic osteochondral autograft transfer technique for a medial talar osteochondritis dissecans lesion in a skeletally immature patient. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189212PMC

The Outside-In Technique for Slipped Capital Femoral Epiphysis: A Safe and Reproducible Approach in Hip Arthroscopy.

Arthrosc Tech 2020 Apr 13;9(4):e493-e497. Epub 2020 Mar 13.

Ortopedika Hospital, Warsaw, Poland.

Femoroacetabular impingement syndrome caused by slipped capital femoral epiphysis (SCFE) can be successfully treated arthroscopically and with the minimally invasive, outside-in surgical technique. The advantages of the technique are that the residual cam-type deformity caused by the slippage can be corrected and reconstructed reliably and reproducibly before distracting the hip joint; and radiation with fluoroscopy is used for only definitive reduction and reconstruction, which is obtained with cannulated screws. In addition, this safe technique allows distraction of the hip after screw placement, without affecting the reconstruction, to address labral tears and chondrolabral delaminations caused by the impingement. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189202PMC

Endoscopic Proximal Hamstring Tendon Repair for Nonretracted Tears: An Anatomic Approach and Repair Technique.

Arthrosc Tech 2020 Apr 13;9(4):e483-e491. Epub 2020 Mar 13.

Sports Medicine Department, Duke University Medical Center, Durham, North Carolina, U.S.A.

Proximal hamstring injuries are common, and open surgical repair with suture anchors has been the gold standard when surgical intervention is warranted. Endoscopic techniques offer the opportunity of surgical repair with smaller incisions to limit complications and expedite rehabilitation. The purpose of this technique guide is to describe a modified endoscopic technique that allows a safe and anatomic repair of proximal hamstring injuries. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189203PMC

A Staged Arthroscopic Approach to Fixation of Unstable Osteochondritis Dissecans in the Medial Femoral Condyle of the Knee Using Nonabsorbable Fixation Screws.

Arthrosc Tech 2020 Apr 10;9(4):e477-e481. Epub 2020 Mar 10.

Division of Sports Medicine, Department of Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, North Carolina, U.S.A.

Osteochondritis dissecans is a focal lesion of articular cartilage that can result in fragment instability with progression of early osteoarthritis. Regarding the knee joint, salvage of an unstable lesion can be achieved using arthroscopic-assisted reduction and fixation via a 2-stage process. The first involves arthroscopic fixation of the fragment using nonbioabsorbable screws, whereas the second stage performed 12 weeks later involves removal of the screws and confirmation of successful healing of the lesion. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189124PMC

Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture Augmentation.

Arthrosc Tech 2020 Apr 10;9(4):e469-e475. Epub 2020 Mar 10.

American Knee Institute, Westmont, Illinois, U.S.A.

Patellar tendon ruptures are the third most common injury to the extensor mechanism. These injuries are debilitating to the patient, and delays in treatment can present a challenge to the treating surgeon. Chronic patellar tendon injuries are rare and are more difficult to manage given proximal patellar retraction, scarring, and atrophy of surrounding tissues. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189117PMC

"Strings" (Multiple Tendon Interposition Autografts) for Reconstruction of Presumably Irreparable Rotator Cuff Tears.

Arthrosc Tech 2020 Apr 10;9(4):e459-e467. Epub 2020 Mar 10.

Department for Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité - Universitaetsmedizin, Berlin, Germany.

Irreparable rotator cuff tears are challenging to treat. Especially in younger patients without concomitant osteoarthritic changes, joint-preserving procedures are warranted. To date, no treatment guideline exists because none of the available techniques has shown superiority over the others, and long-term survivorship data are missing. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189094PMC

Revision Hip Capsular Repair and Augmentation With a Bioinductive Implant After a Post-arthroscopy Hip Subluxation Event.

Arthrosc Tech 2020 Apr 11;9(4):e453-e458. Epub 2020 Mar 11.

Rush University Medical Center, Chicago, Illinois, U.S.A.

In the past decade, the number of hip arthroscopy procedures has exponentially increased, primarily for the treatment of femoroacetabular impingement syndrome and labral lesions. As the techniques have evolved, so has the acknowledgment of the potential complications, including iatrogenic instability that may result from soft-tissue laxity, subtle dysplastic morphologies, or residual defects from capsulotomies in which the capsular closure is insufficient. In most cases, direct capsular repair or plication can be performed at the conclusion of the procedure; however, larger defects, poor-quality tissue, or cases of gross ligamentous laxity may require reconstruction or augmentation. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189093PMC

Mini-open Subpectoral Biceps Tenodesis Using All-Suture Anchor.

Arthrosc Tech 2020 Apr 10;9(4):e445-e451. Epub 2020 Mar 10.

Department of Orthopaedic Surgery, Division of Sports Medicine, Section of Cartilage Restoration, Rush University Medical Center, Chicago, Illinois, U.S.A.

The proximal biceps tendon is a common source of shoulder pain and dysfunction. When patients continue to have pain after exhaustive nonoperative treatment, the long head of the biceps tendon can be effectively treated with a tenotomy or tenodesis. Although biceps tenotomy is a less complex and highly reliable treatment, there is the potential for suboptimal outcomes including muscle cramping, fatigue, cosmetic deformity, and supination weakness. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189024PMC

Arthroscopic Knotless Repair of Complete Full-Thickness Tears of the Subscapularis Tendon Through a Single Portal.

Arthrosc Tech 2020 Apr 3;9(4):e439-e443. Epub 2020 Mar 3.

Melbourne Orthopaedic Group, Windsor, Melbourne.

Arthroscopic repair of subscapularis tendon tears has shown to be a reliable and reproducible technique and is now considered the gold standard method over open repair. However, most arthroscopic techniques use several working portals and the procedure can be technically challenging and time-consuming, especially when knot-tying is required and when multiple anchors are used. Recently, single-portal knotless techniques have been popularized for upper-third lesions (e. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188956PMC

A Review of the Gillquist Maneuver: Modifications for a Safer and Easily Reproducible Approach for Knee Transintercondylar Notch Posterior Compartment Arthroscopy.

Arthrosc Tech 2020 Apr 3;9(4):e435-e438. Epub 2020 Mar 3.

Singapore General Hospital, Singapore.

The original Gillquist maneuver is done by passing the arthroscope through a portal in the patella tendon between the medial femoral condyle and posterior cruciate ligament to enter the posterior compartment. This is done blind and has been documented to result in broken cameras and damaged equipment. It is also necessary to do a notchplasty to aid the advancement of the camera in patients. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188957PMC

Minimally Invasive Robotic-Assisted Patellofemoral Arthroplasty.

Arthrosc Tech 2020 Apr 3;9(4):e425-e433. Epub 2020 Mar 3.

Department of Orthopedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona.

Isolated patellofemoral arthritis is a common debilitating condition in adults older than 40 years of age. Surgical options such as patellofemoral arthroplasty exist for those who failed to respond to nonoperative treatment. However, early patellofemoral arthroplasty techniques often resulted in poor outcomes due to mal-tracking and malalignment of components. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188930PMC

Single-Incision Rotator Cuff Repair With a Needle Arthroscope.

Arthrosc Tech 2020 Apr 3;9(4):e419-e423. Epub 2020 Mar 3.

Orthopaedic Surgery Sports Medicine, Marshall University, Huntington, West Virginia, U.S.A.

Arthroscopy frequently has been used to treat a variety of shoulder conditions, including rotator cuff tears. Arthroscopic techniques, when compared with open techniques, are associated with less morbidity, leading to lower complication rates, easier recovery, and improved outcomes. As technology improves, we continue to develop less-invasive surgical techniques to treat rotator cuff pathology. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188932PMC

Outside-In Repair of Longitudinal Tear of Medial Meniscus: Suture Shuttle Technique.

Arthrosc Tech 2020 Apr 3;9(4):e407-e417. Epub 2020 Mar 3.

AKB Center for Arthroscopy, Sports Injuries and Regenerative Medicine, B&B Hospital, Gwarko, Nepal.

Meniscal tears are commonly encountered conditions of the knee. In the past, torn menisci were treated by excision of the loose flap. A better understanding of the meniscus anatomy and its biomechanical characteristics has led to the concept of meniscus preservation in eligible cases. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189025PMC

Erratum.

Authors:

Arthrosc Tech 2020 03 20;9(3):e405. Epub 2020 Mar 20.

[This corrects the article DOI: 10.1016/j.eats. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093730PMC

Erratum.

Authors:

Arthrosc Tech 2020 03 20;9(3):e405. Epub 2020 Mar 20.

[This corrects the article DOI: 10.1016/j.eats. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093727PMC

Single-Stage Arthroscopic Autologous Matrix-Enhanced Chondral Transplantation (AMECT) in the Hip.

Arthrosc Tech 2020 Mar 25;9(3):e399-e403. Epub 2020 Feb 25.

Department of Orthopaedic Surgery, University of Utah Orthopaedic Center, University of Utah, Salt Lake City, Utah, U.S.A.

Chondral defects of the acetabulum in patients with femoroacetabular impingement syndrome are an increasingly recognized cause of worse outcomes after treatment. Multiple procedures have been described for the treatment of hip cartilage lesions including microfracture, autologous chondrocyte implantation, matrix-induced autologous chondrocyte implantation, and autograft and allograft transplantation. However, many of these techniques have poor long-term outcomes, require multiple surgical procedures, or rely on planned preoperative identification of the chondral lesion. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093729PMC

The Outside-In, Percutaneous Release of the Medial Collateral Ligament for Knee Arthroscopy.

Arthrosc Tech 2020 Mar 25;9(3):e393-e397. Epub 2020 Feb 25.

University of Virginia Department of Orthopaedic Surgery, Charlottesville, Virginia, U.S.A.

The outside-in, percutaneous release of the medial collateral ligament (MCL) is a technique used to increase the medial tibiofemoral joint space during arthroscopy to facilitate the use of instrumentation and improve visualization without causing iatrogenic cartilage damage. A recent systematic review of the literature has shown this technique to be efficacious and safe, with no evidence of associated short- or long-term complications. This technique has been used for this indication by the senior author without requiring any deviation from our institution's standard protocol for knee arthroscopy. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093731PMC

Handheld Osteotomes Facilitate Arthroscopic Treatment of Elbow Valgus Extension Overload.

Arthrosc Tech 2020 Mar 25;9(3):e387-e391. Epub 2020 Feb 25.

Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.

Arthroscopic elbow surgery can be difficult due to the highly congruent nature of the joint and the surrounding neurovascular and ligamentous structures at risk. In a patient with valgus extension overload, posterior medial olecranon osteophytes must be removed safely to restore range of motion and alleviate pain. Arthroscopic burrs and shavers create significant debris, therefore limiting visualization, and their use has inherent risks to the surrounding structures that need to be preserved. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093706PMC

Lateral Decubitus Position for Arthroscopic Suprapectoral Biceps Tenodesis.

Authors:
David M Burt

Arthrosc Tech 2020 Mar 3;9(3):e379-e385. Epub 2020 Mar 3.

Midwest Sports Medicine Institute, Burr Ridge, Illinois, U.S.A.

The purpose of this report is to describe arthroscopic suprapectoral biceps tenodesis in the lateral decubitus position. Many technique descriptions for this procedure emphasize the beach-chair position to obtain optimal anterior subdeltoid visualization of the relevant anatomy. This is not required and may be less desirable or comfortable for a shoulder arthroscopist who prefers the lateral decubitus position. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093707PMC

Incisionless Partial Medial Meniscectomy.

Arthrosc Tech 2020 Mar 14;9(3):e375-e378. Epub 2020 Feb 14.

Department of Orthopaedic Surgery Sports Medicine, Marshall University, Charleston, West Virginia.

Knee arthroscopy has evolved greatly from its inception in the twentieth century. Of the many arthroscopic knee surgeries, meniscectomy is the most commonly performed. Arthroscopic meniscectomy is the most common orthopaedic surgical procedure performed in the United States. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093705PMC

Arthroscopic Primary Repair of the Anterior Cruciate Ligament With Single-Bundle Graft Augmentation.

Arthrosc Tech 2020 Mar 17;9(3):e367-e373. Epub 2020 Feb 17.

Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, NewYork-Presbyterian, Weill Medical College of Cornell University, New York, New York, U.S.A.

Recently, there has been a resurgence of interest in ligament preservation of the anterior cruciate ligament (ACL) that has the advantage of preserving the native tissue and maintaining proprioceptive function. Studies reporting outcomes of remnant-preserving ACL surgery have shown encouraging results with a higher potential for early healing and better functional outcomes compared with remnant-resecting surgery. Over the past decade, several surgical techniques for remnant preservation of the ACL have been proposed. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093703PMC

Complete Repair of Massive, Retracted, and "Non-Repairable" Tears of the Rotator Cuff: The Anatomic Vector Repair.

Authors:
Graeme P Whyte

Arthrosc Tech 2020 Mar 14;9(3):e357-e365. Epub 2020 Feb 14.

Cornell University, Weill Medical College; New York Presbyterian Hospital/Queens; and New York University School of Medicine, NYU Langone Orthopedic Hospital, New York, NY, U.S.A.

Massive and retracted tears of the supraspinatus and infraspinatus tendons of the rotator cuff are associated with great pain and disability and may be considered "non-repairable," depending on the extent of injury and the experience of the treating clinician. The technique of anatomic vector repair of the rotator cuff is a surgical treatment method that enables the surgeon to accurately characterize the injury pattern and successfully repair many of these debilitating injuries anatomically in a stepwise manner, often in cases that would have otherwise been treated with a less preferable surgical procedure that does not restore native anatomy. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093733PMC

Arthroscopic Iliac Bone Block Augmentation for Glenoid Reconstruction: Transglenoid Fixation Technique Using an All-Suture Anchor.

Arthrosc Tech 2020 Mar 17;9(3):e351-e356. Epub 2020 Feb 17.

Department of Orthopedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Medical College of Hallym University, Keunjaebong-gil, Hwaseong-si, Gyeonggi-do, Republic of Korea.

Arthroscopic Bankart repair of anterior instability has shown relatively good results, but its effectiveness is unclear in cases wherein there is a bone defect in the glenoid bone. The surgical management of recurrent anterior shoulder instability with severe glenoid bone loss has been challenging until now. Therefore the Latarjet procedure was introduced as an alternative that provided good results in cases of full instability with a bone defect. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093732PMC

Coracoclavicular Stabilization With Two Loops of Equal Tension Using a Double O Loops Technique in the Distal Clavicle Fracture.

Arthrosc Tech 2020 Mar 7;9(3):e345-e349. Epub 2020 Feb 7.

Department of Orthopaedic, Faculty of Medicine, Thammasat University, Prathumthani, Thailand.

The distal clavicle fracture is one of the most common injuries around the shoulder joint. There is no consensus regarding a gold standard treatment. Each technique has advantages and disadvantages. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093728PMC

Outerbridge-Kashiwagi Procedure for the Treatment of a Supracondylar Humerus Fracture Malunion (O-K Procedure).

Arthrosc Tech 2020 Mar 7;9(3):e339-e344. Epub 2020 Feb 7.

Department of Orthopedic Surgery, Columbia University Medical Center, New York, New York, U.S.A.

The Outerbridge-Kashiwagi (O-K) procedure has conventionally been used for the treatment of osteoarthritis of the elbow and to treat posttraumatic sequelae including posttraumatic arthritis, stiffness, contracture, and ulnar neuritis. The procedure involves exposure of the posterior elbow joint as well creating a window posteriorly through the olecranon fossa to target anterior aspects of the elbow. Several case series have shown the O-K procedure to have good functional outcomes with minimal complications. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093704PMC

Two-Stage Anterior Cruciate Ligament Reconstruction Revision Surgery for Severe Bone Defects With Anterolateral Ligament Reconstruction Technique.

Arthrosc Tech 2020 Mar 7;9(3):e327-e337. Epub 2020 Feb 7.

Begoña Hospital, Gijón, Spain.

Anterior cruciate ligament revision surgery poses a number of specific difficulties. These include the lack of bone mass to enable effective fixation of the reconstruction, morbidity of the donor area when bone autograft is used to fill the tunnels, and absence of the semitendinosus and gracilis homolateral tendons in cases in which they have already been used in the primary surgical procedure. To address all these problems, we describe a 2-stage revision technique that uses bone allograft for tunnel filling and Achilles allograft for ligament reconstruction. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093708PMC

The Chinese Knot Stitch Technique Using a Footprint Ultrasuture Anchor for Rotator Cuff Repair.

Arthrosc Tech 2020 Mar 7;9(3):e321-e326. Epub 2020 Feb 7.

Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University (The 909th Hospital of PLA), Zhangzhou, China.

Management of the rotator cuff presents specific challenges to orthopaedic surgeons. Several locking suture methods have been reported but often fail for a number of reasons. We describe a different technique that is easy to perform and inspired by the Chinese knot, an arthroscopic double-locking suture using a footprint ultrasuture anchor. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093700PMC

Anconeus-Sparing Minimally Invasive Approach for Lateral Ulnar Collateral Ligament Reconstruction in Posterolateral Elbow Instability.

Arthrosc Tech 2020 Mar 5;9(3):e315-e319. Epub 2020 Feb 5.

sporthopaedicum, Straubing and Regensburg and Department of Trauma Surgery, University Medical Center, Regensburg, Germany.

Posterolateral elbow instability with an insufficiency of the lateral ulnar collateral ligament commonly results from elbow trauma. However, other etiologies such as iatrogenic injuries after primary surgical treatment for lateral epicondylitis or repetitive corticosteroid injections also may lead to a lateral ulnar collateral ligament insufficiency. In these cases, surgical treatment can help to restore posterolateral stability of the elbow. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093701PMC

Achieving a Perfectly Spherical Femoroplasty: Pearls, Pitfalls, and Optimal Surgical Technique.

Arthrosc Tech 2020 Mar 21;9(3):e303-e313. Epub 2020 Feb 21.

American Hip Institute, Des Plaines, Illinois, U.S.A.

Femoroacetabular impingement describes a pathologic interaction between the bony femoral head/neck junction and acetabulum. Cam-type femoroacetabular impingement results from an aspherical femoral head architecture, which increases early contact along the acetabular surface during hip range of motion. Errant arthroscopic femoroplasty recently has been discussed within the literature to describe a preventable etiology of failed hip arthroscopy, most notably cam over- and under-resection. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093702PMC

Nanoscopic Single-Incision Anterior Labrum Repair.

Arthrosc Tech 2020 Mar 3;9(3):e297-e301. Epub 2020 Feb 3.

Orthopaedic Surgery Sports Medicine, Marshall University, Huntington, West Virginia, U.S.A.

Arthroscopy frequently has been used to treat a variety of shoulder conditions, including anterior labrum tears. Anterior labrum repair techniques have progressed from multiple incision techniques to most recently a single anterior working portal with a posterior viewing portal. With the development of the NanoScope (Arthrex, Naples, FL), we do not need to make a standard portal for viewing purposes. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093698PMC

Combined Anterior Cruciate Ligament Primary Repair With an Autograft Reconstruction.

Arthrosc Tech 2020 Mar 5;9(3):e291-e295. Epub 2020 Feb 5.

Clinique du Sport de Bordeaux-Mérignac, Mérignac, France.

Anterior cruciate ligament (ACL) reconstruction using an autograft gives good results that could provide improved failure rates. ACL augmentation saving the remnant has demonstrated advantages, such as saving vascular supply and nerve receptors, which could be useful for healing. Conversely, isolated repair techniques are gaining interest but do not give good results because structural augmentation is necessary to reinforce the repair and expect healing. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093699PMC

Anatomical Remnant-Preserving Double-Bundle ACL Reconstruction With a New Remnant Augmentation Technique.

Arthrosc Tech 2020 Feb 24;9(2):e283-e290. Epub 2020 Jan 24.

Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University School of Medicine, Matsumoto, Japan.

Anterior cruciate ligament (ACL) remnant preservation techniques have been recently introduced for covering the graft with remnant to improve the clinical results of ACL reconstruction. Several theoretical advantages exist for this technique; however, clinical results remain inconsistent and controversial. We have focused on the biomechanical function of the remnant and have been performing a new remnant-preserving reconstruction procedure that augments the graft with residual remnant. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029215PMC
February 2020

Arthroscopic Superior Capsular Reconstruction by the Mini-Open Modified Keyhole Technique Using an Achilles Tendon-Bone Allograft.

Arthrosc Tech 2020 Feb 24;9(2):e275-e281. Epub 2020 Jan 24.

Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, Korea.

The treatment of massive and irreparable rotator cuff tears remains a challenge for shoulder surgeons. When treating patients with chronic rotator cuff tears, especially those with severe fatty degeneration, severe tendon retraction, or muscle atrophy, the risk of re-tear and persistent severe pain persists. Therefore, surgeons can choose from numerous options. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029195PMC
February 2020

Latissimus Dorsi Tendon Repair.

Arthrosc Tech 2020 Feb 24;9(2):e267-e273. Epub 2020 Jan 24.

Department of Orthopedic Surgery, Columbia University Medical Center, New York, New York, U.S.A.

Latissimus dorsi tendon ruptures are less-common injuries that can occur in elite throwing athletes. Physical examination of the thrower with a latissimus injury may show ecchymosis of the upper arm and asymmetry of the posterior axillary fold along with possible weakness in shoulder adduction, extension, and internal rotation. Magnetic resonance imaging is used to confirm the diagnosis. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029196PMC
February 2020

Knee Arthroscopy: The "Crevice Sign," a New Pathognomonic Sign for Unstable Posterior Medial Meniscal Tear in Anterior Cruciate Ligament-Deficient Knees.

Arthrosc Tech 2020 Feb 22;9(2):e263-e265. Epub 2020 Jan 22.

Department of Orthopaedics, Middlemore Hospital, Auckland, New Zealand.

There has been increased emphasis on medial meniscus repair in the anterior cruciate ligament-reconstructed knee, as this improves stability. We describe an arthroscopic sign of an unstable medial meniscal tear that is diagnostic. The "crevice sign" is a longitudinal fissure located on the distal medial femoral condyle. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029181PMC
February 2020

Anterior Cruciate Ligament Reconstruction Using a Ribbon-Like Graft With a C-Shaped Tibial Bone Tunnel.

Arthrosc Tech 2020 Feb 22;9(2):e247-e262. Epub 2020 Jan 22.

Research Unit for Orthopaedic Sports Medicine and Injury Prevention, UMIT, Hall, Austria.

According to recent anatomic studies, the anterior cruciate ligament (ACL) appears to be a flat, "ribbon-like" structure, with a thin, oval-shaped insertion on the femur and a C-shaped tibial insertion. According to this anatomy, we describe an ACL-reconstruction technique that aims to approximate this natural anatomy. The basic principle of this technique is not to use conventional round tunnels but create tunnel shapes that resemble more closely the original ACL insertion sites. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029192PMC
February 2020

Osteochondral Allograft Implantation Using the Smith-Peterson (Anterior) Approach for Chondral Lesions of the Femoral Head.

Arthrosc Tech 2020 Feb 7;9(2):e239-e245. Epub 2020 Feb 7.

American Hip Institute Research Foundation, Des Plaines, Illinois, U.S.A.

Management of chondral lesions of the femoral head can be challenging. Previously described approaches include arthroscopic surgery for small lesions and open surgical dislocation for larger lesions. In 2001, Ganz popularized the trochanteric flip osteotomy for surgical dislocation, and this remains the workhorse for treatment of large chondral lesions. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029180PMC
February 2020

Arthroscopic, Nonrigid Fixation of a Displaced Glenoid Fracture After Anterior Shoulder Dislocation.

Arthrosc Tech 2020 Feb 21;9(2):e233-e237. Epub 2020 Jan 21.

Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

Glenoid rim fractures are recognized as a risk factor for recurrent instability after anterior shoulder dislocation. In addition to traditional open treatments of bony Bankart lesions, several arthroscopic techniques of fixation and reconstruction recently have been described. We present a technique of arthroscopic nonrigid fixation for large glenoid rim fractures, as an alternative to existing procedures. Read More

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http://dx.doi.org/10.1016/j.eats.2019.10.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029179PMC
February 2020