1,245 results match your criteria Arthroscopy techniques[Journal]


Periportal Capsulotomy: A Technique for Limited Violation of the Hip Capsule During Arthroscopy for Femoroacetabular Impingement.

Arthrosc Tech 2019 Feb 28;8(2):e205-e208. Epub 2019 Jan 28.

Department of Orthopaedic Surgery, University of California-San Francisco, San Francisco, California, U.S.A.

Hip arthroscopy has become the standard treatment for symptomatic femoroacetabular impingement as patients have shown good outcomes and high satisfaction with this intervention. However, capsular management to gain access for intra-articular procedures remains greatly debated. Capsular closure is advocated particularly in the setting of interportal or T-capsulotomy to avoid complications of instability or nonhealing capsule. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411513PMC
February 2019

The X-Pulley Technique for Subpectoral Long Head of the Biceps Tenodesis Using All-Suture Anchors.

Arthrosc Tech 2019 Feb 28;8(2):e189-e197. Epub 2019 Jan 28.

Rowley Bristow Orthopaedic Unit, Ashford & St Peter's Hospitals National Health Service Foundation Trust, Chertsey, England.

Subpectoral long head of the biceps tenodesis is gaining popularity as a technique for treating patients with various pathologies of the tendon or its anchor to the superior labrum. It has the added advantage of addressing bicipital groove pathologies. Various techniques for performing it have been described, but none is without problems. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411516PMC
February 2019
3 Reads

Arthroscopic Transosseous Anchorless Rotator Cuff Repair Using the X-Box Technique.

Arthrosc Tech 2019 Feb 28;8(2):e175-e181. Epub 2019 Jan 28.

Shouldercare, Bern, Switzerland.

We describe a reproducible, step-by-step arthroscopic technique for anchorless transosseous rotator cuff repair using an X-box configuration with the Arthrotunneler device. The technique uses 2 bone tunnels and 4 high-strength sutures and is suitable for medium to large tears of the supra- and infraspinatus that would alternatively need a double-row repair with 4 anchors. Biomechanically, results appear to be similar as for anchored transosseous equivalent techniques. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411501PMC
February 2019

Arthroscopic Trillat Coracoid Transfer Procedure Using a Cortical Button for Chronic Anterior Shoulder Instability.

Arthrosc Tech 2019 Feb 28;8(2):e199-e204. Epub 2019 Jan 28.

Shoulder Unit, Clinique Bizet, Paris, France.

The Trillat procedure has been proposed to treat chronic anterior shoulder instability by performing a closing wedge osteotomy of the coracoid process fixed with a coracoscapular screw above the subscapularis. The goal of this osteotomy is to distalize and medialize the coracoid tip to place the conjoint tendon in front of the glenohumeral joint. This in turn distalizes and reinforces the subscapularis in abduction and allows the conjoint tendon to act as a sling and push the humeral head posteriorly. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410926PMC
February 2019

Labral Repair of the Acetabulum Using a Toggle Suture Technique.

Authors:
Carl H Wierks

Arthrosc Tech 2019 Feb 28;8(2):e183-e188. Epub 2019 Jan 28.

West Michigan Orthopaedics, Grand Rapids, Michigan, U.S.A.

Acetabular labral repair requires positioning the labrum on the edge of the acetabulum with appropriate tension and rotation to recreate the suction seal with the femoral head. Considering that the labrum is a triangular shape in cross-section, rotation of the articular face of the labrum relative to the femoral head also affects the suction seal. The purpose of the toggle suture technique described herein is to control the rotation of the labrum to allow the articular face to directly contact the femoral head and optimize the suction seal. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183017
Publisher Site
http://dx.doi.org/10.1016/j.eats.2018.10.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410683PMC
February 2019
3 Reads

Combined Anterior Cruciate Ligament, Medial Collateral Ligament, and Posterior Oblique Ligament Reconstruction Through Single Tibial Tunnel Using Hamstring Tendon Autografts.

Authors:
Naser M Selim

Arthrosc Tech 2019 Feb 22;8(2):e163-e173. Epub 2019 Jan 22.

Knee Surgery-Arthroscopy and Sports Injuries Unit, Orthopedic Department, Mansoura University, Mansoura, Egypt.

Combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries are the most common type of combined ligamentous injury of the knee. The optimal treatment for these combined injuries is controversial. Combined ACL and MCL-posterior oblique ligament (POL) reconstruction avoids late anteromedial rotatory instability and chronic valgus instability of the knee and decreases the increased stress on the ACL graft. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412168PMC
February 2019
2 Reads

Anatomic Reconstruction of the Posterolateral Corner: An All-Arthroscopic Technique.

Arthrosc Tech 2019 Feb 21;8(2):e153-e161. Epub 2019 Jan 21.

Department of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Injuries of the posterolateral corner (PLC) of the knee lead to chronic lateral and external rotational instability. Successful treatment of PLC injuries requires an understanding of the complex anatomy and biomechanics of the PLC. Several open PLC reconstruction techniques have been published. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410677PMC
February 2019

Primary Acromioclavicular-Coracoclavicular Reconstruction Using 2 Allografts, TightRope, and Stabilization to the Acromion.

Arthrosc Tech 2019 Feb 21;8(2):e147-e152. Epub 2019 Jan 21.

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

Acromioclavicular (AC) joint injuries are a common cause of shoulder pain, particularly among young athletes participating in contact sports. Injuries to the AC joint most commonly occur from direct impact at the acromion and are classified as types I to VI. Although most AC joint injuries can be treated nonoperatively, types IV to VI are best treated with surgery, with type III being controversial and most surgeons recommending an initial trial of nonoperative treatment. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410558PMC
February 2019

Fibular Collateral Ligament Reconstruction in Adolescent Patients.

Arthrosc Tech 2019 Feb 21;8(2):e141-e145. Epub 2019 Jan 21.

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

Fibular collateral ligament (FCL) injuries can present as lateral-sided knee pain with feelings of side-to-side instability during activity. Patients with FCL injuries can have accompanying symptoms related to irritation of the common peroneal nerve. Preoperative diagnosis is imperative and should include a thorough physical examination complemented with varus stress radiographs before surgical reconstruction is indicated. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410578PMC
February 2019

Tips and Pearls for All-Inside Medial Meniscus Repair.

Arthrosc Tech 2019 Feb 21;8(2):e131-e139. Epub 2019 Jan 21.

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

The medial meniscus is one of the most commonly injured structures in the knee. When the importance of its proper function is well understood, an adequate management in meniscus tear is a key issue for whole knee joint well-being. Although it has been proven that meniscal repairs have better long-term results than meniscectomy, there is still no consensus as to which suturing technique is the best. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410637PMC
February 2019

Arthroscopic All-Intra-articular Revision Eden-Hybinette Procedure for Recurrent Instability After Coracoid Transfer.

Arthrosc Tech 2019 Feb 14;8(2):e121-e130. Epub 2019 Jan 14.

Division of Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals Trust, Cambridge, United Kingdom.

Failure, in the form of recurrent shoulder instability, following a coracoid transfer procedure presents a challenging problem. Successful treatment with a revision Eden-Hybinette procedure, by both an open and arthroscopic approach using screws to secure the bone graft, has previously been reported. However, both the open and arthroscopic approach have required careful dissection through the distorted soft-tissue anatomy in the anterior compartment in front of subscapularis to gain access to the front of the glenoid through a muscle split. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410421PMC
February 2019

Endoscopic Release of Posterior Tibial Tendon Sheath for Stenosing Tenosynovitis of Posterior Tibial Tendon.

Arthrosc Tech 2019 Feb 14;8(2):e117-e120. Epub 2019 Jan 14.

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

Stenosing tenosynovitis of the posterior tibial tendon is a cause of posteromedial ankle pain. Conservative treatment is often ineffective, and surgery is usually required for alleviation of symptoms. Stenosis of the tendon sheath can be overcome by release of the tendon sheath or deepening of the retromalleolar groove. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410345PMC
February 2019
1 Read

Endoscopic Ganglionectomy and Release of the Sixth Extensor Compartment.

Arthrosc Tech 2019 Feb 14;8(2):e111-e115. Epub 2019 Jan 14.

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

Stenosing tenosynovitis of the extensor carpi ulnaris is one of the causes of dorsoulnar wrist pain. Conservative treatment is usually effective to alleviate the pain. Surgical release of the retinaculum of the sixth extensor compartment is indicated if conservative treatment cannot alleviate the pain. Read More

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http://dx.doi.org/10.1016/j.eats.2018.10.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410419PMC
February 2019
1 Read

Endoscopic Management of Nonunion of the Tuberosity of the Fifth Metatarsal.

Arthrosc Tech 2019 Feb 7;8(2):e105-e109. Epub 2019 Jan 7.

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

Tuberosity avulsion fractures of the fifth metatarsal are common and the lateral band of the plantar aponeurosis as the structure more likely to cause these fractures. Most tuberosity avulsion fractures heal by 8 weeks with conservative treatment. Symptomatic nonunion can occasionally occur. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183016
Publisher Site
http://dx.doi.org/10.1016/j.eats.2018.10.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410346PMC
February 2019
2 Reads

A Technique for Arthroscopic Osteochondral Autograft Transplantation of the Hip.

Arthrosc Tech 2019 Feb 7;8(2):e101-e104. Epub 2019 Jan 7.

Rijnstate Hospital, Arnhem, The Netherlands.

Osteochondritis dissecans of the hip is a rare condition with limited treatment options. For patients who have undergone arthroscopic microfracture and chondroplasty, long-term results showing clinical improvement are scarce. Although open osteochondral grafting is a demanding and invasive procedure, promising results are reported after short-term follow-up. Read More

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http://dx.doi.org/10.1016/j.eats.2018.09.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410343PMC
February 2019
1 Read

Transcoracoacromial Ligament Glenohumeral Injection Technique Using Bony Surface Landmarks.

Arthrosc Tech 2019 Feb 7;8(2):e97-e100. Epub 2019 Jan 7.

Department of Orthopaedic Surgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.

Intra-articular glenohumeral injection is an important technique used to diagnose and treat shoulder disorders. However, it is frequently performed as an image-guided technique with the use of fluoroscopy, ultrasound, computed tomography, or magnetic resonance. The purpose of this Technical Note is to describe a transcoracoacromial ligament glenohumeral injection technique that uses anatomic surface landmarks to avoid the need for radiographic guidance. Read More

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http://dx.doi.org/10.1016/j.eats.2018.09.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410342PMC
February 2019
1 Read

The Pie-Crusting Technique for Capsular Management During Hip Arthroscopy.

Arthrosc Tech 2019 Jan 1;8(1):e93-e96. Epub 2019 Jan 1.

Cedars Sinai Kerlan Jobe Institute, Santa Monica, California, U.S.A.

Hip arthroscopy is commonly performed for the treatment of femoroacetabular impingement and labral pathology. When arthroscopy for femoroacetabular impingement is performed, a capsulotomy is often utilized to maximize access and allow for improved visualization. When an extended interportal or T capsulotomy is performed, the iliofemoral ligament is transected, which can lead to micro or gross instability. Read More

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http://dx.doi.org/10.1016/j.eats.2018.09.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408742PMC
January 2019

Distal Triceps Rupture Repair: The Triceps Pulley-Pullover Technique.

Arthrosc Tech 2019 Jan 1;8(1):e85-e91. Epub 2019 Jan 1.

Rowley Bristow Unit, Ashford and St Peter's NHS Trust, Chertsey, United Kingdom.

Distal triceps rupture is an uncommon but debilitating injury, and surgical fixation is almost invariably warranted. A number of techniques have been described in the literature in which combinations of transosseous tunnels and bone anchors have been used. We describe a modification to existing techniques-the triceps pulley-pullover technique with all-suture anchors. Read More

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http://dx.doi.org/10.1016/j.eats.2018.09.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408749PMC
January 2019

Arthroscopic Management of Osteochondral Lesion of Plantar Medial Talar Head.

Arthrosc Tech 2019 Jan 1;8(1):e81-e84. Epub 2019 Jan 1.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, People's Republic of China.

Osteochondral lesions of the talar head can be classified into 4 types: type 1 is located at the anterior part of the talar head, type 2 is at the plantar side of the talar head, type 3 is at the plantar lateral side of the talar head, and type 4 is at the plantar medial aspect of the talar head. The purpose of this Technical Note is to describe the details of arthroscopic management of an osteochondral lesion of the plantar medial talar head. It includes arthroscopic synovectomy of the medial recess of the anterior subtalar joint, debridement, and microfracture of the osteochondral lesion. Read More

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http://dx.doi.org/10.1016/j.eats.2018.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408699PMC
January 2019

Open Repair of Acute Proximal Adductor Magnus Avulsion.

Arthrosc Tech 2019 Jan 24;8(1):e75-e80. Epub 2018 Dec 24.

Steadman Hawkins Clinic-Denver, Greenwood Village, Colorado, U.S.A.

Hip adduction is accomplished through coordinated effort of the adductor magnus, brevis, and longus and the obturator externus and pectineus muscles. Each of these muscles may be injured at its proximal or distal insertion or in its midsubstance. The incidence of injuries to the adductor complex is difficult to determine in sport because of players' underreporting and playing through minor strains. Read More

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http://dx.doi.org/10.1016/j.eats.2018.09.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408720PMC
January 2019

Posterior Horn Repair Augmented With the Central Portion of Thickened Meniscus for Large Posterolateral Corner Loss Type of Discoid Lateral Meniscus.

Arthrosc Tech 2019 Jan 24;8(1):e65-e73. Epub 2018 Dec 24.

Department of Orthopaedic Surgery, Yonsei Sulgee Hospital, Seoul, Republic of Korea.

Large posterolateral corner loss type of discoid lateral meniscus tear is unsalvageable. Therefore, subtotal meniscectomy has been the only treatment option in this case. However, long-term results of subtotal or total meniscectomy have shown a high prevalence of early degenerative changes. Read More

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http://dx.doi.org/10.1016/j.eats.2018.09.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408741PMC
January 2019
1 Read

Medial Quadriceps Tendon Femoral Ligament Reconstruction Technique and Surgical Anatomy.

Arthrosc Tech 2019 Jan 24;8(1):e57-e64. Epub 2018 Dec 24.

Orthopedic Associates of Hartford, Hartford, Connecticut, U.S.A.

Medial patellofemoral ligament reconstruction risks patellar fracture with the osseous violation necessary for patellar attachment. Anatomic studies identify an entire medial patellofemoral complex of structures responsible for medial restraint to patellar lateral instability. One specific component of this complex is the medial quadriceps tendon femoral ligament (MQTFL). Read More

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http://dx.doi.org/10.1016/j.eats.2018.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408716PMC
January 2019

Arthroscopic Superior Capsular Reconstruction With Acellular Dermal Allograft Using Push-In Anchors for Glenoid Fixation.

Arthrosc Tech 2019 Jan 17;8(1):e51-e55. Epub 2018 Dec 17.

Midwest Orthopedic Specialty Hospital, Franklin, Wisconsin, U.S.A.

Massive irreparable rotator cuff tears in the younger, active patient can be one of the most challenging pathologies to treat in shoulder surgery. Over the last few years, the superior capsular reconstruction (SCR) technique, which has shown favorable initial clinical results, has emerged as a promising new technique that aims to restore glenohumeral mechanics and improve patient function. SCR can be technically challenging, and improvements have been made consistently to the technique. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408621PMC
January 2019

Permanently Avoiding Steam on Camera for Arthroscopy by a Simple Device.

Arthrosc Tech 2019 Jan 17;8(1):e47-e49. Epub 2018 Dec 17.

Institution of Orthopaedics, Xijing Hospital, Air Force Medical University, Xi'an, People's Republic of China.

Steam on the camera may happen in any arthroscopic procedure, especially in shoulder arthroscopy. Although multiple techniques and devices have been applied to avoid steam, it still cannot be prevented completely. We designed a simple device to terminate this problem by protecting against the ingress of water. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408692PMC
January 2019

How to Succeed in Arthroscopic Anterior Cruciate Ligament Primary Repair? Step-by-Step Technique.

Arthrosc Tech 2019 Jan 17;8(1):e37-e46. Epub 2018 Dec 17.

Department of Orthopedic Surgery, Centre Osteoarticulaire des Cèdres, Grenoble, France.

Historically, poor results of open primary repair of anterior cruciate ligament (ACL) injuries have been reported. It has recently been recognized that favorable outcomes of primary ACL repair are possible when selectively performed in patients with proximal tears and good tissue quality. Moreover, with arthroscopic technological advances, primary repair can be a valuable treatment option for patients with proximal tears. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408695PMC
January 2019
1 Read

Arthroscopic Bony Bankart Repair Using a Double-Row Double-Pulley Technique.

Arthrosc Tech 2019 Jan 10;8(1):e31-e36. Epub 2018 Dec 10.

Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

We propose an arthroscopic technique called "double-row double-pulley" to restore a bony Bankart lesion. This technique is a 2-point fixation construct using the sutures from a medial row anchor at the glenoid neck to wrap around the bony Bankart fragment and tie to the sutures from a lateral row anchor at the glenoid rim with the double-pulley method. This technique may present some difficulty with suture management, but there are several advantages. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408688PMC
January 2019

Combined Anterior Cruciate Ligament Repair and Anterolateral Ligament Reconstruction.

Arthrosc Tech 2019 Jan 10;8(1):e23-e29. Epub 2018 Dec 10.

Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Hôpital Privé Jean Mermoz, Groupe Ramsay GDS, Lyon, France.

There has been a renewed interest in anterior cruciate ligament (ACL) repairs over the last decade with some early promising results in the right patient population. Additionally, the anterolateral ligament has been extensively studied and has recently been shown to have a protective effect on standard ACL reconstructions in a clinical trial. Given its protective effect on ACL reconstructions, we believe this phenomenon is also relevant to ACL repairs and can decrease rerupture rates. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183015
Publisher Site
http://dx.doi.org/10.1016/j.eats.2018.08.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408622PMC
January 2019
3 Reads

An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position.

Arthrosc Tech 2019 Jan 10;8(1):e17-e21. Epub 2018 Dec 10.

Department of Orthopaedics, Stony Brook University School of Medicine, Stony Brook, New York, U.S.A.

Distal clavicle fractures and acromioclavicular injuries are common shoulder injuries. Despite the frequency of these injuries, there is no gold standard for treatment. Recent suspensory fixation techniques have minimized the amount of hardware required for surgical treatment of both acromioclavicular separations and distal clavicle fractures. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408589PMC
January 2019
1 Read

Peroneal Tendoscopic Debridement and Endoscopic Groove Deepening in the Prone Position.

Arthrosc Tech 2019 Jan 3;8(1):e11-e16. Epub 2018 Dec 3.

Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.

Tendoscopy of the peroneal tendon is a promising procedure for the treatment of peroneal tendon pathology and its disorders. This procedure is minimally invasive with less physical morbidity and early functional rehabilitation. The present report demonstrates the techniques of peroneal tendoscopic debridement and endoscopic groove deepening in the prone position to treat peroneal tenosynovitis and low-lying muscle belly of peroneus brevis with a shallow and flat surface of the retro-malleolar groove. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408620PMC
January 2019
1 Read

Posterior Cruciate Ligament Repair With Suture Tape Augmentation.

Arthrosc Tech 2019 Jan 3;8(1):e7-e10. Epub 2018 Dec 3.

University of Stirling, Stirling, Scotland.

The posterior cruciate ligament (PCL) acts as the primary restraint to posterior tibial translation of the knee. Injuries to the PCL are rare in isolation and more often are associated with multiligament injuries to the knee. Several PCL reconstruction and PCL repair techniques have been described in the literature, but no single technique has been shown to be the most superior. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408582PMC
January 2019

Medial Patellofemoral Ligament Repair With Suture Tape Augmentation.

Arthrosc Tech 2019 Jan 3;8(1):e1-e5. Epub 2018 Dec 3.

University of Stirling, Stirling, Scotland.

The medial patellofemoral ligament (MPFL) is the main restraining force in the first 20° of flexion against lateral patellar displacement and is disrupted after patellar subluxation or dislocation. MPFL reconstruction is frequently performed when conservative management fails and the patient has recurrent patellar dislocations. However, a variety of complications have been reported in the literature with this procedure. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408510PMC
January 2019

Knotless "Suture Staple" Technique for Endoscopic Partial Thickness Abductor Tendon Repair.

Arthrosc Tech 2018 Oct 1;7(10):e975-e980. Epub 2018 Sep 1.

American Hip Institute, Chicago, Illinois, U.S.A.

Transtendinous abductor tendon repair is a technique the authors described previously to diagnose and treat undersurface tears of the abductor tendons. In this surgical technique article, the authors describe a technique for knotless repair of undersurface tears of the abductor tendons that does not require a transtendinous split or suture passage through the abductor tendon. Because there is no suture passage through the abductor tendon or knot tying, the potential advantages include expeditious technique, compression of tendon against bony footprint, anatomic repair, and avoidance of knots facing the undersurface of the iliotibial band, which may lead to bursal irritation. Read More

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http://dx.doi.org/10.1016/j.eats.2018.06.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205088PMC
October 2018
1 Read

Carbon Dioxide Insufflation of the Knee in the Treatment of Full-Thickness Chondral Defects With Micronized Human Articular Cartilage.

Arthrosc Tech 2018 Oct 1;7(10):e969-e973. Epub 2018 Sep 1.

Cedars-Sinai Kerlan-Jobe Institute, Santa Monica, California, U.S.A.

BioCartilage (BC) is dehydrated, minced human hyaline articular cartilage that was developed as an adjunct to microfracture surgery to help stimulate the bone marrow and stem cells to form hyaline-like tissue in full-thickness chondral defects. The minced pieces of BC require a dry environment for application and can easily be disrupted by residual moisture of saline solution in the surrounding tissues. We present a technique of carbon dioxide insufflation during knee arthroscopy as a means of maintaining a dry environment for preparation of the bony bed during BC augmentation of microfracture surgery. Read More

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http://dx.doi.org/10.1016/j.eats.2018.05.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205084PMC
October 2018

Anterolateral Ligament Repair With Suture Tape Augmentation.

Arthrosc Tech 2018 Dec 26;7(12):e1311-e1314. Epub 2018 Nov 26.

University of Stirling, Stirling, Scotland.

Recent insights into the structure and function of the anterolateral ligament (ALL) of the knee has resulted in a recognition of its contribution in rotational control of the knee. Several ALL reconstruction techniques have been described in the literature. This article describes, with video illustration, a percutaneous repair technique using suture tape augmentation. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306291PMC
December 2018

Proximal Tibiofibular Reconstruction in Adolescent Patients.

Arthrosc Tech 2018 Dec 26;7(12):e1305-e1310. Epub 2018 Nov 26.

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

Instability of the proximal tibiofibular joint (PTFJ) can present as frank dislocations, vague symptoms of lateral knee pain, discomfort during activity, or symptoms related to irritation of the common peroneal nerve. An accurate preoperative diagnosis is imperative and should include a trial of taping of the PTFJ for a 4- to 6-week time frame before surgical reconstruction is indicated. In the adolescent population, surgical planning can be complicated by the presence of open physes; therefore, caution must be taken to avoid drilling through or placing screw fixation across the physes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183014
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http://dx.doi.org/10.1016/j.eats.2018.08.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305905PMC
December 2018
9 Reads

Posterolateral Corner Repair With Suture Tape Augmentation.

Arthrosc Tech 2018 Dec 26;7(12):e1299-e1303. Epub 2018 Nov 26.

University of Stirling, Stirling, Scotland.

The posterolateral corner (PLC) of the knee is the main restraint to varus forces of the knee as well as posterolateral rotation of the tibia relative to the femur. Primary PLC repairs have been associated with a high failure rate in past literature. However, with modern improved arthroscopic instrumentation and devices, there has been a renewed interest in repair of the ligaments around the knee. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306281PMC
December 2018

Alternate Method of Arthroscopically Confirming Femoral Button Deployment for Knee Anterior Cruciate Ligament Graft Suspensory Cortical Fixation.

Arthrosc Tech 2018 Dec 19;7(12):e1295-e1298. Epub 2018 Nov 19.

Department of Orthopaedics Unit 3, Christian Medical College, Vellore, India.

Accurate deployment of the femoral button on the lateral aspect of the lateral femoral condyle when using a suspensory fixation device for anterior cruciate ligament reconstruction is ideal. Direct visualization would be the most appropriate method of visualization in the lateral gutter. A previously described technique is performed with the knee in flexion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183014
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http://dx.doi.org/10.1016/j.eats.2018.08.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305945PMC
December 2018
1 Read

Augmentation of Anterior Cruciate Ligament Reconstruction With Bone Marrow Concentrate and a Suture Tape.

Arthrosc Tech 2018 Dec 19;7(12):e1289-e1293. Epub 2018 Nov 19.

Marshall University, Scott Depot, West Virginia, U.S.A.

The use of biological agents in sports medicine is increasing rapidly. The use of bone marrow concentrate has recently increased in popularity owing to the presence of mesenchymal stem cells. These stem cells combined with Allosync Pure (Arthrex, Naples, FL) could lead to better incorporation and healing. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305961PMC
December 2018
1 Read

Mini-open Repair of the Floating Anterior Inferior Glenohumeral Ligament: Combined Treatment of Bankart and Humeral Avulsion of the Glenohumeral Ligament Lesions.

Arthrosc Tech 2018 Dec 19;7(12):e1281-e1287. Epub 2018 Nov 19.

The Steadman Clinic, Vail, Colorado, U.S.A.

Anterior shoulder instability often results from avulsion of the anterior inferior glenohumeral ligament (aIGHL) off its insertion on the glenoid, yielding a Bankart lesion. Although less common, avulsion of the ligament attachment to the humerus results in a humeral avulsion of the glenohumeral ligament (HAGL) lesion. Combined Bankart and HAGL lesions, also termed the "floating aIGHL," create a complex pathology that is not detailed significantly in the literature. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183014
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http://dx.doi.org/10.1016/j.eats.2018.08.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305904PMC
December 2018
2 Reads

Endoscopic Sacrolumbar Facet Joint Denervation in Osteoarthritic and Degenerated Zygapophyseal Joints.

Arthrosc Tech 2018 Dec 12;7(12):e1275-e1279. Epub 2018 Nov 12.

Department for Orthopedic Surgery, University Hospital Bonn, Bonn, Germany.

Chronic low-back pain (CLBP) has an increasing incidence and yields a tremendous health economic burden. There are different anatomic structures that may be responsible for CLBP, such as lumbar intervertebral discs, sacroiliac joints, nerve root dura, fascia, ligaments, and muscles. However, to a large extent, CLBP is associated with structural changes in and around the facet (zygapophyseal) joint. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305902PMC
December 2018

Cryopreserved, Viable Osteochondral Allograft for the Treatment of a Full-Thickness Cartilage Defect of the Glenoid.

Arthrosc Tech 2018 Dec 12;7(12):e1269-e1273. Epub 2018 Nov 12.

Cedars-Sinai Kerlan-Jobe Institute, Santa Monica, California, U.S.A.

Glenoid chondral injuries constitute challenging injuries to treat because of the limited access and the limited options and evidence available for their resolution. The purpose of this Technical Note is to describe the procedure, pearls, and pitfalls of implantation of a cryopreserved osteochondral allograft (Cartiform) for the treatment of full-thickness cartilage defects of the shoulder. Cartiform is a cryopreserved osteochondral allograft composed of chondrocytes, chondrogenic growth factors, and extracellular matrix proteins that can be implanted through a single-stage procedure. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306272PMC
December 2018

Transcapsular Decompression of Shoulder Ganglion Cysts.

Arthrosc Tech 2018 Dec 12;7(12):e1263-e1267. Epub 2018 Nov 12.

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

Paralabral cysts are an increasingly recognized cause of suprascapular nerve (SSN) impingement, often causing insidious weakness in the rotator cuff. Compression at the suprascapular notch is often due to the presence of a SLAP tear and leads to pain, weakness, and atrophy of both the supraspinatus and infraspinatus muscles. Compression of the SSN at the spinoglenoid notch leads to weakness and atrophy of the infraspinatus only. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183013
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http://dx.doi.org/10.1016/j.eats.2018.08.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305895PMC
December 2018
2 Reads

Endoscopic Synovectomy of the Ulnar Bursa of the Palm of the Hand.

Arthrosc Tech 2018 Dec 5;7(12):e1257-e1261. Epub 2018 Nov 5.

Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Tuen Mun, China.

Synovitis of the ulnar bursa is associated with tenosynovitis of the flexor tendons. Reported causes include suppurative or tuberculous infection, rheumatoid arthritis, and pigmented villonodular synovitis. Open synovectomy requires extensive soft-tissue dissection and may result in extensive scarring. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305889PMC
December 2018
3 Reads

Microfracture in Linear, Isolated, Narrow, Engaging Hill-Sachs Lesion.

Arthrosc Tech 2018 Dec 5;7(12):e1249-e1255. Epub 2018 Nov 5.

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea.

Treatment of Hill-Sachs lesions is still controversial despite the frequent incidence in patients with recurrent shoulder dislocation. We report the use of arthroscopic microfracture for the treatment of recurrent shoulder dislocation with a linear, isolated, narrow, engaging Hill-Sachs lesion. Arthroscopic microfracture can be an alternative treatment option to obtain healing of defects and avoid external rotation limitation in young, active patients with recurrent dislocation with linear, isolated, narrow, engaging lesions. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305872PMC
December 2018
2 Reads

Tendoscopic Synovectomy of Tibialis Anterior Tendon of the Ankle.

Arthrosc Tech 2018 Dec 5;7(12):e1243-e1248. Epub 2018 Nov 5.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, China.

Tenosynovitis of the tibialis anterior tendon may occur as an overuse injury due to repetitive foot dorsiflexion. Most cases respond to conservative treatment with rest, shoe modification, anti-inflammatory agents, and physical therapy. Surgery may be required for chronic cases recalcitrant to conservative treatment. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305870PMC
December 2018
2 Reads

Anterior Glenohumeral Capsular Reconstruction Using a Human Acellular Dermal Allograft.

Arthrosc Tech 2018 Nov 29;7(11):e1235-e1241. Epub 2018 Oct 29.

Dalhousie University, Halifax, Nova Scotia, Canada.

Anterior capsular reconstruction needs to be done for most cases of anterior shoulder instability. Several surgical techniques using tendinous allografts and autografts have been used for the treatment of anterior glenohumeral capsular reconstruction. However, the outcomes of these procedures are not satisfactory. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261715PMC
November 2018
3 Reads

Ariadne's Thread: An Easy Way to Find Your Way Back to the Glenohumeral Joint Through the Posterior Portal Once You Have Left.

Arthrosc Tech 2018 Nov 29;7(11):e1231-e1234. Epub 2018 Oct 29.

Department of Orthopedics, University of Zurich, Balgrist University Hospital, Zurich, Switzerland.

Finding the way back into the glenohumeral space after a time-consuming rotator cuff reconstruction is not always easy because of swelling of the surrounding soft tissues. We present a safe and quick technical tip on how to reintroduce the arthroscope by means of a transarticular suture. After primary work in the glenohumeral space is performed and before the arthroscope is withdrawn from the joint, a monofilament suture is channeled from the anterior working portal through the glenohumeral joint to exit from the posterior portal. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262757PMC
November 2018
2 Reads

Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction With Independent Suture Tape Reinforcement.

Authors:
Michael G Saper

Arthrosc Tech 2018 Nov 29;7(11):e1221-e1229. Epub 2018 Oct 29.

Department of Orthopedics and Sports Medicine, Seattle Children's Hospital; and Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington, U.S.A.

Anterior cruciate ligament (ACL) injuries are common among adolescent athletes and are rising with increased participation in higher level athletics at earlier ages. In these young patients, often with open physes, soft tissue grafts continue to be the primary graft choice for ACL reconstruction. Reinjury continues to be a concern in this high-risk age group, with failure rates 2 to 3 times higher than in adults. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262756PMC
November 2018
1 Read

Technique for Arthroscopically Assisted Superficial and Deep Medial Collateral Ligament-Meniscotibial Ligament Repair With Internal Brace Augmentation.

Arthrosc Tech 2018 Nov 29;7(11):e1215-e1219. Epub 2018 Oct 29.

Taos Orthopaedic Institute, Taos, New Mexico, U.S.A.

Deep medial collateral ligament (MCL) injury leads to meniscal lift-off and extrusion of the medial meniscus, resulting in instability and increased medial compartment pressures with subsequent cartilage damage. Repair of the deep MCL meniscotibial ligament in concert with superficial MCL repair or reconstruction is intended to restore the native anatomy , stability, and function of the medial meniscus. We present an arthroscopically assisted technique using standard arthroscopy portals and a medial open approach. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183013
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http://dx.doi.org/10.1016/j.eats.2018.08.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261746PMC
November 2018
3 Reads

Percutaneous Medial Ligament Reconstruction for Valgus and Rotational Knee Instability.

Arthrosc Tech 2018 Nov 29;7(11):e1205-e1213. Epub 2018 Oct 29.

Institut de Chirurgie Orthopédique et Sportive à Strasbourg (ICOSS), Strasbourg, France.

The following surgical technique is intended for patients with chronic valgus laxity and rotational knee instability. It is a percutaneous 2-bundle ligament reconstruction method that uses the semitendinosus tendon, allowing it to remain pedicled to its distal tibial insertion. The aim is to correct the laxity without otherwise limiting the motion of the knee. Read More

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http://dx.doi.org/10.1016/j.eats.2018.06.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262208PMC
November 2018