567 results match your criteria describes arthroscopic

All-Inside Knotless Remplissage Technique.

Arthrosc Tech 2021 Jun 7;10(6):e1479-e1484. Epub 2021 May 7.

Oregon Shoulder Institute, Medford, Oregon, U.S.A.

Remplissage decreases the risk of recurrence after arthroscopic stabilization for recurrent anterior instability. Traditionally, the procedure requires accessing the subacromial space, which adds time and morbidity to the procedure. This Technical Note describes an all-inside technique for knotless remplissage with 2 interconnected anchors. Read More

View Article and Full-Text PDF

Arthroscopically Assisted Fixation of Terrible Triad Variant Injuries of the Elbow With Small-Bore Needle Arthroscopy.

Arthrosc Tech 2021 Jun 10;10(6):e1469-e1474. Epub 2021 May 10.

Mammoth Orthopedic Institute, Mammoth Hospital, Mammoth Lakes, California, U.S.A.

The range of diagnostic and therapeutic applications of needle arthroscopy (NA) continue to expand due to advances in image quality and resolution. Minimally invasive techniques can be augmented by the smaller camera size and reduced fluid use made possible by NA. Small-bore arthroscopy presents opportunities for use in smaller joints, such as the elbow, where applications of standard arthroscopic equipment may be limited by small anatomic spaces and fluid extravasation. Read More

View Article and Full-Text PDF

Arthroscopic Elbow Debridement Using Anterocentral Transbrachialis Portal.

Arthrosc Tech 2021 Jun 12;10(6):e1425-e1430. Epub 2021 May 12.

Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima City, Fukushima, Japan.

Arthroscopic debridement for elbow osteoarthritis has been widely used as a minimally invasive treatment; however, in some cases, it can be a technically demanding procedure, such as in patients with severe osteoarthritis with large spur formation and severe synovitis. The anterocentral transbrachialis portal is a recently developed portal for elbow arthroscopy, which allows easy and convenient access to the anterior compartment for sufficient debridement. This report describes in detail the anterocentral transbrachialis portal and its usefulness for debridement of the elbow joint in osteoarthritis. Read More

View Article and Full-Text PDF

Editorial Commentary: Surgical Treatment of Shoulder Instability With Subcritical Glenoid Bone Loss Requires Innovation: Bankart May Risk Significant Recurrence and Latarjet May Risk Significant Complications.

Sarah B Shubert

Arthroscopy 2021 07;37(7):2075-2076

The patient with a history of shoulder dislocation and subcritical (10%-15%) glenoid bone loss presents a complicated scenario. The "safest" procedure (arthroscopic Bankart repair) may result in a high rate of failure and risk of further surgery. The most successful procedure for avoiding recurrence (Latarjet) comes with potentially high complication rates (of up to 20%), a steep learning curve, risk of permanent nerve injury (up to 15%), and substantial risk of subscapularis deficit. Read More

View Article and Full-Text PDF

Os acetabuli-a new arthroscopic treatment option for the acetabular rim fracture.

Bent Lund

J Hip Preserv Surg 2021 Jun 23;8(Suppl 1):i46-i50. Epub 2021 Jun 23.

Department of Orthopaedic Surgery, Horsens Regional Hospital, Sundvej 30, 8700 Horsens, Denmark.

Os acetabuli (Os) or acetabular rimfractures are often seen in femoroacetabular impingement patients and can result in groin pain. When seen in symptomatic patients, the question is whether to remove them or to fixate the loose fragment to the acetabular rim. This depends on acetabular coverage and the extent of the Os. Read More

View Article and Full-Text PDF

The Casuccio-Santacroce-Banfo knee arthroscope: an avant-garde Italian tale in the history of arthroscopy.

Int Orthop 2021 Jun 23. Epub 2021 Jun 23.

1st Orthopaedics and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136, Bologna, Italy.

Purpose: This brief historical note describes an arthroscopic instrument presented in Italy in 1950, and still preserved to this day at the library of the Rizzoli Orthopedic Institute in Bologna, Italy.

Material And Methods: A research on Casuccio, Santacroce, and Banfo prolific scientific collaboration was performed.

Results: The arthroscopic instrument was designed and utilized at the Orthopedic Clinic of the University of Bari, directed by Professor Casuccio, in collaboration with his assistant, Antonio Santacroce, and Giorgio Banfo, an orthopedist, entrepreneur, and owner of a modern establishment dedicated to the production of orthopaedic products and medical instruments. Read More

View Article and Full-Text PDF

"Dry Arthroscopy" is a Valuable Tool in the Excisional Curettage of Chondroblastoma: A Case Series.

J Orthop Case Rep 2021 ;11(1):82-86

Department of Orthpaedics, Cooper University Hospital, Camden, New Jersey.

Introduction: Chondroblastomas are benign, locally aggressive bone tumors that occur in the epiphysis of young patients, requiring surgical excision. The anatomic locations of these lesions pose technical challenges to the surgeon; their proximity to the articular surface and the physis make surgical approach and visualization difficult. This case series describes the use of intramedullary arthroscopic assistance during excisional curettage of three distal femoral chondroblastomas. Read More

View Article and Full-Text PDF
January 2021

Arthroscopic Hip Capsule Reconstruction for Anterior Hip Capsule Insufficiency in the Revision Setting.

Arthrosc Tech 2021 May 26;10(5):e1339-e1344. Epub 2021 Apr 26.

Department of Orthopaedics, University of Utah, Salt Lake City, Utah, U.S.A.

Iatrogenic hip instability is increasingly recognized as a cause of persistent pain and disability after hip arthroscopy. Many authors currently advocate capsular repair to reduce postoperative instability. However, anatomic deficiencies in the anterosuperior capsule can prevent a functional capsular repair, particularly in the revision setting. Read More

View Article and Full-Text PDF

Posterior Glenoid Reconstruction Using a Distal Tibial Allograft.

Arthrosc Tech 2021 May 3;10(5):e1227-e1232. Epub 2021 Apr 3.

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

Posterior shoulder instability is increasingly recognized and diagnosed in young athletes. These patients often present with vague shoulder pain rather than the frank instability commonly seen with anterior instability. Three common causes of posterior shoulder instability are congenital retroversion, a single traumatic event, or repetitive microtrauma with erosive effects. Read More

View Article and Full-Text PDF

Arthroscopic "Wallow" Procedure for Resection of Symptomatic Os Acromiale Pseudoarthrosis.

Arthrosc Tech 2021 May 3;10(5):e1223-e1226. Epub 2021 Apr 3.

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

Os acromiale is a relatively common anatomic variant that can occasionally be associated with shoulder pain. Several surgical options to address a symptomatic os acromiale that has failed nonoperative treatment have been described. Published techniques, however, are often very invasive, technically challenging, and carry the risk of potential complications that can be difficult to manage. Read More

View Article and Full-Text PDF

Arthroscopic ACL Reconstruction After Failed ACL Repair.

Arthrosc Tech 2021 Apr 12;10(4):e1001-e1005. Epub 2021 Mar 12.

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

For some authors, repair of the torn anterior cruciate ligament (ACL) in selected patients can be considered a valuable surgical treatment option. One of the main advantages is that it leaves all grafts available for any type of reconstruction in case the repair fails. This Technical Note describes arthroscopic ACL reconstruction after failure of an ACL repair. Read More

View Article and Full-Text PDF

Frozen Shoulder 360° Release.

Arthrosc Tech 2021 Apr 1;10(4):e963-e967. Epub 2021 Mar 1.

Queensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.

Arthroscopic capsular release has emerged as a safe and reliable method for treating severe frozen shoulder in patients with significant loss of range of motion. This article describes a reproducible technique for arthroscopic 360° release of the shoulder performed in the lateral decubitus position. Read More

View Article and Full-Text PDF

Arthroscopic Biceps Tenodesis by Bicortical Drilling Technique.

Arthrosc Tech 2021 Apr 2;10(4):e941-e948. Epub 2021 Mar 2.

Department of Orthopaedics, Faculty of Medicine, Thammasat University Hospital, Pathumthani, Thailand.

Pain arising from the long head of biceps tendon can cause significant disability of the shoulder. In young and physically demanding patients, biceps tenodesis is advised, in which the biceps tendon is cut from the native origin and fixed distally. Many methods have been proposed for this. Read More

View Article and Full-Text PDF

Management of rotator cuff tears - Key historical landmarks.

J Clin Orthop Trauma 2021 Jul 7;18:6-12. Epub 2021 Apr 7.

Wrightington Hospital, Wigan, UK.

The management of rotator cuff pathology has developed over hundreds of years. In this article, we take a journey from the early days, in order to understand how we have reached our modern-day practice. Initially our understanding of rotator cuff pathology was based on cadaveric anatomical findings and this has enhanced over the years by the development of radiological and surgical techniques. Read More

View Article and Full-Text PDF

Surgical Treatment of Iatrogenic Nerve Injury Following Arthroscopic Capsulolabral Repair.

J Hand Surg Am 2021 Apr 23. Epub 2021 Apr 23.

Department of Orthopedic Surgery, Hand and Upper Extremity, Hospital for Special Surgery, New York, NY.

Purpose: Case reports of nerve injuries following arthroscopic capsulolabral repair emphasize the proximity of major nerves to the glenoid. This study describes preoperative localization using nerve-sensitive magnetic resonance imaging in a small cohort of patients with iatrogenic nerve injuries following arthroscopic capsulolabral repair and the outcomes of nerve repair in these patients.

Methods: Cases of iatrogenic nerve injury following arthroscopic capsulolabral repair referred to 2 surgeons from January 2017 to December 2019 were identified. Read More

View Article and Full-Text PDF

Percutaneous distal clavicle excision for acromioclavicular joint arthritis: our experience and early results of a novel surgical technique.

Musculoskelet Surg 2021 Mar 23. Epub 2021 Mar 23.

Department of Orthopaedic Surgery, National University Hospital, 1E Kent Ridge Road, Singapore, 119228, Singapore.

Purpose: Symptomatic acromioclavicular joint (ACJ) osteoarthritis causes pain and limitations in activities of daily living. Open and arthroscopic distal clavicle excision techniques have been described with good outcomes. However, both techniques have their own sets of advantages and disadvantages. Read More

View Article and Full-Text PDF

Hybrid Ankle Reconstruction of Lateral Ligaments.

Arthrosc Tech 2021 Mar 22;10(3):e931-e939. Epub 2021 Feb 22.

Clinical and Research Institute for Foot and Ankle Surgery, Jujo Hospital, Kisarazu, Japan.

Open anatomic reconstruction of the lateral ligament (AntiRoLL) of the ankle with a gracilis Y graft and the inside-out technique are commonly used and have evolved to minimally invasive surgery, including arthroscopic AntiRoLL (A-AntiRoLL) and percutaneous AntiRoLL procedures. A-AntiRoLL allows assessment and treatment of intra-articular pathologies of the ankle concurrently with stabilization. However, the A-AntiRoLL technique is technically demanding, especially in the process of calcaneofibular ligament reconstruction under subtalar arthroscopy. Read More

View Article and Full-Text PDF

Arthroscopic Centralization Using Knotless Anchors for Extruded Medial Meniscus.

Arthrosc Tech 2021 Mar 2;10(3):e639-e645. Epub 2021 Feb 2.

Department of Orthopaedic Surgery, Tokyo Medical and Dental University Hospital of Medicine, Bunkyo-ku, Japan.

The load-distributing function is most critical in meniscal function, and meniscal extrusion suggests failure of this function, leading to the progression of osteoarthritis. The arthroscopic centralization technique has been developed to reduce meniscal extrusion; however, existing arthroscopic techniques sometimes fail to reduce the most extruded region, especially in cases with a medial meniscus (MM) posterior root tear, in which the most extruded region is on the posterior border of the medial collateral ligament, which is very difficult to approach. This Technical Note describes an arthroscopic technique for extrusion of the MM in which a centralization technique using knotless anchors efficiently reduces the MM extrusion at the posteromedial part and consequently restores the MM function. Read More

View Article and Full-Text PDF

Effect of posture and femoral neck osteochondroplasty on femur-acetabulum clearance in patients with cam-type femoroacetabular impingement.

J Orthop Res 2021 Mar 18. Epub 2021 Mar 18.

Department of Orthopaedics, The University of British Columbia, Vancouver, British Columbia, Canada.

It is not clear whether femoral neck osteochondroplasty achieves its objective of increasing femoroacetabular clearance. We used an upright open magnetic resonance imaging scanner to image the hip joint in multiple postures to explore the effect of posture and femoral neck osteochondroplasty on femur-acetabulum clearance in patients with cam-type femoroacetabular impingement. We recruited 13 consecutive patients scheduled to undergo arthroscopic femoral neck osteochondroplasty and completed assessments on 10 patients. Read More

View Article and Full-Text PDF

Arthroscopic Repair of Humeral Avulsion of the Glenohumeral Ligament Lesion With Capsular Plication in the Lateral Decubitus Position.

Arthrosc Tech 2021 Feb 24;10(2):e569-e574. Epub 2021 Feb 24.

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

Humeral avulsion of the glenohumeral ligament (HAGL) lesions can lead to persistent shoulder instability. While rare, HAGL lesions may present as a concomitant injury following shoulder dislocation events. Traditionally, an open approach has been used to repair the inferior glenohumeral ligament and restore shoulder stability. Read More

View Article and Full-Text PDF
February 2021

Open Popliteal Tendon Repair.

Arthrosc Tech 2021 Feb 30;10(2):e499-e505. Epub 2021 Jan 30.

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

Popliteal tendon tears without concomitant damage to the cruciate ligaments or other posterolateral corner ligaments are rare entities with few studies reporting on their existence, with rare case reports discussing their treatment. Continued pain, instability, and effusions are typical symptoms, with magnetic resonance imaging being the main tool for diagnosis. Furthermore, monosodium urate crystals that induce gout have been shown to collect in the popliteal groove and thus may lead to degeneration and isolated tearing. Read More

View Article and Full-Text PDF
February 2021

Consider Long Head of Biceps Tendon for Reconstruction of Massive, Irreparable Rotator Cuff Tear.

Arthrosc Tech 2021 Feb 24;10(2):e457-e467. Epub 2021 Feb 24.

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

Despite the different treatment options for irreparable and massive rotator cuff tears (RCTs), there is no optimal treatment. Thirty percent of total RCTs can be classified as irreparable because of the massive tear size and severe muscle atrophy. The reported treatment failure rate is approximately 40% for massive RCTs. Read More

View Article and Full-Text PDF
February 2021

Stop, Drop, and Roll! An Arthroscopic Technique for Anterior Glenoid Labrum Repair in the Lateral Decubitus Position.

Arthrosc Tech 2021 Jan 6;10(1):e241-e247. Epub 2021 Jan 6.

McLaren-Greater Lansing Orthopedic Hospital, Lansing, Michigan, U.S.A.

This article describes a simple and reproducible arthroscopic technique for passing sutures in the shoulder glenoid labrum in the lateral decubitus position for orthopaedic surgeons. Communicating and teaching surgeons how to perform certain maneuvers with precision can be challenging at times. This technique will simplify and more efficiently communicate the advanced arthroscopic motor skill of passing sutures in the shoulder. Read More

View Article and Full-Text PDF
January 2021

Arthroscopic Anatomic Glenoid Repair Using Distal Tibial Allograft and an Inferior-to-Superior Capsular Shift.

Arthrosc Tech 2021 Jan 20;10(1):e221-e228. Epub 2021 Jan 20.

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

Traumatic anterior dislocation of the shoulder accounts for the vast majority of shoulder dislocations. Recurrence following initial traumatic dislocation is common, and the risk is increased by the presence of both bony and soft-tissue damage. Arthroscopic procedures have been described to address each of these etiologies individually but have not provided a technique to address bony and soft tissue pathology concurrently. Read More

View Article and Full-Text PDF
January 2021

Arthroscopic Linked Triple Row Repair for Large and Massive Rotator Cuff Tears.

Arthrosc Tech 2021 Jan 20;10(1):e117-e125. Epub 2021 Jan 20.

Department of Orthopaedic Surgery and Traumatology, Arthroscopy and Sports Injury Unit, Alexandria University, Alexandria, Egypt.

Recently, many arthroscopic techniques have been described to improve the outcomes in rotator cuff repair of large and massive tears; these include conventional double-row, suture bridge, and triple-row techniques, in an effort to optimally reconstruct the rotator cuff footprint and improve fixation. This report describes a modified triple-row repair technique that links the double-row and suture-bridge techniques in one construct, merging the advantages of both to maximize the footprint contact area and contact pressure, which may lead to better healing and faster rehabilitation. Read More

View Article and Full-Text PDF
January 2021

Arthroscopic Centralization of the Extruded Medial Meniscus.

Arthrosc Tech 2021 Jan 19;10(1):e43-e48. Epub 2020 Dec 19.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.

Tears of the posterior medial meniscus root commonly result in extrusion of the meniscus and disruption of tibiofemoral contact mechanics. Transtibial pull-through repair of the root often results in healing of the tear, but postoperative extrusion may persist. In this scenario, the meniscus is unlikely to be chondroprotective. Read More

View Article and Full-Text PDF
January 2021

Anomalous insertion of the anterior horn of the medial meniscus combined with anterior horn hypertrophy and a synovial cyst: case report and literature review.

J Int Med Res 2021 Feb;49(2):300060520981538

Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.

Objective: To gain a greater understanding of anomalous insertions of the anterior horn of the medial meniscus through evaluation of a rare case and a review of the existing literature on medial meniscus malformations.

Methods: This report describes a 26-year-old man with an anomalous insertion of the anterior horn of the medial meniscus combined with symptomatic hypertrophy of the anterior horn and a synovial cyst. We also conducted a review of the existing literature on medial meniscus malformations using five major scholarly literature databases and search engines. Read More

View Article and Full-Text PDF
February 2021

Preliminary clinical outcomes of the double-row anchor suture-bridge technique for the fixation of tibial intercondylar eminence fractures in adults: a 12-months minimal follow-up.

BMC Musculoskelet Disord 2021 Jan 13;22(1):74. Epub 2021 Jan 13.

Department of Orthopaedic Surgery, The Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China.

Background: Tibial intercondylar eminence avulsion fractures occur primarily in adolescents and young adults. However, the incidence of such fractures is increasing in adults, concurrent with an increase in sports injuries and traffic accidents. This study describes the fixation-based double-row anchor suture-bridge technique, a novel technique for treating tibial intercondylar eminence fractures in adults; and evaluates its preliminary clinical outcomes. Read More

View Article and Full-Text PDF
January 2021

Arthroscopic Identification of the Knee Posterolateral Corner Structures and Anatomic Arthroscopic Posterolateral Corner Reconstruction: Technical Note - Part 1.

Arthrosc Tech 2020 Dec 21;9(12):e1977-e1983. Epub 2020 Dec 21.

Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A.

Arthroscopic assessment of posterior compartments of the knee and the posterior aspect of the proximal tibial and fibula is challenging because of the relative proximity of the neurovascular bundle. This Technical Note describes a reproducible arthroscopic surgical approach in a cadaveric model that aims to identify and expose the popliteus tendon, posterior fibular head, fibular collateral ligament popliteal fibular ligament, biceps femoris tendon, and peroneal nerve. Read More

View Article and Full-Text PDF
December 2020

Nonunion of a medial malleolar stress fracture in an adolescent athlete secondary to lateral ankle instability: A case report.

Int J Surg Case Rep 2021 Jan 25;78:235-240. Epub 2020 Dec 25.

Department of Orthopedic Surgery, Tokyo Women's Medical University, 8-1 Kawadacho, Shinjuku-ku, Tokyo 162-0054, Japan.

Introduction: Medial malleolar stress fractures are relatively uncommon. This report describes the successful treatment of nonunion of a medial malleolar stress fracture due to chronic lateral ankle instability.

Presentation Of Case: A 13-year-old middle school student who belonged to a football club presented to our clinic with chronic medial left ankle pain lasting over a year. Read More

View Article and Full-Text PDF
January 2021