Arthroscopy Pubmed Results

BACKGROUND: Shoulder arthroscopy frequently causes severe postoperative pain that may impede recovery. Liposomal bupivacaine provides prolonged analgesia, and ultrasound-guided superior trunk block (STB) offers comparable analgesia to interscalene block with a lower risk of hemidiaphragmatic paralysis. However, the optimal concentration of liposomal bupivacaine for STB remains unknown.

CONCLUSION: The combined ACL single-bundle reconstruction and residual stump repair technique significantly improves early stability of knee joint and enhances knee joint function after operation, achieving better clinical outcomes. It is particularly suitable for Sherman typeⅠ/Ⅱpatients with good residual stump quality on tibia side of ACL. This technique restores tension of natural ACL tissue, providing an optimized treatment method for ACL reconstruction. However, the surgical difficulty and...

CONCLUSION: Tranexamic acid use did not demonstrate benefits concerning the objective/subjective visual clarity between the evaluated groups.

CONCLUSION: Use of a 70° arthroscope in anterior cruciate ligament reconstruction enables more anatomical femoral tunnel placement and improves functional outcomes, while tibial tunnel positioning is unaffected. Arthroscopic viewing angle should be regarded not only as a technical factor but also as a determinant of clinical success.

CONCLUSION: Both MUA and AA were effective and demonstrated no significant difference in ROM improvement following TKA stiffness. Earlier intervention was associated with greater ROM gains, suggesting that timing may be an important factor in optimizing outcomes.

CONCLUSION: For Pipkin type Ⅰ and Ⅱ femoral head fractures, all-arthroscopic fixation represents a safe and effective therapeutic strategy. The individualized selection of Herbert screws, bioabsorbable screws, or suture anchors based on the specific characteristics of the fracture fragments offers significant clinical advantages. This approach ensures minimal invasiveness, minimal disruption of the femoral head blood supply, and a low complication rate.

CONCLUSION: For patients with lateral ankle instability, arthroscopic debridement combined with ATFL reconstruction using the Lasso-Loop suture and Suture Tape augmentation can achieve satisfactory short-term effectiveness.

CONCLUSION: The bioinductive patch can effectively promote joint functional recovery and structural improvement after rotator cuff repair with good safety.

CONCLUSION: Despite the relatively high structural failure rate, both groups demonstrated substantial clinical and functional improvement. These findings suggest that postoperative radiological integrity may not always correlate directly with functional recovery after rotator cuff repair.

Despite studies highlighting magnetic resonance imaging (MRI)/magnetic resonance angiogram (MRA) accuracy in diagnosing shoulder pathologies, there remains a paucity of data regarding false negative results of these tests. The authors retrospectively characterized demographic and intraoperative data of 34 patients (19 male, 15 female; average age 23 years), the majority with atraumatic dominant shoulder pain, who underwent diagnostic shoulder arthroscopy after normal preoperative MRI/MRA as read...

CONCLUSION: Arthroscopic subacromial decompression provided substantial benefit to patients with shoulder impingement syndrome. However, patient selection for such an intervention was found to be a critical factor.

CONCLUSIONS: Individually tailored PEST delivered via a DT system is a viable, cost-effective, and safe alternative to conventional outpatient clinic-based training following arthroscopic release for posttraumatic elbow stiffness. These findings support its integration into routine postsurgical care, particularly for patients facing barriers to traditional therapy.

To identify the factors affecting hospital cost associated with primary arthroscopic stabilization for recurrent shoulder anterior instability. The clinical data of patients with symptoms of recurrent glenohumeral anterior stability who underwent arthroscopic stabilization at a single institution between January 2020 and April 2022 were collected retrospectively. Surgical information and patient characteristics were recorded. Variations in hospital hospitalization expenses were identified and...

BackgroundCannabis use disorder (CUD) is increasingly encountered, but its association with outcomes after knee arthroscopy is unclear.Purpose/HypothesisTo compare postoperative complications, healthcare utilization, and subsequent procedures after primary knee arthroscopy in patients with versus without CUD. We hypothesized that CUD would be associated with higher complication, healthcare utilization, and reoperation rates.MethodsA retrospective multicenter cohort study was performed. Patients...

CONCLUSIONS: Both open and arthroscopic foveal TFCC repair can improve function, pain, motion, grip strength, and distal radioulnar joint stability, but current comparative evidence does not demonstrate clear superiority of either technique. Because the available evidence is limited to a small number of non-randomized studies with substantial heterogeneity and low certainty, the absence of statistically significant differences should be interpreted cautiously and should not be considered...

CONCLUSIONS: Human-derived collagen injections during rotator cuff repair did not result in superior clinical outcomes. However, postoperative MRI showed significantly lower Sugaya grades, and shear wave elastography demonstrated significantly greater tendon elasticity.

CONCLUSIONS: This nationwide 11-year analysis demonstrates that wrist arthroscopy in South Korea has steadily increased, with a growing trend toward complex reconstructive procedures. Despite regional variation, no income-based disparity was observed, and overall complication rates remained low, although postoperative infection was observed somewhat more frequently than reported after larger-joint arthroscopy, supporting both the accessibility and safety of wrist arthroscopy in routine clinical...

CONCLUSION: The pattern of the tear, especially anterior L-shaped tears, was identified as an independent risk factor for retear after rotator cuff repair. The impact of fatty infiltration of the supraspinatus muscle on the risk of retear varied by the pattern of the tear, with a significant association seen in posterior L-shaped tears.

CONCLUSION: Compared with hook plate fixation, the TightRope technique offers superior stabilization, improved functional recovery, and reduced complication rates in the management of acromioclavicular joint (ACJ) dislocations. The proposed predictive model provides a valuable tool for preoperative risk assessment and surgical decision-making.

Instability of the lesser toes metatarsophalangeal (MTP) joints is a common forefoot problem and can present as metatarsalgia, synovitis, and lesser toe deformities. The plantar plate contributes to MTP joint stability through its interaction with the plantar aponeurosis, and plantar plate insufficiency is the primary cause of MTP joint instability. Conservative treatment options, including the use of nonsteroidal anti-inflammatory medications, intra-articular steroid injections, orthosis, and...

CONCLUSIONS: Anatomical repair techniques, particularly pull-out and all-inside methods, appear to provide better functional outcomes for meniscal root tears than partial meniscectomy or conservative care. However, given the low certainty of evidence, further high-quality studies are needed to clarify structural outcomes and optimize long-term joint preservation strategies.

Interactive postoperative rehabilitation approaches have increasingly been used following arthroscopic rotator cuff (RC) repair; however, evidence comparing their effectiveness with conventional physiotherapist-supervised (PS) rehabilitation remains limited. This study aimed to compare functional recovery outcomes between patients participating in an interactive postoperative rehabilitation program and those receiving PS rehabilitation after arthroscopic RC repair. Patients who underwent...

CONCLUSIONS: Over a 5-year follow-up period, primary MBP produced better pain relief and functional recovery than revision to LALR, despite a higher frequency of intra-articular lesions, with significantly more MBP patients achieving clinically meaningful improvement (minimally clinically important difference).

CONCLUSION: Factors associated with re-tear, satisfaction and functional outcomes vary by tear size. Greater number of anchors reduced the odds of retear only in medium tears and showed minimal association with functional outcomes, supporting tear size-specific counselling and surgical planning.

CONCLUSION: Vascular injury, though rare, should be considered after hip arthroscopy in patients with connective tissue disorders. Early multimodal imaging enables timely diagnosis, and minimally invasive endovascular treatment can provide definitive management with low morbidity.

CONCLUSION: AA early postoperative complication risk increases with procedural complexity, with the most common complication being nerve-related injury, which may be related to technique, portal placement, and case length based on the literature. However, this study only found a correlation with the number of concurrent procedures. Operative time, tourniquet use, and distractor use were not correlated to early postoperative complication risk in this study.

This study aimed to review the postoperative outcomes of surgical treatment options for wrist ganglion cysts and perform a meta-analysis comparing the 2 most common techniques: open and arthroscopic resection. We searched PubMed, Embase, Web of Science, and Cochrane Library databases for articles that compared the clinical outcomes of patients who underwent arthroscopic or open resection of the wrist ganglion. After screening, we identified two randomized controlled trials and four retrospective...

Anterior disc displacement without reduction of the temporomandibular joint is a prevalent condition associated with pain and functional limitation, and minimally invasive arthroscopic approaches are increasingly favored over open surgery due to lower morbidity. This study compared three arthroscopic interventions: classical myotomy (CM), minimally invasive anterior arthroscopic myotomy (MIAAM), and posterior ligament electrocoagulation (PLE). A total of 86 patients were included: 24 (27.9%)...

CONCLUSIONS: The Wilkes classification demonstrates limited reliability for predicting intra-articular disease severity observed during TMJ arthroscopy. Surgical decision-making should not rely solely on Wilkes staging and should incorporate a multimodal diagnostic approach to optimize patient selection.

CONCLUSION: Pooled analyses showed higher Constant and ASES scores in surgical cohorts. However, the magnitude of this difference does not exceed MCID, indicating limited clinical relevance. No surgical technique demonstrated significant superiority. These findings highlight the need for individualized treatment decisions, considering the limited clinical benefit of surgery over non-surgical approaches.

CONCLUSIONS: The suture anchor system is effective for both non-weight-bearing and weight-bearing areas of the lateral femoral condyle, especially for small bone fragments, showing favorable clinical results. Compared to traditional hollow compression screw fixation, the suture anchor system significantly reduces postoperative complications and improves knee joint function.

CONCLUSION: Arthroscopic ATFL repair with retaining of avulsion fragments at the fibular insertion site can restore ankle stability, significantly relieve pain, restore motor ability, have an enhanced recovery and achieve satisfactory activity recovery.

CONCLUSIONS: For proximal LHBT injuries, both interference screw compression fixation and suture anchor ligation under shoulder arthroscopy can effectively restore LHBT continuity, relieve shoulder pain, and improve functional outcomes. Suture anchor ligation demonstrates superior efficacy in pain relief, particularly during early postoperative recovery. However, in terms of long-term functional improvement at 12 months, both techniques yield comparable results. Moreover, suture anchor fixation...

CONCLUSIONS: While TWA levels stay below high-risk thresholds, MDL frequently surpasses 85 dB, indicating potential harmful exposure. Hip arthroscopy trended higher noise levels compared with shoulder and knee arthroscopy.

Orthopaedic surgeons are routinely exposed to a variety of occupational hazards in the operating room; however, intraoperative noise exposure remains an underrecognized risk that may contribute to the development of occupational noise-induced hearing loss. Although traditional metrics such as time-weighted average noise levels (average decibels [dBA] over an 8-hour period) below 85 dBA may be considered low risk, repeated intraoperative exposure to maximum decibel levels ≥85 dBA may represent a...

CONCLUSIONS: Superior trunk block offers superior early postoperative analgesia and better overall recovery, while erector spinae plane block minimizes diaphragmatic impairment. However, the erector spinae plane block may represent an option only in carefully selected patients at high respiratory risk, acknowledging its significantly poorer early analgesic profile.

Partial-thickness rotator cuff tears (PTRCTs) are classified into intratendinous tears (ITT), bursal-side tears (BST), and articular-side tears (AST). ITT is relatively rare, and many aspects of its clinical presentation remain unknown. Moreover, there are few reports on arthroscopic rotator cuff repair (ARCR) of ITTs. To the best of our knowledge, few reports have compared the treatment outcomes of ARCR with those of BST, AST, and ITT. Patients who were diagnosed with ITT based on...

CONCLUSION: Arthroscopic treatment using a standardized protocol can result in favorable long-term clinical outcomes.

CONCLUSION: At short-term follow-up, Bankart repair using knotless all-suture anchors demonstrated favorable patient-reported outcomes and low redislocation rates. Patients who did not return to their preinjury level of sport exhibited significantly lower psychological readiness. The SI-RSI exhibited high discriminative performance in predicting return to preoperative level of sports, with an optimal cutoff value of 80.

CONCLUSIONS: A flexible 15°-90° arthroscope significantly increased anterior visualization of the capitellum compared with a conventional 30° arthroscope in this cadaveric model. Whether this anatomical visualization gain translates into clinical diagnostic or therapeutic benefit requires further investigation.

CONCLUSIONS: In arthroscopic simulation, eye-tracking metrics primarily reflected experience-related differences in visual attention rather than objective simulator-defined technical performance. Fixation-based measures may capture aspects of attentional efficiency and cognitive workload, but do not appear to be reliable standalone indicators of procedural performance. Eye-tracking may therefore provide complementary insight into cognitive aspects of surgical expertise when integrated with...

CONCLUSIONS: Postoperative MRI appearance after meniscal repair is associated with patient-reported and functional outcomes, but the strength of this relationship is limited. MRI-defined structural abnormalities may persist despite satisfactory clinical recovery, indicating that MRI has restricted specificity for identifying clinically meaningful failure. These findings suggest that MRI should be interpreted in conjunction with clinical assessment rather than used as a standalone indicator of...

CONCLUSION: The MEV(9) (0) of 0.25% ropivacaine required to achieve surgical anesthesia for ultrasound-guided STB under dexmedetomidine sedation is 9.1 mL.

CONCLUSION AND CLINICAL RELEVANCE: Bilateral shoulder abduction angle measurement is a practical, noninvasive, and apparently effective diagnostic tool for MSI that outperformed MRI with regard to diagnostic sensitivity in the study sample. Given the cost of MRI and need for anesthesia, shoulder abduction angle measurement may be preferable in clinical settings. Moreover, in cases of unilateral shoulder lameness, a difference > 10° in the abduction angles between the affected and contralateral...

CONCLUSION: With a minimum follow-up period of 1 year, arthroscopic iliotibial band release via the medial-to-lateral approach in the supine position proves to be a safe, effective, and efficient technique for the management of external snapping hip, and thus is recommended for widespread clinical use.

CONCLUSION: Iliac bone grafting under wrist arthroscopy for stageⅡavascular necrosis of the lunate can improve wrist function, relieve pain relief, reduce the limitation of wrist motion, demonstrateing reliable efficacy and favorable safety.

CONCLUSION: In the primary setting, professional athletes with borderline hip dysplasia who underwent hip arthroscopy for FAI demonstrated a 79% RTS rate. The mean time to return was 7.5 months, with older age and a history of prior hip arthroscopy predictive of a lower likelihood of RTS (25% RTS among revision cases). Hip arthroscopy for FAI in professional athletes with borderline dysplasia was effective for returning the majority of these athletes to their preoperative level, especially in...

CONCLUSIONS: Endoscopic pubic symphysectomy for refractory cases of osteitis pubis yielded significant improvement in mHHS, NAHS, iHOT-12, and a high patient satisfaction, reaching clinical important thresholds at a high rate at a minimum 2-year follow-up. All patients who attempted to return to sport were able to return to sport participation within 1 year of the surgery.

Osteitis pubis is an important cause of pain in athletes which may be severe enough to prevent participation in sports. While the majority of patients respond to conservative measures, approximately 5% to 10% do require surgery. A variety of surgical options exist ranging from total symphysectomy to arthrodesis. Recent advancements in arthroscopy have allowed arthroscopists to explore endoscopic symphysectomy as a surgical management. Endoscopic pubic symphysectomy does appear to allow for...

CONCLUSION: Anterior placement of the intra-articular tibial tunnel aperture was associated with unfavorable radiologic outcomes, including joint space narrowing and progression of the K-L grade. Notably, the normalized anteroposterior distance of the MMPR footprint to the center of the tibial tunnel aperture showed a significant correlation with joint space narrowing.