Arthroscopy Pubmed Results

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...

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.

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...

CONCLUSION: In this case series, ligament-based surgical treatment of PLRI with associated posterior capitellar lesions was associated with generally favorable patient-reported outcomes. These findings highlight the need for larger, standardized studies to clarify the clinical relevance and treatment thresholds of posterior capitellar lesions. Standardized protocols are needed for defect size assessment and evidence-based guidelines for managing posterior capitellar lesions remain necessary to...

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.

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.

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...

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: 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...

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: 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: 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: 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...

Arthroscopic shoulder surgery is generally associated with a low complication rate. While complications such as neurological injury, stiffness and iatrogenic damage are relatively well recognised, the occurrence of deep vein thrombosis (DVT), particularly of the upper extremity deep vein thrombosis (UEDVT), is exceedingly rare. We report two unusual postoperative cases of UEDVT following arthroscopic rotator cuff repair in two elderly sisters. No additional predisposing factors were identified...

CONCLUSION: The incidence of SIS after RCR in elderly patients is relatively high, and the postoperative SIS in this population is characterized by aggravated shoulder pain during abduction and forward flexion, positive Neer and Hawkins impingement tests, and occasional audible clicking during shoulder movement. Postoperative SIS was significantly associated with poorer shoulder functional recovery and delayed pain relief in elderly patients undergoing arthroscopic rotator cuff repair.

CONCLUSION: This review identifies a few consistent biological (preoperative higher pain intensity, preoperative narcotic use), psychological (depression/anxiety), and social (female sex, smoking and, workers' compensation claims) factors associated with persistent shoulder pain. This information can assist in the early identification of participants at risk for persistent pain and guide patient expectations and counseling.

CONCLUSIONS: Arthroscopy-assisted osteosynthesis with percutaneous compression screw and cancellous bone grafting has proven to be a viable method for the treatment of scaphoid pseudarthrosis, with low morbidity, good functional mid-term outcomes, and short consolidation periods.

The purpose of this exploratory pilot study was to compare the composition of humeral head (HH) and iliac crest (IC) bone marrow aspirates (BMA) and establish a framework for evaluating bone marrow aspirate concentrate (BMAC) in arthroscopic rotator cuff repair (RCR). Fifteen patients (mean age of 60, range: 41-74) with full-thickness RC tears underwent arthroscopic RCR with BM aspiration (30 mL) from both the HH and IC. Mononuclear cells (MNCs) before and after concentration, colony-forming...

CONCLUSIONS: In rotator cuff repair, the double row technique was found to be superior to the single row technique in terms of better UCLA score, better tendon healing rate, and lower re-tear rate. No clinically significant differences were found on the Constant-Murley scale or on the ASES scale.

Arthroscopic Latarjet procedures have been described since 2007. While an arthroscopic approach is appealing, there is currently little evidence to support the arthroscopic approach over traditional open Latarjet surgery. Rather than focusing on retrospective series with good results, future surgery should be directed towards defining clear benefits associated with the arthroscopic approach, given the extended learning curve and potential increased risk of complications.

CONCLUSIONS: Arthroscopy-assisted osteosynthesis with percutaneous compression screw and cancellous bone grafting has proven to be a viable method for the treatment of scaphoid pseudarthrosis, with low morbidity, good functional mid-term outcomes, and short consolidation periods.

CONCLUSION: Iliopsoas release resulted in significant strength deficits, but no significant changes in muscle morphology were observed. However, patient-reported outcomes (PROs) showed improvement, with no significant increase in fatty infiltration, suggesting that functional recovery may occur despite structural deficits.

CONCLUSIONS: Gluteus maximus and minimus muscles demonstrated significantly increased CSA after HA for FAI patients. Change in CSA was positively correlated with PROs for the gluteus maximus at 1-year follow-up. These findings underscore the clinical significance of muscle adaptations following hip arthroscopy for FAI.

CONCLUSIONS: The arthroscopic Latarjet procedure with anterior capsular reconstruction showed favorable clinical and radiological outcomes after a minimum 5-year follow-up. Patients showed significant improvements in patient-reported measures, high rates of RTS, and no recurrent dislocation or subluxation. Satisfactory positioning of the coracoid graft and high rates of bone union were achieved. A low rate of severe OA progression was observed. Analysis of the limited number of cases with OA...

Periacetabular osteotomy has been shown to be a powerful hip preservation procedure for over 4 decades. The advances in hip arthroscopy have revolutionized intra-articular hip preservation procedures, and combining the 2 operations is a deeply debated topic among hip preservation surgeons. The exact role of hip arthroscopy in the face of hip dysplasia and borderline hip dysplasia continues to be defined in our literature. The addition of hip arthroscopy to osteotomy patients has shown safety and...

Postless hip distraction technique is a novel traction method for hip arthroscopy developed in recent years. Studies have shown that, compared with the traditional post hip distraction technique, it can effectively solve perineal complications, lower the technical threshold of hip arthroscopy, and improve patients' postoperative satisfaction. The standardization of this technique is expected to promote the advancement and popularization of hip arthroscopy. To this end, this Consensus identified...

The incidence of advanced osteomyelitis following arthroscopic shoulder surgery is rare, with few documented cases. As the need for shoulder interventions in elderly populations increases, managing these complex infections poses a significant surgical challenge. This report details the case of an 85-year-old woman who presented with fever and a fistulating portal site infection of the right shoulder. Diagnostic workup confirmed methicillin-resistant Staphylococcus aureus (MRSA). She was...

CONCLUSION: Postoperative alpha angle and ACEA were significant predictors of achieving the PASS for the HOS-SSS at a minimum 5-year follow-up in high-level adult athletes undergoing primary hip arthroscopy. These findings emphasize the importance of precise bony correction to optimize long-term patient-acceptable outcomes.

CONCLUSION: Noncompliance with functional restrictions and postoperative physical therapy is a strong independent risk factor for poor patient-reported outcomes at 2 years after hip arthroscopy.

CONCLUSIONS: The indirect posterior transseptal approach is a safe arthroscopic technique that can be associated with moderate clinical outcomes depending on the underlying pathology. The modified TSA appears to be safe when performed by experienced surgeons and was not associated with neurovascular complications in this cohort.

Lesions of the scapholunate ligament are among the most common causes of carpal instability and may progress to scapholunate advanced collapse with progressive wrist osteoarthritis if left untreated. This review presents current arthroscopic treatment options in a structured manner and places them in the context of anatomy, pathomechanics, classification systems, and diagnostics. Wrist arthroscopy is the diagnostic gold standard and enables stage-appropriate treatment. According to the 4R...

CONCLUSION: Arthroscopic bony hip remplissage is a viable treatment option for young patients who present after failed hip arthroscopy with cam over-resection.

CONCLUSIONS: Although the rate of capsular defects following revision hip arthroscopy was 30% at minimum 1 year follow-up, comparable improvements in subjective clinical outcomes were observed at minimum 2-year follow-up regardless of capsular healing status. Patients with healed capsules exhibited increased proximal and middle capsular thickness after revision hip arthroscopy, with no correlation observed between capsular thickness and PROs.

CONCLUSION: The present study demonstrates that both inlay and onlay arthroscopic biceps tenodesis techniques are effective surgical options for managing biceps tendon degeneration and superior labrum anterior-to-posterior lesions. However, the findings suggest a potential advantage of the onlay technique, as it is associated with faster recovery and a lower risk of complications.