Arthroscopy Pubmed Results

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: 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.

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.

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.

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.

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.

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...

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.

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: 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.

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

Osteochondral lesions of the talus that have failed nonoperative management can be treated via a variety of surgical modalities. In the case of large lesions with substantial chondral or subchondral involvement, such as Hepple type V cystic lesions, cartilage-replacing procedures have provided favorable outcomes at the expense of necessitating open arthrotomy and malleolar osteotomy, which can be debilitating to patients. Several recent reports with lower level of evidence have described...

CONCLUSIONS: In treatment of osteochondral lesions of the talus with large subchondral cysts, all-arthroscopic autologous cancellous bone transplantation showed favorable clinical and radiologic outcomes at a minimum 12-month follow-up, achieving significant improvements in patient-reported outcome measures and a mean Magnetic Resonance Observation of Cartilage Repair Tissue score of 80.8, although the return-to-sports rate remained modest at 64.5%.

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.

CONCLUSION: A parsimonious logistic regression model using routine preoperative variables demonstrated excellent and externally validated discriminative ability for predicting MCID after hip arthroscopy. The model outperformed machine learning algorithms while maintaining superior interpretability. The developed nomogram provides a practical tool for individualized outcome prediction.

CONCLUSIONS: The FAST workstation can be used as a proficiency-based learning tool for residents to safely and effectively develop arthroscopic skills outside of the operating room. These benchmarks were established via a method previously validated in surgical simulation and balance precision and efficiency for skills that are considered generalizable and transferable to arthroscopic surgeries.

CONCLUSION: A threshold of ≥2 preoperative anterior shoulder instability episodes best predicted recurrent anterior shoulder instability after ABR. Stratification beyond 1 versus ≥2 preoperative anterior shoulder instability episodes did not increase predictive ability. This finding may help surgeons to counsel patients and consider earlier surgical stabilization in those who have sustained anterior shoulder instability episodes.

Objective: To investigate the causes of failure following arthroscopic anterior cruciate ligament (ACL) reconstruction and to evaluate the outcomes of revision surgery. Methods: A total of 102 patients who underwent revision surgery due to failed ACL reconstruction between January 2017 and December 2022 at Shengjing Hospital of China Medical University were included in this study. All the patients included in the study underwent single-bundle, stage Ⅰ arthroscopic revision ACL reconstruction....

Pain after arthroscopic elbow surgery seriously impairs patients' quality of life, and its clinical management remains a significant challenge at present.

The fracture of the coronoid process can compromise elbow stability. The surgical treatment aims to achieve adequate reduction and stability of the fragment. This article describes how arthroscopic assistance and the use of screws and sutures achieve fragment fixation. Our main objective is to describe the effectiveness of arthroscopy in obtaining reduction and fixation of isolated coronoid process fractures. This technique allows for optimal fragment stability and early rehabilitation.

Rotator cuff tears (RCTs) are a primary cause of shoulder pain and dysfunction. The progression of these tears, coupled with the intricate biomechanics of the shoulder joint, makes the repair and management of massive rotator cuff tears (MRCTs) particularly challenging for surgeons. For younger patients who are ineligible for arthroplasty, surgical approaches for MRCTs-such as biologic augmentation, interpositional grafts, and techniques like superior capsular reconstruction and biceps rerouting...

CONCLUSION: Administration of duloxetine to ARCR patients with anxiety and/or depressive distress screened using HADS not only improved anxiety and distress but also enhanced active ROM, ASES, and SST in the first 3 months postoperatively, although 16% of patients experienced nausea and vomiting.

The aim of this study was to investigate the association between the critical shoulder angle (CSA) and the clinical outcomes following arthroscopic rotator cuff repair (RCR). An ambispective study was conducted in patients who underwent arthroscopic RCR and had adequate preoperative radiological shoulder studies (type A and 1 according to Suter and Henninger). Fifty-six patients with a minimum prospective follow-up of 3 years were included: 28 with a CSA >35º and 28 with a CSA <35º prior to...

Anterior Cruciate Ligament (ACL) injuries in the knee are common orthopedics injuries, affecting patients of various ages and activity levels. Now-a-days use of quadriceps tendon (QT) autograft has been steadily increasing for ACL reconstruction. This Prospective interventional study was conducted in the Department of Orthopedic Surgery, Bangladesh Medical University (BMU), Bangladesh from March 2020 to August 2022 to evaluate the Functional outcome of arthroscopic isolated ACL reconstruction...

Excessive femoral anteversion is related to inferior patient reports outcomes after hiparthroscopy. While hip femoral acetabular impingement is a more common diagnosis, awareness of the importance of femoral version for prognosis following hip arthroscopy is growing. An algorithm for the practical assessment of clinically significant femoral version is proposed.

Optimal management of the capsule in hip arthroscopy continues to evolve. Historically, periportal capsulotomy has been considered the more difficult and time-consuming approach because of its limited visualization and the perceived learning curve. However, as our understanding of the importance of capsular integrity has grown, so has our prioritization of preserving its stabilizing function to prevent iatrogenic instability. Periportal capsulotomy techniques embody this shift by limiting...

CONCLUSIONS: With standardized initial proficiency, a contracting retraining schedule with higher late-sequence practice density improves short to intermediate term retention of basic arthroscopic surgical skills. This schedule is compatible with duty-hour realities and may enhance operative efficiency and safety.

CONCLUSION: Although AVFs following TMJ arthroscopy are rare, early recognition and appropriate treatment are crucial. Superselective arterial embolization with PHIL represents an effective, minimally invasive treatment for TMJ-associated AVFs. This case highlights the importance of prompt intervention in managing vascular complications following TMJ arthroscopy and demonstrates PHIL's potential as an embolic agent in high-flow fistulas.

CONCLUSIONS: Patients with EA had inferior outcomes of hip arthroscopy and a higher prevalence of anteroinferior labral tears.

CONCLUSION: Patient-specific 3D-printed guides enable the effective creation of two anatomically accurate tibial tunnels for medial meniscus posterior root repair. This approach offers a rapid and precise solution for anatomical restoration using MRI-guided planning.

CONCLUSION: This study provides the novel, initial clinical evidence for a single-stage arthroscopic procedure which incorporates complete arthroscopic ankle arthrodesis and arthroscopic fibular osteotomy in severe varus deformities. It can be effectively used with similar fusion and recovery times, by eliminating mechanical obstruction caused by the fibula in varus OA without necessitating additional surgical incisions.

Arthroscopy and its Family of Journals have adopted the Sex and Gender Equity in Research (SAGER) guidelines, and this implementation has (1) increased awareness of sex differences, (2) resulted in acknowledgement and acceptance of these standards for research publication, and (3) identified persistent barriers that must be addressed and acted on to advance future research. Building on this momentum, this editorial presents several action items and strategies for meaningful sex-disaggregation in...

Orthopaedic sports surgeons continue to strive for improved patient outcomes. An increasing number of studies indicate that surgical outcomes are improved and complications minimized when procedures are performed by surgeons with a higher volume of the indicated procedure. By developing a specific area of expertise, surgeons can gain recognition as an expert within their region, build patient volume within that area, and optimize patient outcomes. On the other hand, when surgeons feel a pressure...

Bilateral femoroacetabular impingement syndrome is commonly encountered in clinical practice, and determining the optimal approach and timing for surgical management of both hips remains an important consideration. I have performed both simultaneous and staged bilateral hip arthroscopies; however, my preference has been to stage procedures to allow for appropriate recovery, functional assessment, and patient tolerance following the initial surgery. Managing bilateral pathology requires balancing...

CONCLUSIONS: This study showed a negative correlation between increased anxiety/depression and iHOT-12 outcomes; however, this was not reflected in the relative improvement in outcomes. Those with greatest preoperative anxiety/depression were at greater risk of not achieving minimally clinically important difference yet were most likely to see an improvement in their anxiety/depression scores.

Disorders of mental health and wellness are frequently encountered in patients with femoroacetabular impingement syndrome (FAIS) undergoing arthroscopic hip preservation surgery. Anxiety and depression are the two most common mental health diagnoses that coexist with intra-articular hip diagnoses. There is significant overlap with symptoms of anxiety and depression (sleep disturbance, energy loss, and concentration difficulties), and roughly three quarters of patients with either anxiety or...

CONCLUSIONS: SCR using the LHBT with or without LTT results in improved postoperative PROMs and ROM compared to preoperatively. However, in current analysis based on propensity score matching, combination of SCR using the LHBT with LTT shows superiority in improving external rotation and preventing infraspinatus retear for patients with high fatty infiltration.

CONCLUSIONS: Following arthroscopic posterior labral repair of the shoulder, high-demand active-duty military patients sustain significant improvement in PROMs and high CSOs achievement rates at a minimum 10-year follow-up, alongside high rates of return to military duty and sports at 92.3% and 87.2%.

CONCLUSION: Hip arthroscopy-assisted surgery significantly reduced perioperative morbidity and achieved equivalent, excellent clinical function compared with the anterior approach in the short- to mid-term, despite a higher rate of imperfect radiographic reductions. In carefully selected Pipkin type I fractures involving small, non-weight-bearing fragments, fragment excision was associated with favorable functional outcomes, supporting its role as a selective treatment option rather than a...

CONCLUSIONS: ITD yielded improvements when treating iliopsoas impingement during hip arthroscopy. ITDs had comparable improvements in PROs, resolution in painful internal snapping, and underwent revision arthroscopy at similar rates when compared to IFLs.

Internal snapping hip (ISH) is a relatively rare pathology in which the iliopsoas tendon "snaps" over anterior hip structures, causing pain and debilitation to patients. Although conservative management is routinely successful, patients will occasionally progress past the conservative measures and opt for surgical management. The advent of arthroscopy in treating hip pathology has provided a novel avenue in treating this patient population; however, identifying the specific technique that...