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Arthroscopy: the Journal of Arthroscopic & related Surgery

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https://www.readbyqxmd.com/read/28899638/subpectoral-biceps-tenodesis-for-treatment-of-isolated-type-ii-slap-lesions-in-a-young-and-active-population
#1
Jonas Pogorzelski, Marilee P Horan, Zaamin B Hussain, Alexander Vap, Erik M Fritz, Peter J Millett
PURPOSE: The purpose of this study was to evaluate outcomes following open subpectoral biceps tenodesis for the treatment of isolated type II SLAP lesions in patients 45 years of age or younger and evaluate the rate of return to sport. METHODS: All patients included in the study were at least 2 years out from open subpectoral biceps tenodesis for treatment of an isolated type II SLAP lesion and were treated between December 2007 and March 2015. All patients older than 45, those who had prior surgery on the index shoulder, and those who had any concomitant reconstructive shoulder procedures were excluded...
September 9, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28893426/outcomes-after-double-bundle-anterior-cruciate-ligament-reconstruction
#2
Ji Hyun Ahn, Ho Won Kang, Kug Jin Choi
PURPOSE: To identify the risk factors predicting unsatisfactory postoperative clinical outcomes after double-bundle (DB) anterior cruciate ligament (ACL) reconstruction using multivariate logistic regression. METHODS: Inclusion criteria were consecutive DB ACL reconstructions from January 2006 to September 2012 with a minimum 3-year follow-up. Exclusion criteria included (1) a delay to surgery from initial injury of more than 4 years (210 weeks); (2) contralateral knee pathology; (3) the lack of postoperative 3-dimensional computed tomography; (4) single-bundle ACL reconstruction; (5) revision ACL reconstruction; (6) meniscus allograft transplantation after total or subtotal meniscectomy; (7) multiple ligament surgeries...
September 8, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28888723/isolated-biceps-reflection-pulley-tears-treated-with-subpectoral-biceps-tenodesis-minimum-2-year-outcomes
#3
Alexander R Vap, J Christoph Katthagen, Dimitri S Tahal, Marilee P Horan, Erik M Fritz, Jonas Pogorzelski, Peter J Millett
PURPOSE: To investigate if patients younger than 50 years old had improved functional outcomes after subpectoral biceps tenodesis (BT) for the treatment of biceps reflection pulley (BRP) lesions at minimum 2-year postoperative follow-up. METHODS: Patients who had arthroscopically confirmed BRP tears that were treated with subpectoral BT and were at least 2 years out from surgery were included; patients were excluded if they had concomitant reconstructive or reparative procedures at index surgery...
September 6, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866348/the-effect-of-intra-articular-cocktail-versus-femoral-nerve-block-for-patients-undergoing-hip-arthroscopy
#4
Sean Childs, Sonia Pyne, Kiritpaul Nandra, Wajeeh Bakhsh, S Atif Mustafa, Brian D Giordano
PURPOSE: To compare clinical efficacy and complication rate as measured by postoperative falls and development of peripheral neuritis between intra-articular blockade and femoral nerve block in patients undergoing arthroscopic hip surgery. METHODS: An institutional review board approved retrospective review was conducted on a consecutive series of patients who underwent elective arthroscopic hip surgery by a single surgeon, between November 2013 and April 2015. Subjects were stratified into 2 groups: patients who received a preoperative femoral nerve block for perioperative pain control, and patients who received an intra-articular "cocktail" injection postoperatively...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866347/wearable-inertial-sensors-allow-for-quantitative-assessment-of-shoulder-and-elbow-kinematics-in-a-cadaveric-knee-arthroscopy-model
#5
Michael Rose, Carolin Curtze, Joseph O'Sullivan, Mahmoud El-Gohary, Dennis Crawford, Darin Friess, Jacqueline M Brady
PURPOSE: To develop a model using wearable inertial sensors to assess the performance of orthopaedic residents while performing a diagnostic knee arthroscopy. METHODS: Fourteen subjects performed a diagnostic arthroscopy on a cadaveric right knee. Participants were divided into novices (5 postgraduate year 3 residents), intermediates (5 postgraduate year 4 residents), and experts (4 faculty) based on experience. Arm movement data were collected by inertial measurement units (Opal sensors) by securing 2 sensors to each upper extremity (dorsal forearm and lateral arm) and 2 sensors to the trunk (sternum and lumbar spine)...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866346/surgical-management-of-deep-gluteal-syndrome-causing-sciatic-nerve-entrapment-a-systematic-review
#6
REVIEW
Jeffrey Kay, Darren de Sa, Laura Morrison, Emily Fejtek, Nicole Simunovic, Hal D Martin, Olufemi R Ayeni
PURPOSE: To assess the causes, surgical indications, patient-reported clinical outcomes, and complications in patients with deep gluteal syndrome causing sciatic nerve entrapment. METHODS: Three databases (PubMed, Ovid [MEDLINE], and Embase) were searched by 2 reviewers independently from database inception until September 7, 2016. The inclusion criteria were studies reporting on both arthroscopic and open surgery and those with Level I to IV evidence. Systematic reviews, conference abstracts, book chapters, and technical reports with no outcome data were excluded...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866345/should-the-capsule-be-repaired-or-plicated-after-hip-arthroscopy-for-labral-tears-associated-with-femoroacetabular-impingement-or-instability-a%C3%A2-systematic-review
#7
REVIEW
Victor Ortiz-Declet, Brian Mu, Austin W Chen, Jody Litrenta, Itay Perets, Leslie C Yuen, Benjamin G Domb
PURPOSE: To critically evaluate the existing literature on hip capsule biomechanics, clinical evidence of instability, and outcomes of capsular management to answer the following question: Should the capsule be repaired or plicated after hip arthroscopy for labral tears associated with femoroacetabular impingement or instability? METHODS: We used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines to find articles using PubMed and Embase...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866344/clinical-outcomes-in-revision-anterior-cruciate-ligament-reconstruction-a-meta-analysis
#8
Rohith Mohan, Kate E Webster, Nick R Johnson, Michael J Stuart, Timothy E Hewett, Aaron J Krych
PURPOSE: The purpose of this meta-analysis was to determine overall objective graft failure rate, failure rate by graft type (allograft vs autograft reconstruction), instrumented laxity, and patient outcome scores following revision anterior cruciate ligament (ACL) reconstruction. Outcomes of interest were collected for all studies meeting the study inclusion criteria, but lower-level studies (level III/IV) were not pooled for quantitative synthesis due to high levels of heterogeneity in these study populations...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866343/clinical-outcome-of-arthroscopic-treatment-for-posteromedial-elbow-impingement-in-adolescent-baseball-players
#9
Tetsuya Matsuura, Toshiyuki Iwame, Naoto Suzue, Jyoji Iwase, Shunsuke Tamaki, Kenji Yokoyama, Koichi Sairyo
PURPOSE: To evaluate the clinical outcomes of arthroscopic treatment in adolescent baseball players with posteromedial elbow impingement. METHODS: This retrospective study evaluated the clinical outcome of arthroscopic treatment for posteromedial elbow impingement in adolescent baseball players. Patients were eligible for participation if they had undergone surgery at least 2 years earlier and excluded if they had arthritis, loose bodies, osteochondritis dissecans, ulnar collateral ligament tear, flexor/pronator injuries or medial epicondylitis, or nerve problems...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866342/recurrent-instability-after-arthroscopic-bankart-reconstruction-a-systematic-review-of-surgical-technical-factors
#10
REVIEW
Landon Brown, Shane Rothermel, Rajat Joshi, Aman Dhawan
PURPOSE: Recurrent instability remains of concern after arthroscopic Bankart reconstruction. We evaluated various technical factors including anchor design, anchor material, number of anchors used, and interval closure on risk of recurrent instability after arthroscopic Bankart reconstruction. METHODS: A systematic review of MEDLINE and Cochrane databases was conducted, following PRISMA guidelines. Extracted data were recorded on a standardized form. Methodological index for non-randomized studies (MINORS) and Newcastle-Ottawa Scale (NOS) were used to assess study quality and risk bias...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866341/similar-30-day-complications-for-septic-knee-arthritis-treated-with-arthrotomy-or-arthroscopy-an-american-college-of-surgeons-national-surgical-quality-improvement-program-analysis
#11
Patawut Bovonratwet, Stephen J Nelson, Kirthi Bellamkonda, Nathaniel T Ondeck, Blake N Shultz, Michael J Medvecky, Jonathan N Grauer
PURPOSE: The purpose of the current study was to use the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) to determine whether there were differences in 30-day perioperative complications between open arthrotomy and arthroscopy for the treatment of septic knees in a large national sample. METHODS: Patients who were diagnosed with a septic knee and underwent open arthrotomy or arthroscopy were identified in the 2005-2014 NSQIP data sets...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866340/single-bundle-and-double-bundle-posterior-cruciate-ligament-reconstructions-a-systematic-review-and-meta-analysis-of-441-patients-at-a-minimum-2%C3%A2-years-follow-up
#12
Jorge Chahla, Gilbert Moatshe, Mark E Cinque, Grant J Dornan, Justin J Mitchell, Taylor J Ridley, Robert F LaPrade
PURPOSE: To perform a systematic review on the techniques and a meta-analysis on the functional and objective outcomes after single-bundle (SB) versus double-bundle (DB) posterior cruciate ligament (PCL) reconstructions. METHODS: A systematic review of the techniques, as well as functional and objective outcomes of clinical studies comparing SB versus DB PCL reconstruction with a mean follow-up of at least 24 months and minimum level of evidence of III were performed...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28866339/arthroscopic-partial-repair-of-irreparable-rotator-cuff-tears-factors-related-to-greater-degree-of-clinical-improvement-at-2%C3%A2-years-of-follow-up
#13
Kun-Hui Chen, En-Rung Chiang, Hsin-Yi Wang, Hsiao-Li Ma
PURPOSE: This study aimed to evaluate the clinical outcomes of irreparable rotator cuff tears (RCT) treated with an arthroscopic partial repair, as well as the preoperative factors that may be related to greater improvement of clinical outcomes at short-term follow-up. METHODS: We retrospectively reviewed patients with irreparable RCT who underwent arthroscopic partial rotator cuff repair between January 2011 and April 2014. Minimal follow-up of 24 months was required...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28847575/arthroscopic-sternoclavicular-joint-diskectomy-for-acute-and-chronic-tears
#14
Graham Tytherleigh-Strong, Abbas Rashid, Christopher Lawrence, David Morrissey
PURPOSE: To describe the results and functional scores in a group of patients who underwent arthroscopic excision of a symptomatic sternoclavicular joint (SCJ) disk tear with a minimum follow-up period of 2 years. METHODS: Between April 2010 and December 2014, 14 patients underwent arthroscopic excision of a torn SCJ disk. Patients whose intended surgery was an isolated diskectomy and underwent that surgery only, with no additional procedure, were included. The minimum follow-up period was 24 months...
August 25, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28847574/the-tibial-tubercle-to-trochlear-groove-tt-tg-distance-is-reliable-in-the-setting-of-trochlear-dysplasia-and-superior-to-the-tibial-tubercle-to-posterior-cruciate-ligament-tt-pcl-distance-when-evaluating-coronal-malalignment-in-patellofemoral-instability
#15
Jacqueline M Brady, Jaron P Sullivan, Joseph Nguyen, Douglas Mintz, Daniel W Green, Sabrina Strickland, Beth E Shubin Stein
PURPOSE: To determine best practices for consistent and accurate evaluation of coronal alignment in patients with patellofemoral (PF) instability. METHODS: Six reviewers examined 239 knee magnetic resonance images (MRIs) in patients with PF instability and anterior cruciate ligament (ACL) rupture. Measurements included tibial tubercle-to-trochlear groove (TT-TG) distance measured at the most proximal and distal portions of the trochlea, tibial tubercle-to-PCL (TT-PCL) distance, and Dejour classification of trochlear dysplasia...
August 25, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28847573/long-head-of-biceps-tendon-pathology-and-results-of-tenotomy-in-full-thickness-reparable-rotator-cuff-tear
#16
Sanjay S Desai, Hari Krishna Mata
PURPOSE: To document the incidence of long head of the biceps tendon (LHBT) pathology in full-thickness reparable rotator cuff tears and report the clinical results of arthroscopic LHBT tenotomy combined with rotator cuff repair. METHODS: Between January 2012 and January 2014, 141 shoulders with full-thickness rotator cuff tears that had undergone arthroscopic repair were included for the analysis. The LHBT was thoroughly examined during arthroscopy, and tenotomy was performed in all patients with a pathologic LHBT...
August 25, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28847572/change-in-anterior-cruciate-ligament-graft-choice-and-outcomes-over-time
#17
Christopher C Kaeding, Angela D Pedroza, Emily K Reinke, Laura J Huston, Timothy E Hewett, David C Flanigan, Kurt P Spindler
PURPOSE: To analyze failure rate in 2-year increments to determine if graft choice changed over time and graft failure rate. METHODS: A prospective 2002-2008 database was used to identify risk factors for anterior cruciate ligament (ACL) retear. Subjects who had primary ACL retear with no history of contralateral surgery and 2-year follow-up were included. Subjects who underwent a multiligament reconstruction were excluded. Graft type, age, sex, smoking status, body mass index, Marx activity level at index surgery, medial and lateral meniscus status at time of ACL retear, sport played after ACL reconstruction, and clinical site were evaluated...
August 25, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28843480/conjoined-tendon-transfer-for-traumatic-anterior-glenohumeral-instability-in-patients-with-large-bony-defects-and-anterior-capsulolabral-deficiency
#18
Wiemi A Douoguih, David Goodwin, Ryan Churchill, Megan Paulus, Abby Maxwell
PURPOSE: To report outcomes of a conjoined tendon transfer procedure in a small case series of young active patients of various activity levels with recurrent traumatic anterior shoulder instability. METHODS: A retrospective chart review identified 10 consecutive patients who underwent conjoined tendon transfer (8 open and 2 arthroscopic) for anterior glenohumeral instability from January 2009 through December 2012. The indications were traumatic anterior shoulder instability with 25% or greater anterior glenoid bone loss, engaging Hill-Sachs lesion, or absent anterior-inferior labral tissue with anterior capsular tissue that did not readily hold sutures or a combination of these deficiencies...
August 23, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28844344/patellofemoral-contact-pressures-after-patellar-distalization-a-biomechanical-study
#19
Justin S Yang, John P Fulkerson, Elifho Obopilwe, Andreas Voss, Jessica Divenere, Augustus D Mazzocca, Cory M Edgar
PURPOSE: To measure the patellofemoral contact pressure in early flexion after a tibial tubercle distalization osteotomy. METHODS: Ten matched-pair fresh-frozen cadaveric knees were studied. The average Blackburne-Peel ratio of the native knees was 0.91. The knees were placed on a testing rig, with a fixed femur and tibia mobile through 90° of flexion. Individual quadriceps heads and the iliotibial band were separated and loaded with 205 N in anatomic directions using a weighted pulley system...
August 22, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28822641/clinical-and-radiographic-outcomes-with-assessment-of-the-learning-curve-in-arthroscopically-assisted-latissimus-dorsi-tendon-transfer-for-irreparable-posterosuperior-rotator-cuff-tears
#20
Kotaro Yamakado
PURPOSE: To evaluate the clinical results of an arthroscopy-assisted latissimus dorsi tendon transfer (aLD) for irreparable posterosuperior cuff tears as a primary surgery. The secondary aim of this study was to quantify the learning curve using the log-linear model. We hypothesized that aLD significantly improved shoulder function and that there was consistent reduction of the operative time in support of a learning-curve effect. METHODS: After the arthroscopic partial repair was completed, the latissimus dorsi tendon was harvested via axillary mini-open incision and fixed with a knotless anchor arthroscopically...
August 16, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
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