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Labral repair

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https://www.readbyqxmd.com/read/29629574/acetabular-delamination-epidemiology-histological-features-and-treatment
#1
Eugenio Jannelli, Antonina Parafioriti, Alberto Acerbi, Alessandro Ivone, Alberto Fioruzzi, Andrea Fontana
Objective The International Cartilage Repair Society classification is the one mainly used to define chondral defects. However, this classification does not include delamination. The objective of the study is to describe the characteristics of this lesion to better explain its classification in the context of chondral lesions of the hip. Design We performed a retrospective analysis of 613 patients who underwent hip arthroscopy. In this group, the incidence, localization, histological characteristics, and association to femoroacetabular impingement as well as to other intraarticular lesions of acetabular delamination (AD) were analyzed...
April 1, 2018: Cartilage
https://www.readbyqxmd.com/read/29595538/labral-augmentation-with-native-tissue-preservation-with-a-7-5-year-follow-up-a-case-report
#2
Jonathan A Godin, Lorenzo Fagotti, Karen K Briggs, Marc J Philippon
CASE: Arthroscopic labral repair has resulted in excellent functional outcomes. However, extensive labral damage or diminutive size of the labrum may preclude a repair. In these cases, labral augmentation serves as an operative treatment option. We report the case of a labral augmentation with 7.5 years of follow-up, including intraoperative reexamination, which highlights the ability of an iliotibial band autograft to incorporate with the native labrum. CONCLUSION: When indicated in an appropriate patient, labral augmentation with an iliotibial band autograft is an established technique that can result in an excellent outcome...
January 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29580743/surgical-trends-in-arthroscopic-hip-surgery-using-a-large-national-database
#3
Nicholas A Bonazza, Brittany Homcha, Guodong Liu, Douglas L Leslie, Aman Dhawan
PURPOSE: To assess the practice trends in hip arthroscopy, including femoroplasty, acetabuloplasty, and labral repair Current Procedure Terminology, 4th edition (CPT-4), codes that have been implemented since many of the previous studies were published, without concerns for Hawthorne or observer effect as can be seen during a board collection window, and in a larger volume of patients with a more comprehensive database than previous published data. METHODS: The MarketScan Commercial Claims and Encounters database was searched using CPT-4 codes to identify patients who underwent any arthroscopic hip procedure from 2008 to 2013...
March 23, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29552471/a-technique-for-arthroscopic-assisted-ligamentum-teres-augmentation-using-a-suture-tape-augmentation
#4
Julie A Neumann, Renee S Greene, Michael B Banffy
Ligamentum teres (LT) tears are a pathologic condition being identified at increasing frequency because of growing use of hip arthroscopy. The exact role of the LT is not well understood, but it has been shown in recent biomechanical studies to contribute to hip stability. Patients with hip pain, instability, and/or mechanical symptoms with advanced imaging findings showing LT pathology may benefit from an LT augmentation. We present an arthroscopic-assisted LT augmentation technique, which can be performed as an isolated procedure or in conjunction with an arthroscopic labral repair and/or debridement, chondroplasty, and femoroplasty...
January 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29552467/dynamic-anterior-stabilization-using-the-long-head-of-the-biceps-for-anteroinferior-glenohumeral-instability
#5
Philippe Collin, Alexandre Lädermann
Anteroinferior glenohumeral instability can be treated by variants of the Bankart repair, remplissage , and the Latarjet procedure, although all options remain associated with complications, including recurrence, stiffness, persistent pain, apprehension, and dislocation arthropathy. The authors therefore thought of a concept of dynamic anterior stabilization to treat anteroinferior glenohumeral instability by transferring the long head of the biceps within a subscapularis split to the anterior glenoid margin, thereby creating a "sling effect" by using a conservative technique...
January 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29537865/critical-glenoid-bone-loss-in-posterior-shoulder-instability
#6
Christopher Nacca, Joseph A Gil, Rohit Badida, Joseph J Crisco, Brett D Owens
BACKGROUND: There is currently no consensus regarding the amount of posterior glenoid bone loss that is considered critical. Critical bone loss is defined as the amount of bone loss that occurs in which an isolated labral repair will not sufficiently restore stability. PURPOSE: The purpose is to identify the critical size of the posterior defect. STUDY DESIGN: Controlled laboratory study. METHODS: Eleven cadaveric shoulders were tested...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29529954/comparative-study-on-clinical-results-of-arthroscopic-repair-of-anteroinferior-superior-and-combined-glenoid-labral-tear
#7
Meng Zhu, Jerry Yongqiang Chen, Hwei Chi Chong, Paul Chang Chee Cheng, Denny Lie Tijauw Tjoen
BACKGROUND: The purpose of this prospective study is to compare and correlate the clinical results of arthroscopic repair of a combined anteroinferior and superior labral lesion with those of an isolated anteroinferior labral lesion or type II superior labral tear from anterior to posterior (SLAP) lesion. METHODS: A comparative study involving patients who underwent arthroscopic labral repairs in a tertiary hospital between 2010 and 2014 was conducted. A total of 96 patients were divided into three groups: Group A consisted of 61 patients with the anteroinferior labral lesion, group B consisted of 16 patients with the type II SLAP lesion, and group C consisted of 19 patients with the combined anteroinferior and superior labral lesion...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29501216/arthroscopic-management-of-slap-lesions-with-concomitant-spinoglenoid-notch-ganglion-cysts-a-systematic-review-comparing-repair-alone-to-repair-with-decompression
#8
REVIEW
Amanda J Schroeder, Yehia H Bedeir, Adam P Schumaier, Vishal S Desai, Brian M Grawe
PURPOSE: To determine if cyst management is necessary in the setting of SLAP lesions with concomitant paralabral ganglion cysts. METHODS: We performed a systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, including all studies that met inclusion criteria from January 1975 to July 2015. We included patients with a SLAP II-VII lesion and a concomitant paralabral ganglion cyst who underwent arthroscopic labral repair with or without cyst decompression...
February 28, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29484517/arthroscopic-bone-graft-procedure-combined-with-arthroscopic-subscapularis-augmentation-asa-for-recurrent-anterior-instability-with-glenoid-bone-defect-a-cadaver-study
#9
Raffaele Russo, Marco Maiotti, Ettore Taverna
BACKGROUND: Glenoid bone loss and capsular deficiency represent critical points of arthroscopic Bankart repair failures. The purpose of this study was to evaluate an all-arthroscopic bone block procedure associated with arthroscopic subscapularis augmentation (ASA) for treating gleno-humeral instability with glenoid bone loss (GBL) and anterior capsulo-labral deficiency. Our hypothesis was that these two procedures could be combined arthroscopically. The feasibility of this technique and its reproducibility, and potential neurovascular complications were evaluated...
February 27, 2018: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29463360/severe-arthritic-changes-following-acetabular-labral-repair-and-femoroplasty-in-an-air-force-pilot
#10
Christopher J Sardon, Mathew L Resnick
BACKGROUND: Acetabular labral tears in the hip have become an increasingly common finding in active duty members due to improved diagnostic capabilities. This has led to a dramatic increase in operative management despite a lack of evidence to support clear long-term benefits. Literature review demonstrated overwhelmingly positive short-term outcomes for labral repairs; however, scattered case reports exist demonstrating debilitating outcomes in young patients, ultimately resulting in total hip arthroplasty...
February 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29449084/paralabral-cysts-of-the-shoulder-treated-with-isolated-labral-repair-effect-on-pain-and-radiologic-findings
#11
Cecilie P Schrøder, Kirsten Lundgreen, Rune Kvakestad
BACKGROUND: Paralabral cysts emanating from posterosuperior labral tears may compress the suprascapular nerve and induce neuropathy. This study prospectively assessed patients with labral tears and symptomatic paralabral cysts treated with isolated labral repair. Pain relief, time to cyst resolution, reversibility of muscular edema, atrophy, fatty infiltration, and bone erosion were evaluated. METHODS: Forty-seven patients with symptomatic posterosuperior paralabral cysts were treated with isolated labral repair...
February 13, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29447302/in-throwers-with-posterior-instability-rotator-cuff-tears-are-common-but-do-not-affect-surgical-outcomes
#12
Justin W Arner, Michael P McClincy, James P Bradley
In a previous study, compared with throwing athletes with superior labral anterior posterior (SLAP) tears, those with concomitant SLAP tears and rotator cuff tears (RCTs) had significantly poorer outcome scores and return to play. Posterior shoulder instability also occurs in throwing athletes, but no studies currently exist regarding outcomes of these patients with concomitant RCTs. The authors hypothesized that throwing athletes treated with arthroscopic capsulolabral repair for posterior shoulder instability with coexistent rotator cuff pathology would have poorer outcome scores and return to play...
January 2018: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29430391/modifications-to-the-hip-arthroscopy-technique-when-performing-combined-hip-arthroscopy-and-periacetabular-osteotomy
#13
Andrea M Spiker, Kate R Gumersell, Ernest L Sink, Bryan T Kelly
In the realm of hip preservation, hip arthroscopy is often used to address intra-articular impingement pathology, whereas periacetabular osteotomy (PAO) is used to address dysplasia and instability. Indications to combine these 2 procedures include hip dysplasia and symptomatic instability with a concomitant symptomatic labral tear or the other symptomatic intra-articular pathology (i.e., loose body, chondral flap). The arthroscopic portion of the procedure allows repair of the injured labrum and close inspection of the hip joint, and the PAO addresses undercoverage and/or inappropriate version of the acetabulum...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29430388/arthroscopic-labral-repair-in-the-setting-of-recurrent-posterior-shoulder-instability
#14
George Sanchez, Nicholas I Kennedy, Márcio B Ferrari, Sandeep Mannava, Salvatore J Frangiamore, Matthew T Provencher
Posterior shoulder instability, although relatively rare in the general population, is more commonly seen in athletes, especially those in contact sports. Although nonoperative treatment has been associated with satisfactory results in the setting of posterior shoulder instability, conservative management may ultimately fail and lead to recurrence particularly in young, male patients. Both arthroscopic and open repair techniques to address posterior instability have been described, with each showing positive patient-reported outcomes, low risk of recurrence, and considerably high return-to-sport rates...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29423255/labral-cuff-refixation-in-the-hip-rationale-and-operative-technique-for-preserving-the-chondrolabral-interface-for-labral-repair-a-case-series
#15
Patrick Finton Carton, David Filan
Arthroscopic labral 'takedown' and refixation is utilized to permit adequate visualization and resection of the acetabular rim deformity, in patients with pincer or mixed femoroacetabular impingement. Deficiencies exist in present techniques, which include disruption of vital anatomical support and vascular structures to the labrum and chondrolabral junction, drill or anchor articular penetration risk, bunching, elevation and instability of the labrum. A new operative technique is described which preserves the important chondrolabral interface, accurately restoring the 'flap seal' of the acetabular labrum while minimizing vascular disruption and reducing the risk of drill and anchor penetration...
January 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29416969/-in-round-labral-repair-after-acetabular-recession-using-intermittent-traction
#16
Nathan W Skelley, William K Conaway, Scott D Martin
The prevalence of hip arthroscopy has increased exponentially with the advent of arthroscopic labral repair techniques for femoroacetabular impingement. The goal of arthroscopic labral repair is to re-create the anatomic suction seal of the labrum against the femoral head. This important anatomic relationship has been demonstrated in several biomechanical studies. Performing the acetabular recession and evaluating the congruity of labral repairs during surgery is difficult with the application of traction distracting the femoral head from the chondrolabral junction...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29416967/arthroscopic-intra-articular-spinoglenoid-cyst-resection-following-slap-repair
#17
Sreehari C K, Ankit Varshney, Yon-Sik Yoo, Seung-Jin Lee
Spinoglenoid cyst (SGC) is a ganglion arising in the spinoglenoid notch and is thought to be related to SLAP lesion. This cyst often compresses the suprascapular nerve in the spinoglenoid notch. Symptomatic cysts require surgical treatment when conservative treatment fails. In particular, arthroscopic decompression through the torn labral tissue when the cyst is extending into the joint cavity is easy and convenient. However, if the cyst is confined to the spinoglenoid notch, arthroscopic approach through the torn labral tissue is challenging...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29413192/editorial-commentary-can-we-achieve-personalized-risk-assessment-in-hip-arthroscopy
#18
EDITORIAL
Thomas Parker Vail
Gender, age, obesity, osteoarthritis, absence of labral repair, and index procedure performed by a lower volume surgeon were identified as risk factors for reoperation in a statewide study of hip arthroscopy. Although this analysis is helpful for benchmarking expectations for outcome in hip arthroscopy, unaccounted patient variables in the database could significantly complicate and confound the point of care application of the findings.
February 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29413190/editorial-commentary-wanted-dead-or-alive-primary-allograft-labral-reconstruction-of-the-hip-is-as-successful-if-not-more-successful-than-primary-labral-repair
#19
EDITORIAL
Thomas Youm
Primary repair of acetabular labral tears has been the gold standard treatment with excellent short to mid-term results. Autograft and allograft labral reconstruction has been described mostly in the revision labral surgery setting with good short-term results. A recent study has compared primary labral reconstruction to labral repair head-to-head in the same patient. Primary labral reconstruction may be a suitable alternative to labral repair in patients with symptomatic labral pathology. Concerns remain, however, about sacrificing living labral tissue for dead allograft tissue for the long term...
February 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29399443/the-floating-labrum-bankart-lesion-repair-with-anterior-capsular-extension-using-2-anterior-working-portals
#20
Allison J Rao, Nikhil N Verma, Scott W Trenhaile
Surgical repair of a Bankart lesion requires thorough recognition of the capsulolabral attachment and adequate visualization for suture anchor repair. The glenoid labrum usually detaches from its capsule and bony attachment anteriorly and inferiorly; however, the labral and capsule detachment can sometimes extend beyond this zone of injury. Identification and repair may require additional viewing and working portals to allow for ease of suture passage and anchor placement. This technique guide describes a case scenario of a Bankart lesion with anterior extension of the capsular tear, repaired with use of 2 anterior working portals...
October 2017: Arthroscopy Techniques
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