Journal of Cartilage & Joint Preservation最新文献

Proximal hamstring repair: an overview of anatomy, indications, and techniques 近端腘绳肌修复：解剖学、适应症和技术概述

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-06-27 DOI: 10.1016/j.jcjp.2025.100248

Jose F. Vega, Jesus E. Cervantes, Eric Y. Hu, Shane J. Nho

{"title":"Proximal hamstring repair: an overview of anatomy, indications, and techniques","authors":"Jose F. Vega, Jesus E. Cervantes, Eric Y. Hu, Shane J. Nho","doi":"10.1016/j.jcjp.2025.100248","DOIUrl":"10.1016/j.jcjp.2025.100248","url":null,"abstract":"<div><h3>Purpose</h3><div>This article details the surgical repair of proximal hamstring tears, anatomical landmarks, and specific indications for various approaches, including endoscopic, open, and “scopen” (endoscopic-to-open).</div></div><div><h3>Objectives</h3><div>The objectives of this article are to (1) evaluate key anatomical landmarks during proximal hamstring repair to ensure safe and efficient proceedings, (2) provide guidance on the specific indications for various approaches, including endoscopic, open, and “scopen” repair of proximal hamstring tears, and (3) highlight technical pearls specifically relating to these approaches.</div></div><div><h3>Surgical technique</h3><div>An endoscopic approach utilizes a viewing and working portal, also along the gluteal crease, for accurate visualization of these structures. An open approach utilizes an incision along the gluteal crease for exposure to identify the tear, surrounding nerves, and ischial tuberosity footprint. The “scopen” approach combines both techniques, beginning with portals creation for endoscopic lysis of adhesions, sciatic nerve protection, and tear identification, followed by a mini-open extension of the incision between the portals to create sufficient working space to perform the repair.</div></div><div><h3>Conclusions</h3><div>Proximal hamstring injuries can vary widely in presentation, ranging from acute to chronic injuries with varying degrees of tendon involvement, retraction, and scar formation. The open, endoscopic, and “scopen” approaches are all viable surgical options in addressing proximal hamstring tears. A detailed understanding of anatomical landmarks and various approaches with their associated indications and techniques can further optimize patient outcomes.</div></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"6 1","pages":"Article 100248"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147553307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anterior hip anatomy for the open hip preservation surgeon 开放髋关节保存手术的前髋关节解剖

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-07-18 DOI: 10.1016/j.jcjp.2025.100256

Austen L. Thompson , Brandon Cabarcas , Jason Ina , Gavin H. Ward , Nirusha Lachman , Rafael J. Sierra , Mario Hevesi

{"title":"Anterior hip anatomy for the open hip preservation surgeon","authors":"Austen L. Thompson , Brandon Cabarcas , Jason Ina , Gavin H. Ward , Nirusha Lachman , Rafael J. Sierra , Mario Hevesi","doi":"10.1016/j.jcjp.2025.100256","DOIUrl":"10.1016/j.jcjp.2025.100256","url":null,"abstract":"<div><h3>Introduction</h3><div>Supine, anterior-based hip surgery has been popularized over the last few decades, not just for arthroplasty but also for hip preservation indications. Hip surgeons have employed anterior approaches to safely perform periacetabular osteotomy (PAO), femoral osteochondroplasty, and open reduction of femoral neck fractures while minimizing the risk of disrupting blood supply to the femoral head, often in a muscle-sparing manner.</div></div><div><h3>Objectives</h3><div>The objectives are to describe and provide insight into anterior-based surgical hip anatomy and its relevance to open hip preservation surgery. We aim to use cadaveric dissections to demonstrate relevant surgical relationships and provide anatomically helpful tips and tricks.</div></div><div><h3>Methods</h3><div>Cadaveric dissections of anterior-based hip structures were performed and the relevant literature reviewed to give surgically relevant anatomic relationships.</div></div><div><h3>Results</h3><div>We present the anatomic relationships relevant to open anterior hip preservation surgery. These are illustrated with cadaveric dissections and a discussion of the relevant literature highlighting the current understanding of how open hip anatomy affects operative planning and execution. Additionally, technical pearls and pitfalls are presented throughout in order to highlight relevant anatomical concepts and better illustrate how to effectively obtain safe and satisfactory surgical exposure at the time of open anterior hip preservation surgery.</div></div><div><h3>Conclusions</h3><div>Hip preservation surgery remains technically challenging with a steep learning curve, but with a thorough understanding of the relevant anatomy, safe and effective procedures can be carried out for the benefit of patients.</div></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"6 1","pages":"Article 100256"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147553312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anatomic considerations for safe and effective elbow arthroscopy 安全有效的肘关节镜检查的解剖学考虑

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-06-02 DOI: 10.1016/j.jcjp.2025.100249

Joaquin Sanchez-Sotelo, Christopher L. Camp, Shawn W. O’Driscoll

引用次数: 0

Open and arthroscopic approaches for meniscus surgery 半月板手术的开放和关节镜入路

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-10-02 DOI: 10.1016/j.jcjp.2025.100269

Jason Ina, Brandon Cabarcas, Sanathan Iyer, Adam Tagliero, Mario Hevesi, Aaron J. Krych

{"title":"Open and arthroscopic approaches for meniscus surgery","authors":"Jason Ina, Brandon Cabarcas, Sanathan Iyer, Adam Tagliero, Mario Hevesi, Aaron J. Krych","doi":"10.1016/j.jcjp.2025.100269","DOIUrl":"10.1016/j.jcjp.2025.100269","url":null,"abstract":"<div><div>The meniscus is a fibrocartilaginous structure that functions both as a shock absorber and a secondary stabilizer of the knee. Meniscus tears or meniscus deficiency can lead to increased intra-articular contact pressures with subsequent accelerated joint degeneration. Surgical treatment options for meniscal pathology include meniscectomy, repair, or transplantation with both arthroscopic and open approaches. The medial and lateral menisci have distinct anatomic features that need to be taken into consideration in order to preserve the native anatomy during meniscus surgery. The medial meniscus is larger and is more tethered to the femur, tibia, and capsule whereas the lateral meniscus is more mobile. The vascular supply of the meniscus is limited to the periphery and influences the healing potential along the width of the meniscus. Arthroscopic and open treatment options can be implemented to address meniscal pathology. Variations of standard arthroscopic portals should be considered based on the tear’s location and treatment being employed. Additionally, accessory portals and supplementary techniques, such as medial collateral ligament fractional lengthening, can enhance visualization and access during arthroscopic surgery. Open approaches may be required for certain meniscus treatment options, such as inside-out repair and meniscus transplants. Knowledge of key anatomic landmarks is crucial to avoid complications during meniscus procedures.</div></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"6 1","pages":"Article 100269"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147553308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical anatomy of the medial patellofemoral complex 内侧髌股复合体的外科解剖

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-09-11 DOI: 10.1016/j.jcjp.2025.100266

Christopher S. Lai, Miho J. Tanaka

{"title":"Surgical anatomy of the medial patellofemoral complex","authors":"Christopher S. Lai, Miho J. Tanaka","doi":"10.1016/j.jcjp.2025.100266","DOIUrl":"10.1016/j.jcjp.2025.100266","url":null,"abstract":"<div><div>Patellar instability is a common cause of knee dysfunction in young individuals. The medial patellofemoral complex (MPFC), comprising the medial patellofemoral ligament and medial quadriceps tendon femoral ligament (MQTFL), plays a crucial role in stabilizing the patella. The MPFC originates from the medial femur in a saddle region between the medial epicondyle, adductor tubercle, and medial gastrocnemius tubercle with an elongated, ribbon-like footprint. The anteromedial insertion of the MPFC is broad and variable, with fibers typically attaching to the proximal patella and deep quadriceps tendon. Its anatomic midpoint lies at the junction of the medial patella and quadriceps tendon, an important reference for reconstruction. In MPFC reconstruction, anatomic femoral and patellar/quadriceps fixation is critical to ensure optimal graft function and patient outcomes. Advancements in our understanding of the MPFC emphasize the importance of anatomic graft placement and highlight emerging surgical techniques. As recent anatomic, biomechanical, and clinical studies have refined our knowledge of the MPFC, we discuss an up-to-date review of its surgical anatomy and relevance to reconstruction techniques.</div></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"6 1","pages":"Article 100266"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147553314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anatomic approach to muscle tendon transfers of the shoulder for posterosuperior and anterosuperior rotator cuff deficiency 肩后上、前上肩袖缺陷的肌肉肌腱转移解剖入路

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-12-16 DOI: 10.1016/j.jcjp.2025.100279

Ryan Lohre, Bassem Elhassan

引用次数: 0

Open shoulder: the deltopectoral approach for glenohumeral joint preservation surgery 开肩：三角胸入路进行盂肱关节保留手术

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-09-12 DOI: 10.1016/j.jcjp.2025.100267

Mikalyn T. DeFoor , Brian F. Grogan , Andrew J. Sheean

引用次数: 0

Surgical anatomy: Not “just” for anatomists 外科解剖学：不只是解剖学家

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2026-02-17 DOI: 10.1016/j.jcjp.2026.100287

Mario Hevesi

引用次数: 0

Intra- and periarticular hip anatomy through the arthroscope 通过关节镜进行髋关节关节内和关节周围解剖

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-10-06 DOI: 10.1016/j.jcjp.2025.100268

Jason Ina , Brandon Cabarcas , Louis Kang , Kelechi R. Okoroha , Bruce A. Levy , Aaron J. Krych , Mario Hevesi

引用次数: 0

Open approaches to the lateral elbow: surgical indications, anatomic considerations, and technical pearls 肘外侧开入路：手术指征、解剖学注意事项和技术要点

Journal of Cartilage & Joint Preservation Pub Date : 2026-03-01 Epub Date: 2025-09-20 DOI: 10.1016/j.jcjp.2025.100263

Samuel S. Rudisill , Daniel Z. You , Alexander L. Hornung , Joaquin Sanchez-Sotelo , Mark E. Morrey , Jonathan D. Barlow

引用次数: 0