{"title":"Does acromioclavicular joint tenderness affect the outcome of rotator cuff repair? A prospective cohort study","authors":"Priyadarshi Amit, S. Malik, S. Massoud","doi":"10.4103/jajs.jajs_129_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_129_22","url":null,"abstract":"Purpose: The purpose of this study was to assess the functional outcome of rotator cuff repair (RCR) without distal clavicle excision (DCE) in patients with degenerative rotator cuff tear and acromio-clavicular joint (ACJ) tenderness. Methods: A cohort of 70 patients undergoing arthroscopic RCR without DCE were prospectively evaluated. Parameters such as the presence of ACJ arthritis on imaging and long head of biceps tendon (LHBT) pathology (intra-operative) were recorded. The ACJ tenderness and clinical outcome scores including Oxford shoulder score and quick-disability of arm, and shoulder and hand score were evaluated preoperatively and at 1-year postoperatively. Results: Four patients were lost to follow up. Of remaining 66 patients, ACJ tenderness was found in 50% of the total study population. ACJ tenderness showed significant positive correlation with biceps tendinopathy (R = 0.37, P = 0.002). Postoperatively, there was significant improvement in clinical outcome scores which were comparable in patients with or without ACJ tenderness. Among patients with tender ACJ, the tenderness resolved completely in 78.7% of patients. Conclusions: ACJ tenderness did not adversely affect the outcome following RCR. Furthermore, the patients with ACJ tenderness have higher incidence of LHBT tendinopathy.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"10 1","pages":"19 - 24"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45108844","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}
{"title":"Do they feel better when they walk better? 3D gait analysis study in total knee arthroplasty for Indian osteoarthritic knees","authors":"Sanket Tanpure, Ashish Phadnis, Taral Nagda, Chasanal Rathod, AjayPandit Chavan, Mayuri Gad","doi":"10.4103/jajs.jajs_92_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_92_22","url":null,"abstract":"Background: Osteoarthritis (OA) is a leading cause of disability in the elderly population. Gait analysis is a widely used tool to measure functional outcomes after total knee arthroplasty (TKA). This study aimed to assess the gait pattern and influence of TKA in patients with osteoarthritic knees. Materials and Methods: Preoperative and postoperative gait analysis was carried out on patients with grade 4 OA knee undergoing TKA. Sequential 33 adults (45 knees) with a mean age of 68.4 ± 5.8 years were studied. Gait analysis was carried out in Jupiter gait lab with 9 Qualisys Oqus cameras system and Qualisys track manager. Kinematic data were processed using Visual 3D C-Motion Software during a minimum of 6 walks across the walkway. Results: A significant difference in temporospatial parameters (gait speed, Cadence, step time, step length, stride width, stride length), joint kinematics in the sagittal plane (pelvis, hip, knee, ankle), coronal plane (pelvis, hip, knee, ankle), transverse plane (hip, knee) and motion analysis profile of knee (flexion/extension), ankle (dorsiflexion/plantarflexion), and hip (adduction/abduction). A significant difference was observed in the oxford knee score (OKS), Short Form 12, and knee society score. Conclusion: 3D gait analysis is a good tool to document and compare gait changes in patients undergoing TKA. Recent advances in surgical techniques and improvements in prosthesis design are important factors for better functional outcomes. Our results may be used by clinicians, physiotherapists, or researchers as a reference for integrated aspects for the development of TKA implant designs and improving functional outcomes.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135361387","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}
{"title":"Demystifying partial tears of the anterior cruciate ligament: A review of current diagnostic and management strategies","authors":"A. Chandra, Aakanksha Agarwal, MQ Azam","doi":"10.4103/jajs.jajs_126_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_126_22","url":null,"abstract":"Partial tears of anterior cruciate ligament (ACL) are a diagnostic and management challenge. There is ongoing discussion and debate about the ideal management of a partial tear with \"ala carte\" options available in the current literature. Findings can remain occult on imaging studies, necessitating more efficient clinical examination and acumen to identify patients requiring surgical intervention. The authors through this literature review provide an overview on partial tears of ACL including the background anatomy, pathology, clinical diagnosis, imaging finding, and surgical techniques. The literature is critically probed and tabulated for effortless assessment. The objective is to help the orthopedic surgeon decide the optimal course for a suspected partial ACL tear. The authors do not aim to provide a guideline but rather present an inventory of available options and approaches for managing partial ACL tear. This review is a comprehensive amalgamation of the heterogeneity in the present literature.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"10 1","pages":"1 - 9"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41405551","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}
{"title":"Primary arthroscopic bicruciate repair in multiligamentous knee injury with ipsilateral long bone fracture","authors":"P. Singhi, Ajay Amutham Elangovan, S. Raju","doi":"10.4103/jajs.jajs_112_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_112_22","url":null,"abstract":"Long bone fractures and multiligamentous knee injury (MLKI) have a firm relationship. Primary arthroscopic bicruciate repair along with long bone fixation has not been reported hitherto. Here, we report two cases of long bone fracture with MLKI treated with long bone fixation and primary arthroscopic bicruciate repair with open lateral collateral ligament repair for one patient. Both patients had good clinical outcomes at 1-year follow-up. With the present-day advancements in the field of arthroscopy, there is a place for primary arthroscopic ligament repair in specific tears along with long bone fixation.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"10 1","pages":"36 - 39"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42619839","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}
D. Zúñiga, Camila Ordóñez, Felipe Valbuena, Mauricio Largacha
{"title":"Complications of the open latarjet procedure are not related to the learning curve: Analysis after 11 years of experience","authors":"D. Zúñiga, Camila Ordóñez, Felipe Valbuena, Mauricio Largacha","doi":"10.4103/jajs.jajs_95_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_95_22","url":null,"abstract":"Introduction: The purpose of this study is to determine a relationship between complications of the open Latarjet procedure with the surgeon's learning curve during an 11-year experience in shoulder surgery. Methods: We conducted a retrospective descriptive observational case series of all open Latarjet procedures performed by a single shoulder surgeon between June 2011 and September 2021. Latarjet procedure was indicated in patients with glenoid bone defects of more than 15% or revision after a failed Bankart repair. Complications were recorded as well as patients' demographic data. We described the time between surgery and complication and correlated complication presentation with the surgeon's surgical curve. Results: Sixty-two consecutive patients were included (96, 8% male patients with an average age of 30 years). Eight patients presented with a complication (12, 5% of all patients). These complications were classified as graft related (n = 3), hardware related (n = 3), wound related (n = 1), and other (n = 1). There were no instability recurrences and no neurologic injuries. Complications were present in all periods of the surgeon's learning curve. Conclusions: The Latarjet procedure is technically demanding and complications can be present regardless of the surgeon's learning curve. Nevertheless, it is a successful procedure in most patients, with a low recurrence rate of instability.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"10 1","pages":"14 - 18"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41883459","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}
{"title":"Management of pipkin type 3 fracture-dislocation in young adults: A dilemma","authors":"B. Harna, Rishabh Saini, MC Saini","doi":"10.4103/jajs.jajs_106_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_106_22","url":null,"abstract":"Pipkin type 3 fracture-dislocation constitutes a rare subgroup of fractures involving the femoral neck and head fracture. The management is difficult and controversial, including osteosynthesis using Herbert or cancellous screws and hip replacement surgery. In this case report, a 26-year-old male suffered a road traffic accident leading to a hip fracture. Radiographs and computed tomography scan of the hip depicted three large fragments of the femur head, dislocated posteriorly along with the neck of femur fracture. Considering the needs of the patient, fracture morphology, and unpredictable results of the osteosynthesis, the patient was treated primarily with uncemented total hip replacement. The complexity of the fracture leads to more chances of malreduction and avascular necrosis of the femur head. The patient had an uneventful intra and postoperative period. At the 3-year follow-up, the patient was walking unaided, pain-free, and performing all the activities of daily living satisfactorily.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"10 1","pages":"25 - 28"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48481396","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}
SrinivasB S. Kambhampati, Hemant Pandit, Amol Tambe
{"title":"Why a radiology special issue? And about the guest editors…","authors":"SrinivasB S. Kambhampati, Hemant Pandit, Amol Tambe","doi":"10.4103/jajs.jajs_32_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_32_23","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357857","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}
Ravi Gupta, Anil Kapoor, G. Masih, Deepam Vashisht, Rohil Mehat
{"title":"Transphyseal anterior cruciate ligament reconstruction in adolescent athletes provides good functional outcomes","authors":"Ravi Gupta, Anil Kapoor, G. Masih, Deepam Vashisht, Rohil Mehat","doi":"10.4103/jajs.jajs_114_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_114_22","url":null,"abstract":"Background: In adolescent athletes, the treatment of anterior cruciate ligament (ACL) tear is still a topic of debate. The present study aimed to evaluate the functional outcomes and complications of transphyseal ACL reconstruction (ACLR) in adolescent athletes. Materials and Methods: Thirty-four athletes who underwent transphyseal ACLR using a hamstring tendon graft participated in this study. Functional outcomes (Lysholm and Tegner activity score) and potential complications (graft rupture, angular deformity [AD], or limb length discrepancy) after transphyseal ACLR were assessed at the final follow-up. Results: The average age at the time of the surgery was 13.1 ± 0.8 years. Lysholm and Tegner activity score was 96.5 ± 5 and 8.1 ± 1.4, respectively, at a mean follow-up of 64.9 ± 23.9 months. 27/34 (79%) of patients returned to the same level of sports. The mean time to return to sports was 8.3 ± 1.5 months. Three patients had graft tears, and none of the patients had any deformity. Conclusion: Transphyseal ACLR is a safe procedure with good functional outcomes. Level of Study: Level III.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"10 1","pages":"10 - 13"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48597466","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}
Rajesh Botchu, Ali Shah, KarthikeyanP Iyengar, David Beale, Paresh Sonsale
{"title":"Significance of the ancillary posterior knee soft-tissue edema sign in traumatic knee injuries","authors":"Rajesh Botchu, Ali Shah, KarthikeyanP Iyengar, David Beale, Paresh Sonsale","doi":"10.4103/jajs.jajs_18_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_18_23","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135494962","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}