Stephen Rossettie, Ann Hu, Dan Griffin, Greg Perraut, Ryan Murray
{"title":"Arthroscopic Saucerization and Anatomic Repair of a Wrisberg Variant Discoid Lateral Meniscus: A Physeal-Sparing Knotless Anchor Technique.","authors":"Stephen Rossettie, Ann Hu, Dan Griffin, Greg Perraut, Ryan Murray","doi":"10.1002/atn2.70319","DOIUrl":"10.1002/atn2.70319","url":null,"abstract":"<p><p>Discoid lateral meniscus (DLM) is a congenital variant of the knee characterized by an abnormally shaped meniscus prone to tearing and instability. When symptomatic, the treatment plan is based on the location and pattern of the tear, as well as the presence of instability. In most cases, posterior horn instability is present, but some meniscotibial or root attachments remain. This technical note describes a comprehensive arthroscopic approach to a Wrisberg variant DLM, with a complete absence of posterior root and lateral capsular attachments. A comprehensive arthroscopic reconstruction using a physeal-sparing, knotless anchor technique is described to recreate the posterior root attachment while avoiding danger to the growth plate that can result from standard transtibial drilling. This anchor-first, retensionable method allowed for precise adjustment of root tension. Meniscal saucerization, all-inside and inside-out peripheral stabilization, and biologic augmentation through microfracture were performed to restore hoop stress transmission and long-term function. This approach highlights a growth plate-conscious than standard DLM repair in a uniquely unstable DLM variant.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70319"},"PeriodicalIF":1.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Nocek, Brendon C Mitchell, Lorenz Fritsch, Alan D Villegas Meza, Caroline B Herrmann, Peter J Millett
{"title":"Arthroscopic Circumferential Labral Repair and Biceps Tenodesis in Elite Throwing Athletes: Technical Considerations.","authors":"Michael Nocek, Brendon C Mitchell, Lorenz Fritsch, Alan D Villegas Meza, Caroline B Herrmann, Peter J Millett","doi":"10.1002/atn2.70287","DOIUrl":"10.1002/atn2.70287","url":null,"abstract":"<p><p>SLAP lesions are a common cause of shoulder pain in overhead athletes and are often seen together with circumferential labral tearing, partial-thickness rotator cuff tearing, and biceps pathology. Isolated repair of the superior labrum has produced inconsistent outcomes, with low return-to-play rates in professional throwers. In patients with these complex cases, instability and anterior shoulder pain often coexist, and isolated labral repair or tenodesis may not be adequate treatment. Conversely, tenodesis without superior labral repair may increase glenohumeral translation. The senior author believes long head of the biceps tendon release reduces traction on the SLAP repair and may support healing. We describe an arthroscopic technique for circumferential labral repair, with knotless all-suture anchors performed in the beach-chair position, combined with open subpectoral biceps tenodesis and adjunct subacromial decompression. This technique restores stability, removes the biceps as a pain generator, eliminates traction on the repaired labrum, and preserves motion.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70287"},"PeriodicalIF":1.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthroscopic Bursal Acromial Reconstruction With a Porcine Extracellular Matrix Graft.","authors":"Anton Ulstrup, Charlotte Stenqvist","doi":"10.1002/atn2.70341","DOIUrl":"10.1002/atn2.70341","url":null,"abstract":"<p><p>Reinsertion of superior or posterosuperior rotator cuff ruptures in the elderly is often not possible. Patients can be left with symptoms of pain, loss of strength, and active range of motion. Bursal acromial reconstruction is an anchorless operative treatment method for painful, irreparable superior or posterosuperior rotator cuff ruptures in the elderly with a functional range of motion. This article describes our bursal acromial reconstruction technique using a porcine dermal xenograft.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70341"},"PeriodicalIF":1.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safe Ultrasonography-Assisted Elbow Arthroscopy Technique.","authors":"Masato Nakai, Kazuma Miyatake, Takahiro Fujisawa, Takuma Naka, Reina Nakamura, Kagayaki Sahara, Yutaka Inaba","doi":"10.1002/atn2.70321","DOIUrl":"10.1002/atn2.70321","url":null,"abstract":"<p><p>Elbow synovectomy has traditionally been performed using direct visual observation. However, recent advancements in elbow arthroscopy have increased the popularity of arthroscopic synovectomies. This minimally invasive procedure has garnered attention because of its efficacy in halting joint deterioration while minimizing patient discomfort and invasiveness. Conversely, the technical demands of arthroscopic elbow synovectomy pose challenges, often resulting in notable complications, such as nerve damage. Considering the utility of real-time nerve visualization for injury prevention, we suggest the integration of ultrasound guidance during surgery. Ultrasound has emerged as a pivotal tool for preventing nerve injuries, offering real-time visualization of nerves alongside surgical instruments. Using ultrasound-guided portals, surgeons can meticulously navigate the surgical field while safeguarding vital neural structures. Here, we describe an ultrasonography-guided surgical method for creating the portals by confirming the surrounding anatomy.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70321"},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Combined Management of Meniscus Root Tear and High Tibial Osteotomy: A Surgical Strategy Using 3-Dimensional Printing.","authors":"Arash Sherafatvaziri, Morad Karimpour, Ghazaleh Moradkhani, Yasaman Ghahremani, Fardis Vosoughi, Alireza Mirzamohamadi, Ramin Shayan-Moghadam","doi":"10.1002/atn2.70323","DOIUrl":"10.1002/atn2.70323","url":null,"abstract":"<p><p>Combining high tibial osteotomy with meniscal posterior root repair is technically challenging because of the limited metaphyseal bone stock, the proximity of the transtibial tunnel to the osteotomy site, and the risk of implant conflict or tibial fracture. To address these challenges, we describe a surgical technique that integrates computed tomography-based 3-dimensional (3D) preoperative planning with patient-specific 3D-printed surgical guides. 3D simulation of the osteotomy plane, fixation plate position, screw trajectories, and transtibial tunnel enables preoperative assessment of the spatial relation among these structures, allowing optimization of tunnel orientation, implant placement, and preservation of adequate bone stock before surgery. Patient-specific 3D-printed guides accurately reproduce the virtual plan intraoperatively, facilitating precise execution of both the osteotomy and transtibial tunnel creation.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70323"},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nate J Dickinson, Ryan J Froom, Mikalyn T DeFoor, Tomas Aguirre, Christopher R Bine, Matthew T Provencher
{"title":"Sternoclavicular Joint Reconstruction for Chronic Anterior Instability: An Updated Sternal Docking Technique With a Modified Girth Hitch.","authors":"Nate J Dickinson, Ryan J Froom, Mikalyn T DeFoor, Tomas Aguirre, Christopher R Bine, Matthew T Provencher","doi":"10.1002/atn2.70296","DOIUrl":"10.1002/atn2.70296","url":null,"abstract":"<p><p>Chronic anterior sternoclavicular joint instability can be functionally limiting in active patient populations, requiring reconstruction in patients who fail to achieve acceptable outcomes with nonoperative treatment. A variety of reconstruction techniques have been described including allograft or autograft figure-of-8 reconstruction, intramedullary graft reconstruction, synthetic suture-based reconstruction, and tenodesis of the sternocleidomastoid or subclavius. Overall, considerable variability in techniques and outcomes exists in the current literature. Although figure-of-8 graft reconstruction techniques have been considered the historical gold standard for chronic sternoclavicular joint instability, it is technically demanding and carries an increased risk for mediastinal structures because of bicortical drilling. Therefore, sternal docking reconstructive techniques have gained popularity with robust, unicortical sockets and more controlled tunnel depth/placement. This technical note describes a sternal docking reconstruction technique for chronic anterior sternoclavicular joint instability using a semitendinosus allograft with a modified girth hitch for the allograft in the medial clavicle tunnel and 2 unicortical sternal sockets, allowing anatomic graft placement while minimizing posterior dissection and risk of tunnel convergence, posterior cortical fracture, and/or injury to mediastinal structures.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70296"},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthro-Cross Compression Technique for Anterior Cruciate Ligament Avulsion Fracture Fixation.","authors":"Krishan Kumar, Vishesh Verma, Mukesh Garg, Vineet Pruthi, Jaiveer Singh","doi":"10.1002/atn2.70311","DOIUrl":"10.1002/atn2.70311","url":null,"abstract":"<p><p>Isolated anterior cruciate ligament avulsion fractures of the tibial eminence are uncommon in orthopaedic practice. These injuries were traditionally treated with open reduction and internal fixation, but arthrotomy-related morbidity has led to an increased use of arthroscopic techniques. Consequently, arthroscopic fixation techniques have gained popularity because of reduced surgical morbidity. In this article, we describe a simple arthroscopic procedure that ensures near-anatomic reduction with even circumferential compression and no fracture fragment lift-off.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70311"},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alberto Grassi, Tosca Cerasoli, Vito Gaetano Rinaldi, Giulio Maria Marcheggiani Muccioli, Claudio Rossi, Stefano Zaffagnini
{"title":"Arthroscopic Stabilization of the Hypermobile Lateral Meniscus Using an All-Inside Repair Technique.","authors":"Alberto Grassi, Tosca Cerasoli, Vito Gaetano Rinaldi, Giulio Maria Marcheggiani Muccioli, Claudio Rossi, Stefano Zaffagnini","doi":"10.1002/atn2.70338","DOIUrl":"https://doi.org/10.1002/atn2.70338","url":null,"abstract":"<p><p>The hypermobile lateral meniscus is an uncommon cause of posterolateral knee pain and mechanical symptoms that often escapes standard imaging and is best confirmed by arthroscopy. A clinical stress maneuver combining knee flexion, valgus stress, and external rotation is described in this Technical Note as a simple adjunct to reproduce symptoms related to posterior horn instability and support early suspicion of hypermobile lateral meniscus. This Technical Note also describes a minimally invasive arthroscopic stabilization technique using sequential all-inside vertical sutures. The procedure begins with fixation of the lateral meniscus to the posterior capsule at the popliteal hiatus, followed by progressive posterior and medial stabilization to restore meniscocapsular integrity while preserving the physiological mobility of the posterior horn. Intraoperative assessment is performed using probing and aspiration tests to avoid overconstraint, and the technique is completed with marrow stimulation in the intercondylar notch to enhance biological healing. This approach restores stability while maintaining native meniscal biomechanics, providing a reproducible and tissue-preserving strategy for the treatment of hypermobile lateral meniscus.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70338"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Modified All-Inside Arthroscopic Anterior Tibiofibular Ligament Repair and Reinforcement in Chronic Ankle Instability.","authors":"Huige Hou, Fangling Wang, Jinsong Hong, Xiaofei Zheng","doi":"10.1002/atn2.70256","DOIUrl":"https://doi.org/10.1002/atn2.70256","url":null,"abstract":"<p><p>Chronic ankle instability often requires surgical intervention, with arthroscopic anterior talofibular ligament repair being a preferred technique; however, outcomes in cases with poor ligament quality remain challenging. This study introduces a \"modified suture augmentation\" technique, which uses an individualized portal placement and arthroscopic lasso-loop suturing, followed by a flexible \"turn-back\" reinforcement of the anterior talofibular ligament using the suture limbs. This all-inside, suture-based augmentation method aims to provide anatomic reconstruction and enhanced stability while potentially avoiding the risk of joint stiffness associated with rigid internal bracing.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70256"},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transtibial Medial Meniscus Root Repair With Simplified Cross-Bar Suture Configuration and Knotless Centralization.","authors":"Charles Qin, Neal Goldenberg, Gregory Leather","doi":"10.1002/atn2.70324","DOIUrl":"https://doi.org/10.1002/atn2.70324","url":null,"abstract":"<p><p>The significance of medial meniscus root tears on articular cartilage degeneration of the medial compartment is well recognized. There is a consensus among peer-reviewed literature on the importance of tear fixation over partial meniscectomy or observation in the appropriately indicated patient. Recent attention has been paid to the importance of reduction of meniscus extrusion through centralization techniques, as well as the effect of a lax repair on osteoarthritic progression and clinical outcomes. In this technical note and video, we describe our technique on transtibial medial meniscus root repair via a simplified cross-bar configuration and knotless centralization of the meniscus.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70324"},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}