Kelly C. Phelan B.S. , Justin D. Gellman B.S. , Christopher S. Lee M.D., M.B.A.
{"title":"Arthroscopic-Assisted Injection of Calcium Phosphate to Treat Osteochondral Lesion of the Talus","authors":"Kelly C. Phelan B.S. , Justin D. Gellman B.S. , Christopher S. Lee M.D., M.B.A.","doi":"10.1016/j.eats.2024.103406","DOIUrl":"10.1016/j.eats.2024.103406","url":null,"abstract":"<div><div>Injuries involving damage to the articular cartilage and subchondral bone of the talus may result in a talar bone cyst. These subchondral cysts generate chronic pain and swelling that can interfere with patient’s ability to perform both daily and recreational activities. Current treatment options are invasive and do not effectively prevent cyst recurrence. Here, we present a surgical technique for the treatment of osteochondral lesions of the talus with persistent subchondral cyst. This Technical Note describes the arthroscopic injection of hyaluronic acid−based calcium phosphate to fill the bone cyst and promote bone remodeling. This technique is a minimally invasive treatment option that stimulates surrounding native bone resorb and replace the bone void filler.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103406"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230327","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}
Patrick Waldron D.O., Ethan Vallellanes B.A., Lucas Voyvodic B.S., David Han B.S., Sydney Solis B.S., Ravleen Kang B.S., Patrick J. McGahan M.D., James L. Chen M.D., M.P.H., Ajith Malige M.D.
{"title":"Percutaneous Achilles Repair With High-Strength Suture Tape Augmentation: A Technical Note","authors":"Patrick Waldron D.O., Ethan Vallellanes B.A., Lucas Voyvodic B.S., David Han B.S., Sydney Solis B.S., Ravleen Kang B.S., Patrick J. McGahan M.D., James L. Chen M.D., M.P.H., Ajith Malige M.D.","doi":"10.1016/j.eats.2024.103370","DOIUrl":"10.1016/j.eats.2024.103370","url":null,"abstract":"<div><div>Achilles injuries have increased in prevalence, most commonly occurring in middle-aged adults who participate in sports and recreational activities. Minimally invasive repair techniques continue to gain popularity as an alternative to the classically performed open Achilles tendon repair. This Technical Note uses the minimally invasive Percutaneous Achilles Repair System (PARS; Arthrex) with an InternalBrace to repair a midsubstance Achilles tendon tear. We describe an effective and reproducible technique to be used on active individuals and athletes at all ages and skill levels.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103370"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230330","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}
Tun Hing Lui M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. , Zareen Sui Yin Chiba M.B.B.S.(HK)
{"title":"Endoscopy of the Peroneal Compartment for Complete Endoscopic Adhesiolysis of Fibrous Adhesions of the Peroneal Compartment of the Leg","authors":"Tun Hing Lui M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. , Zareen Sui Yin Chiba M.B.B.S.(HK)","doi":"10.1016/j.eats.2024.103336","DOIUrl":"10.1016/j.eats.2024.103336","url":null,"abstract":"<div><div>Fibrous adhesions among the structures of the peroneal compartment can occur after trauma. Adhesions can occur between the 2 peroneal tendons; between the 2 peroneal muscles; between the peroneus brevis muscle and peroneus longus tendon; or between the peroneal muscle/tendon and surrounding deep fascia or adjacent fibular bone. Whenever possible, endoscopic adhesiolysis is preferable to open surgery because less extensive dissection and small surgical incisions allow immediate vigorous mobilization of the foot and ankle. The purpose of this technical note is to describe the details of endoscopy of the peroneal compartment for complete endoscopic adhesiolysis of fibrous adhesions of the peroneal compartment.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103336"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230332","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}
Julian Kylies M.D. , Hendrik Fahlbusch M.D. , Elias Brauneck M.D. , Dominik Bannier M.D. , Markus T. Berninger M.D. , Jannik Frings M.D. , Karl-Heinz Frosch M.D. , Matthias Krause M.D.
{"title":"Arthroscopic Arthrolysis, a Minimally Invasive Approach to Treat Arthrofibrosis of the Knee","authors":"Julian Kylies M.D. , Hendrik Fahlbusch M.D. , Elias Brauneck M.D. , Dominik Bannier M.D. , Markus T. Berninger M.D. , Jannik Frings M.D. , Karl-Heinz Frosch M.D. , Matthias Krause M.D.","doi":"10.1016/j.eats.2025.103446","DOIUrl":"10.1016/j.eats.2025.103446","url":null,"abstract":"<div><div>Arthroscopic arthrolysis is a minimally invasive approach for treating arthrofibrosis of the knee. Arthrofibrosis is a common complication following knee surgery or trauma, resulting in restricted joint motion. Managing arthrofibrosis is challenging and requires various strategies to reduce pain and inflammation while improving range of motion. When conservative treatments fail, more invasive options such as arthroscopic arthrolysis or open arthrolysis may be required. The presented arthroscopic technique successfully restores knee extension, flexion, and patellar mobility while minimizing additional trauma and prevents damage to peripheral structures without causing instability to the knee joint.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103446"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230369","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":"Single High Posterolateral Portal Suture Anchor Repair for Lateral Meniscal Root Tears in Adolescents","authors":"Wittawat Boonyanuwat M.D. , Komson Plangsiri M.D. , Pinkawas Kongmalai M.D.","doi":"10.1016/j.eats.2024.103373","DOIUrl":"10.1016/j.eats.2024.103373","url":null,"abstract":"<div><div>Meniscal root tears, especially in the posterior root of the lateral meniscus, are critical injuries that can lead to altered knee mechanics and early-onset osteoarthritis if left untreated. In adolescents, these injuries present additional challenges due to the risk of growth plate disturbances associated with traditional repair techniques. This Technical Note describes a refined arthroscopic technique for lateral meniscal root repair in adolescents, utilizing a single high posterolateral portal for suture anchor placement. The technique emphasizes safety by using the fibular head as an external landmark to avoid peroneal nerve injury and ensures precise anatomic placement of the suture anchor without the need for a transosseous tibial tunnel. We detail the procedural steps, including portal creation, anchor insertion, and postoperative care, highlighting the advantages of this approach, such as reduced risk of physeal injury and simplified surgical execution. This technique provides a promising and safer alternative for the management of lateral meniscal root tears in the adolescent population.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103373"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231150","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}
Salim Al Habsi M.D., Jhulia Kawachi Cruz M.D., D.P.B.O., M.B.A., Mok Ying Ren M.B.B.S., F.R.C.S., Lee Yee Han Dave M.B.B.S., F.R.C.S.
{"title":"All-Inside Meniscus Ramp Repair: Ramp Repair From Anterior Portals","authors":"Salim Al Habsi M.D., Jhulia Kawachi Cruz M.D., D.P.B.O., M.B.A., Mok Ying Ren M.B.B.S., F.R.C.S., Lee Yee Han Dave M.B.B.S., F.R.C.S.","doi":"10.1016/j.eats.2024.103405","DOIUrl":"10.1016/j.eats.2024.103405","url":null,"abstract":"<div><div>Ramp lesions are defined as the meniscocapsular separation of the posterior horn of the medial meniscus, and they are commonly seen in association with anterior cruciate ligament (ACL) tear. They often are missed and, therefore, a high index of suspicion should be raised in ACL tears with high-grade knee laxity and ACL graft failures. Most described ramp repair techniques are performed through the posteromedial portal in addition to standard anterior portals. However, use of the posteromedial portal increases surgical time, requires the use of special instruments, and has a steep learning curve. We present our technique of repairing meniscus ramp tears with all-inside meniscal repair devices, assisted with percutaneous medial release and using only the standard anteromedial and anterolateral portals. Our technique is simple, effective, and reproducible for arthroscopic knee surgeons.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103405"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231158","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}
Yan Xiong M.D., Ph.D. , Li Yin M.D., Ph.D. , Dongfa Liao M.D. , Shuang Yang M.D. , Weijie Yang M.D. , Xiaolong Zheng M.D. , Bing Deng M.D., Ph.D.
{"title":"Arthroscopic Parallel Double-Pulley Iliac Crest Bone Graft Fixation for Anterior Glenoid Reconstruction","authors":"Yan Xiong M.D., Ph.D. , Li Yin M.D., Ph.D. , Dongfa Liao M.D. , Shuang Yang M.D. , Weijie Yang M.D. , Xiaolong Zheng M.D. , Bing Deng M.D., Ph.D.","doi":"10.1016/j.eats.2024.103401","DOIUrl":"10.1016/j.eats.2024.103401","url":null,"abstract":"<div><div>Glenoid bone defect is one major contributor to anterior shoulder instability. Numerous procedures have been developed for anterior glenoid reconstruction, such as the Eden-Hybinette procedure and the Latarjet-Bristow procedure, as well as various techniques for graft fixation, including screw, endobutton, and anchor fixation. However, these methods can be instrumentally and technically complex. This Technical Note introduces a arthroscopic technique using double-row suture anchors and parallel double-pulley to fix iliac crest bone grafts for anterior glenoid reconstruction, which enables convenient and quick fixation of the bone graft without requirement of any specialized instruments or consumables.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103401"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231920","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}
Jarod A. Richards M.D. , Muhammad-Amin H. Munshi B.A. , David R. Woodard M.D. , Steven F. DeFroda M.D. , Clayton W. Nuelle M.D. , Shen-Ying Richard Ma M.D.
{"title":"Arthroscopic Pectoralis Minor Release","authors":"Jarod A. Richards M.D. , Muhammad-Amin H. Munshi B.A. , David R. Woodard M.D. , Steven F. DeFroda M.D. , Clayton W. Nuelle M.D. , Shen-Ying Richard Ma M.D.","doi":"10.1016/j.eats.2024.103335","DOIUrl":"10.1016/j.eats.2024.103335","url":null,"abstract":"<div><div>The pectoralis minor (PM) originates at the ribs medially and inserts at the medial border of the coracoid process. Pathologic shortening of the PM can be found in overhead athletes. A shortened PM is associated with anterior and internal rotation of the scapula, leading to scapular dyskinesis and anterior shoulder pain. Cases refractory to physical therapy and self-stretching exercises can be treated with isolated PM release. This procedure has been shown to be a safe and effective means of decreasing self-reported pain and activity limitations in patients with no other shoulder pathologies. We describe arthroscopic PM release in the beach-chair position in an athlete with recalcitrant shoulder pain and scapular dyskinesia.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103335"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230335","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}
Nathaniel P. Mercer M.D., Bradley A. Lezak M.D., M.P.H., Nathan A. Lorentz M.D., Katherine L. Esser B.S., Vishal Sundaram B.A., Griffith G. Gosnell M.S., Guillem Gonzalez-Lomas M.D.
{"title":"Rectus Femoris Quadriceps Muscle Rupture Reconstruction With Semitendinosus Autograft and Achilles Allograft","authors":"Nathaniel P. Mercer M.D., Bradley A. Lezak M.D., M.P.H., Nathan A. Lorentz M.D., Katherine L. Esser B.S., Vishal Sundaram B.A., Griffith G. Gosnell M.S., Guillem Gonzalez-Lomas M.D.","doi":"10.1016/j.eats.2024.103364","DOIUrl":"10.1016/j.eats.2024.103364","url":null,"abstract":"<div><div>Rectus femoris musculotendinous junction injuries occur at the interface between the muscle fibers and the tendon of the rectus femoris muscle. These types of injuries can result from acute trauma or repetitive microtrauma, leading to muscle retraction, fibrosis, muscle fiber degeneration, and chronic inflammation. Management of these injuries typically involves conservative treatment, including rest, ice, compression, and elevation, followed by a structured rehabilitation program. Surgical intervention is required when conservative measures fail and in cases of complete tendon avulsion or chronic, nonhealing injury. Although few clinical outcomes have been reported on the surgical management of chronic rectus femoris musculotendinous junction injury, reconstruction may be a viable salvage option for active patients with this injury. This technical note highlights our technique for rectus femoris musculotendinous junction reconstruction with semitendinosus autograft and Achilles allograft for a chronic rectus femoris myotendinous junction rupture.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103364"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231139","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}
Tomas Amenabar M.D. , Julio Piriz M.D. , Pedro Amenabar M.D. , Juan Monckeberg M.D. , Claudio Rafols M.D.
{"title":"Outside-In Longitudinal Capsulotomy of the Hip for Treatment of Femoroacetabular Impingement","authors":"Tomas Amenabar M.D. , Julio Piriz M.D. , Pedro Amenabar M.D. , Juan Monckeberg M.D. , Claudio Rafols M.D.","doi":"10.1016/j.eats.2025.103444","DOIUrl":"10.1016/j.eats.2025.103444","url":null,"abstract":"<div><div>This article presents a detailed description of the longitudinal capsulotomy technique using an outside-in approach for the treatment of femoroacetabular impingement. Standard arthroscopic portals (anterolateral, mid-anterior, and distal anterolateral accessory) are utilized for access. The capsulotomy is initiated based on key anatomic landmarks, with meticulous dissection to prevent damage to the labrum and cartilage. The outside-in approach offers excellent visualization of both the acetabulum and the femoral neck, particularly for correcting cam and pincer deformities. Capsular closure is performed with side-to-side sutures, ensuring proper repair and ligament preservation. This technique, while less widespread, provides significant advantages, including reduced risk of neurologic injuries associated with traction and decreased likelihood of labral or cartilage damage. The approach also facilitates high-quality capsular management, allowing for effective correction of osseous deformities. This method is safe, reproducible, and cost-effective, offering an efficient solution for managing femoroacetabular impingement.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 5","pages":"Article 103444"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231144","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}