Ayyappan V. Nair D.Ortho., D.N.B.Ortho. , Pramod K. Mohan M.S.Ortho. , Maythilisharan Rambhojan M.S.Ortho. , Sreejith Thampy J M.S.Ortho. , Pavan K. Uppaluri M.S.Ortho. , Aebel Raju M.R.C.S. , Prince Shanavas Khan D.Ortho., M.S.Ortho.
{"title":"Long Head of Biceps Tenodesis for Maintaining Inherent Length and Uniform Tension at the Bicipital Groove: Suprapectoral Double-Row Technique With All-Suture Anchors","authors":"Ayyappan V. Nair D.Ortho., D.N.B.Ortho. , Pramod K. Mohan M.S.Ortho. , Maythilisharan Rambhojan M.S.Ortho. , Sreejith Thampy J M.S.Ortho. , Pavan K. Uppaluri M.S.Ortho. , Aebel Raju M.R.C.S. , Prince Shanavas Khan D.Ortho., M.S.Ortho.","doi":"10.1016/j.eats.2024.103130","DOIUrl":"10.1016/j.eats.2024.103130","url":null,"abstract":"<div><div>The clinicopathologic conditions of the long head of the biceps tendon vary, encompassing tendinitis, peritendinous inflammation, hypertrophy, and partial or complete tears. These symptoms are typically linked with SLAP tears and instability of the long head of the biceps tendon, often resulting in partial displacement or complete dislocation. The choice between tenotomy and tenodesis depends on varied factors. The choice of suprapectoral or subpectoral tenodesis is a difficult decision and should be weighed on a tailored basis. Our approach to suprapectoral tenodesis presents a blend of factors, maintaining uniform tension in the bicipital groove, limiting the number of portals for arthroscopy, re-tensioning the tendon after initial anchor placement, and preserving the inherent length of the functional biceps tendon without compromising its quality.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103130"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850691","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":"All-Soft-Tissue Medial Patellofemoral Complex Reconstruction for Revisions and Skeletally Immature Knees","authors":"Miho J. Tanaka M.D., Ph.D.","doi":"10.1016/j.eats.2024.103125","DOIUrl":"10.1016/j.eats.2024.103125","url":null,"abstract":"<div><div>The medial patellofemoral complex provides the primary static restraint to lateral patellar translation and is composed of the medial patellofemoral ligament and medial quadriceps tendon femoral ligament. Multiple techniques including medial patellofemoral ligament and/or medial quadriceps tendon femoral ligament reconstruction have demonstrated good results; however, modification of the femoral fixation technique is required for skeletally immature patients or revision cases in which anatomic bony fixation on the femur is not possible. This technique describes an all-soft-tissue procedure for single-bundle medial patellofemoral complex reconstruction in which the graft is fixed on the adductor tendon while using the medial collateral ligament as a distalizing pulley, for anatomic and isometric recreation of the native ligament.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103125"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956775","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}
Hanlong Xin M.D. , Li Ying M.D. , Qingguo Zhang M.D. , Dawei Han M.D. , Shuqiong Ge M.D. , Xiaobo Zhou M.D.
{"title":"Arthroscopic Extensor Carpi Radialis Brevis Tenotomy Under Local Anesthesia for Refractory Lateral Epicondylitis","authors":"Hanlong Xin M.D. , Li Ying M.D. , Qingguo Zhang M.D. , Dawei Han M.D. , Shuqiong Ge M.D. , Xiaobo Zhou M.D.","doi":"10.1016/j.eats.2024.103144","DOIUrl":"10.1016/j.eats.2024.103144","url":null,"abstract":"<div><div>Refractory lateral epicondylitis poses significant challenges for patients and doctors. Whereas traditional surgical treatments involve open resection and extensor carpi radialis brevis (ECRB) muscle debridement, arthroscopic surgery advancements offer a more refined approach. Numerous surgical methods are used to treat lateral epicondylitis. Nevertheless, some patients experience discomfort after arthroscopic surgery. This article outlines our approach for arthroscopic ECRB muscle tenotomy under local anesthesia. Arthroscopic ECRB muscle tenotomy under local anesthesia is an important treatment option with minimal morbidity while improving safety, accuracy, economy, and simplicity and yielding good to excellent results in most patients.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103144"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956791","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}
Juan Bernardo Villarreal-Espinosa M.D. , Rodrigo Saad-Berreta B.A. , Richard Danilkowicz M.D. , Zeeshan A. Khan B.A. , Stephanie Boden M.D. , Nikhil N. Verma M.D.
{"title":"Arthroscopic Transosseous-Equivalent Double-Row Rotator Cuff Repair Augmentation With Interpositional Demineralized Bone Fiber Implant","authors":"Juan Bernardo Villarreal-Espinosa M.D. , Rodrigo Saad-Berreta B.A. , Richard Danilkowicz M.D. , Zeeshan A. Khan B.A. , Stephanie Boden M.D. , Nikhil N. Verma M.D.","doi":"10.1016/j.eats.2024.103133","DOIUrl":"10.1016/j.eats.2024.103133","url":null,"abstract":"<div><div>Failure of rotator cuff repairs contributes to decreased patient satisfaction and quality of life. Biologic enhancement of repairs represents a novel augmentation strategy attempting to reproduce native healing while concomitantly potentially decreasing the existing high failure rates associated with rotator cuff repairs. Scaffolds placed on top of the rotator cuff have been widely studied, yet no recreation of the native enthesis is achieved via this augmentation strategy. Several strategies involving placement of demineralized bone matrix scaffolds on an inlay configuration (between bone and tendon) have been reported demonstrating enhanced recreation of the native bone-tendon unit. This Technical Note describes the surgical technique of inlay demineralized bone fiber scaffold augmentation of rotator cuff repairs to enhance biological healing in aims of recreating the native enthesis.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103133"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956816","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}
Jorge Chahla M.D., Ph.D., Juan Bernardo Villarreal-Espinosa M.D., Salvador Gonzalez Ayala B.S., Joshua Wright-Chisem M.D., Ron Gilat M.D., Shane J. Nho M.D., M.S.
{"title":"Basic Hip Arthroscopy Part 2: Central Compartment Arthroscopy (Interportal Capsulotomy, Acetabuloplasty, and Labral Repair)","authors":"Jorge Chahla M.D., Ph.D., Juan Bernardo Villarreal-Espinosa M.D., Salvador Gonzalez Ayala B.S., Joshua Wright-Chisem M.D., Ron Gilat M.D., Shane J. Nho M.D., M.S.","doi":"10.1016/j.eats.2024.103221","DOIUrl":"10.1016/j.eats.2024.103221","url":null,"abstract":"<div><div>Over the past decade, hip-preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions in hip-related pathology. In this 3-part series, the authors will aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. This Technical Note will thoroughly review the senior authors’ approach to managing the central compartment of the hip in the context of femoroacetabular impingement.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103221"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956820","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}
Jorge Chahla M.D., Ph.D., Juan Bernardo Villarreal-Espinosa M.D., Salvador Gonzalez Ayala B.S., Joshua Wright-Chisem M.D., Ron Gilat M.D., Shane J. Nho M.D., M.S.
{"title":"Basic Hip Arthroscopy Part 3: Peripheral-Compartment Arthroscopy (T-Capsulotomy, Femoroplasty, and Capsular Closure)","authors":"Jorge Chahla M.D., Ph.D., Juan Bernardo Villarreal-Espinosa M.D., Salvador Gonzalez Ayala B.S., Joshua Wright-Chisem M.D., Ron Gilat M.D., Shane J. Nho M.D., M.S.","doi":"10.1016/j.eats.2024.103222","DOIUrl":"10.1016/j.eats.2024.103222","url":null,"abstract":"<div><div>Over the past decade, hip preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions for hip-related pathology. In this 3-part series, we aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. This Technical Note will thoroughly review the senior authors’ approach to managing the peripheral compartment of the hip in the context of femoroacetabular impingement.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103222"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956841","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}
Matthew R. Bryan B.S. , Alex E. White M.D. , Paul M. Inclan M.D. , Stephen J. O’Brien M.D. , Samuel A. Taylor M.D.
{"title":"A Comprehensive Review of the Physical Examination for the Biceps-Labrum Complex of the Shoulder","authors":"Matthew R. Bryan B.S. , Alex E. White M.D. , Paul M. Inclan M.D. , Stephen J. O’Brien M.D. , Samuel A. Taylor M.D.","doi":"10.1016/j.eats.2024.103136","DOIUrl":"10.1016/j.eats.2024.103136","url":null,"abstract":"<div><div>Biceps-labrum complex (BLC) disease is a well-established pain generator in the shoulder. Despite its ubiquity, BLC disease continues to pose a diagnostic challenge for orthopaedic surgeons. The use of magnetic resonance imaging and glenohumeral arthroscopy in the diagnosis of BLC disease has proven to be inadequate when performed independently. As a result, physical examination remains a critical component in the evaluation of BLC disease. The purpose is to provide a comprehensive compendium of physical examination maneuvers in the evaluation of BLC disease.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103136"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849245","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 Suprapectoral Biceps Tenodesis Using an Onlay Technique","authors":"Kenneth Cutbush M.B.B.S., F.R.A.C.S., F.A.Orth.A. , Kathir Azhagan Stalin M.B.B.S., M.S., M.R.C.S., D.N.B. , Helen Ingoe M.D. , Roberto Pareyón M.D. , Brandon Ziegenfuss B.Sc.(Hons), M.PH. , Ashish Gupta M.B.B.S., M.Sc., F.R.A.C.S., F.A.Orth.A.","doi":"10.1016/j.eats.2024.103123","DOIUrl":"10.1016/j.eats.2024.103123","url":null,"abstract":"<div><div>Tenodesis of the long head of biceps is a common shoulder surgical procedure. Tenodesis can be performed either arthroscopically or open and within the glenohumeral joint, within the bicipital groove, or below the pectoralis major tendon insertion. Arthroscopic tenodesis of the biceps tendon reduces the risk of infection. Our technique may also address persistent pain due to over tensioning of the tenodesis or from lesions hidden within the groove, such as bicipital synovitis or partial tendon tears, that are not visualized in a standard open technique. We describe an all-arthroscopic onlay technique for biceps tendon fixation at an extra-articular position within the bicipital groove, above the pectoralis major insertion. The technique uses standard arthroscopic equipment and a single knotless suture anchor.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103123"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689839","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 Recognition and Treatment Options for Biceps Subluxation","authors":"Wood W. Dale M.D., Larry D. Field M.D.","doi":"10.1016/j.eats.2024.103141","DOIUrl":"10.1016/j.eats.2024.103141","url":null,"abstract":"<div><div>Instability of the long head of the biceps tendon is a common pathologic condition that may be difficult to identify using history, physical examination, advanced diagnostic imaging, and even arthroscopic diagnostic inspection. The goal of this technical article is to showcase important anatomic features, intra-articular arthroscopic assessment, and commonly associated pathologies that should raise concern for biceps instability. Techniques to address concurrent biceps and subscapularis lesions are also described.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103141"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956795","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}
Milind V. Pimprikar M.S.D.Ortho., P.G.Dip. , Hitendra G. Patil M.B.B.S., D.N.B.Ortho.
{"title":"Arthroscopic Repair of the Triceps Tendon Avulsion—Double-Row Repair","authors":"Milind V. Pimprikar M.S.D.Ortho., P.G.Dip. , Hitendra G. Patil M.B.B.S., D.N.B.Ortho.","doi":"10.1016/j.eats.2024.103129","DOIUrl":"10.1016/j.eats.2024.103129","url":null,"abstract":"<div><div>Avulsion of the triceps tendon is a rare injury accounting for less than 1% of all tendon injuries. The triceps is an extensor of the elbow and causes compromised function if left untreated. Complete ruptures should be treated with early repairs for satisfactory outcomes. Most of the repair techniques describe transosseous repairs, which do not replicate the footprint anatomy of the triceps insertion. This Technical Note describes an arthroscopic double-row footprint repair for the avulsion of the triceps tendon using all posterior portals.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103129"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956811","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}