Arthroscopy TechniquesPub Date : 2026-09-30eCollection Date: 2026-10-01DOI: 10.1002/atn2.70307
Xiaohua Pan, Tun Hing Lui, Jingsong Hong, Amanda Mun Yee Slocum, Charles Churk Hang Li, Weibin Su, Yu Pan
{"title":"Endoscopic Resection of Sinus Tarsi Ganglion Extended to the Anterolateral Ankle.","authors":"Xiaohua Pan, Tun Hing Lui, Jingsong Hong, Amanda Mun Yee Slocum, Charles Churk Hang Li, Weibin Su, Yu Pan","doi":"10.1002/atn2.70307","DOIUrl":"10.1002/atn2.70307","url":null,"abstract":"<p><p>Sinus tarsi ganglia are believed to develop from the degeneration of surrounding ligaments or subtalar joint and may associate with sinus tarsi syndrome. Surgical excision of the ganglion and debridement of the sinus tarsi is indicated for symptomatic ones recalcitrant to conservative treatment. The purpose of this technical note is to describe the technical details of endoscopic resection of sinus tarsi ganglion extended to the anterolateral ankle, which is a combination of endoscopic ganglionectomy and debridement of the sinus tarsi via the same set of portals. This minimally invasive approach has the advantages of faster recovery and reduced recurrence.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70307"},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116695","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}
Arthroscopy TechniquesPub Date : 2026-09-30eCollection Date: 2026-10-01DOI: 10.1002/atn2.70276
Chen Zhou, Zhouzhou Hu, Lather Sagar, Shengwu Yang, Zhenhan Deng
{"title":"Cotton-Swab-Anchored Suspension Technique for Hands-Free Lower Extremity Limb Sterilization During Surgical Preparation.","authors":"Chen Zhou, Zhouzhou Hu, Lather Sagar, Shengwu Yang, Zhenhan Deng","doi":"10.1002/atn2.70276","DOIUrl":"10.1002/atn2.70276","url":null,"abstract":"<p><p>Manual limb suspension during surgical preparation is labor-intensive, requires additional personnel, and may increase the risk of musculoskeletal injuries among surgical staff. We describe a cotton-swab-anchored suspension technique that uses a sterile bandage (Kerlix) looped around the ankle, secured with 2 cotton swabs inserted into the knot, and suspended from a heavy-duty intravenous pole. This method enables hands-free limb elevation, allowing efficient preoperative preparation. After completion of preparation, the limb is released by simply removing the cotton swab. This technique eliminates the need for manual limb holding, reduces occupational strain, provides stable mechanical support, and enables quick, controlled limb release without instruments. It is cost-effective, reproducible, and suitable for various lower extremity procedures.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70276"},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116650","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}
Arthroscopy TechniquesPub Date : 2026-09-29eCollection Date: 2026-10-01DOI: 10.1002/atn2.70282
Zhu Dai, Zhijun Yang, Xiaofeng Jiang, Dan Chen
{"title":"Medial Patellar Retinaculum Cable Replacement of Medial Quadriceps Tendon-Femoral Ligament Combined With Medial Patellofemoral Ligament Reconstruction in Treatment of Recurrent Patellar Dislocation.","authors":"Zhu Dai, Zhijun Yang, Xiaofeng Jiang, Dan Chen","doi":"10.1002/atn2.70282","DOIUrl":"10.1002/atn2.70282","url":null,"abstract":"<p><p>Medial patellofemoral ligament (MPFL) reconstruction is a mainstream surgical approach for treating recurrent patellar dislocation. In recent years, double-bundle reconstruction, for example, combined reconstruction of MPFL and the medial quadriceps tendon-femoral ligament, has been applied and shown favorable outcomes in the treatment of recurrent patellar dislocation. Herein, we describe an alternative surgical strategy whereby medial quadriceps tendon-femoral ligament is replaced by medial patellar retinaculum cable, combined with MPFL reconstruction and medial tightening. The 1-cm-width longitudinal retinaculum cable along the medial patella is dissected from the distal end while leaving the proximal attachment to quadriceps tendon insertion intact. The harvested autograft tendon for MPFL reconstruction is secured together with the free end of the medial patellar retinaculum cable. The vastus medialis oblique and the remaining medial patellar retinaculum are fastened onto the patella. This technique presents a readily adoptable and effective surgical approach for treating recurrent patellar dislocation.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70282"},"PeriodicalIF":1.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13621365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082517","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 Superior Capsular Reconstruction With Long-Head Biceps Tendon Rerouting Using Knotless Anchors.","authors":"Julian Devigne, Vasileios Mitrousias, Gregory Cunningham","doi":"10.1002/atn2.70302","DOIUrl":"10.1002/atn2.70302","url":null,"abstract":"<p><p>Irreparable rotator cuff tears remain a challenging condition to manage surgically, particularly in young and active patients without significant glenohumeral osteoarthritis. Several solutions have been proposed, and more recently, superior capsular reconstruction using the long head of the biceps tendon has shown promising results using an easily accessible autograft. In the present article, we describe an arthroscopic technique in which the long head of the biceps tendon is rerouted onto the greater tuberosity using knotless anchors for fixation of the tendon to greater tuberosity. This technique allows the stable long head of the biceps tendon compression to the bone and easy incorporation of the posterior cuff, resulting in a simple surgical construct. The advantage of this technique is the use of knotless anchors, which allows for fast, versatile, and bony-preserving fixation technique.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70302"},"PeriodicalIF":1.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076289","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}
Arthroscopy TechniquesPub Date : 2026-09-28eCollection Date: 2026-10-01DOI: 10.1002/atn2.70266
Chul-Hyun Cho, Byung-Chan Choi, Hyuk-Joon Sohn, Du-Han Kim
{"title":"Anterolateral Miniopen Triple-Row Repair With Acellular Human Dermal Matrix Patch Augmentation for Larger Rotator Cuff Tears.","authors":"Chul-Hyun Cho, Byung-Chan Choi, Hyuk-Joon Sohn, Du-Han Kim","doi":"10.1002/atn2.70266","DOIUrl":"10.1002/atn2.70266","url":null,"abstract":"<p><p>Large to massive rotator cuff tears are frequently associated with poor tendon quality and high rates of structural failure after repair. Acellular human dermal matrix patch augmentation combined with rotator cuff repair has been introduced to enhance bone-to-tendon healing by providing early postoperative mechanical strength. However, fully arthroscopic patch augmentation techniques are technically demanding and associated with increased operative complexity. The described technique combines arthroscopic evaluation and subacromial decompression with an anterolateral miniopen triple-row repair and onlay acellular human dermal matrix patch augmentation. This approach simplifies patch handling while providing strong fixation and may represent a practical alternative to fully arthroscopic patch augmentation techniques.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70266"},"PeriodicalIF":1.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076268","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}
Arthroscopy TechniquesPub Date : 2026-09-25eCollection Date: 2026-10-01DOI: 10.1002/atn2.70275
Pedro Henrique de Oliveira Paolucci, Riccardo Gomes Gobbi, Flavio de Fava Sanches, Said El Orra, Rodrigo Schuwarten Aidar
{"title":"Combined Anterior Cruciate Ligament and Posterolateral Corner Reconstruction With a Single Femoral Tunnel Using Rectus Femoris and Semitendinosus Autografts.","authors":"Pedro Henrique de Oliveira Paolucci, Riccardo Gomes Gobbi, Flavio de Fava Sanches, Said El Orra, Rodrigo Schuwarten Aidar","doi":"10.1002/atn2.70275","DOIUrl":"10.1002/atn2.70275","url":null,"abstract":"<p><p>We describe a reproducible, anatomically based technique for combined anterior cruciate ligament (ACL) and posterolateral corner reconstruction using a single femoral tunnel and 2 autografts: rectus femoris and semitendinosus. Part of the rectus femoris and semitendinosus grafts is prepared for anatomic ACL reconstruction, and a shared femoral tunnel accommodates the ACL femoral socket while providing a lateral exit for proximal posterolateral corner fixation. The remaining rectus femoris graft exiting the femoral tunnel is used to reconstruct the popliteus tendon, and the remaining semitendinosus graft is used to reconstruct the fibular collateral ligament and popliteofibular ligament. This approach enables combined ACL and posterolateral corner reconstruction through a single femoral tunnel, preserving anatomic principles and minimizing the risk of tunnel convergence.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70275"},"PeriodicalIF":1.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065189","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":"Hybrid Protective Sentinel System: A Combined Technique for Safe and Controlled Open-Wedge High Tibial Osteotomy.","authors":"Ashraf Elazab, Mohamed Darwish, Ibrahim Mandour, Mohamed Gad, Bassem Abdelmotalleb Elfeky, Hesham Gawish","doi":"10.1002/atn2.70281","DOIUrl":"10.1002/atn2.70281","url":null,"abstract":"<p><p>Open-wedge high tibial osteotomy is an effective joint-preserving surgery for medial compartment osteoarthritis but remains associated with 3 major intraoperative hazards: posterior neurovascular injury, lateral hinge fracture, and unintended slope modification. The present technical note describes a hybrid method that integrates the protective cutting system and sentinel wires technique to achieve maximal procedural safety during open-wedge high tibial osteotomy.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70281"},"PeriodicalIF":1.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065172","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}
Arthroscopy TechniquesPub Date : 2026-09-25eCollection Date: 2026-10-01DOI: 10.1002/atn2.70044
Ibrahim Marzouki, Anthony Viste, Thomas Neri
{"title":"Independent Anatomic Double-Bundle Anterolateral Ligament Reconstruction Using a Pedicled Gracilis Graft During Anterior Cruciate Ligament Reconstruction.","authors":"Ibrahim Marzouki, Anthony Viste, Thomas Neri","doi":"10.1002/atn2.70044","DOIUrl":"10.1002/atn2.70044","url":null,"abstract":"<p><p>Recent studies on the anatomy and biomechanics of the anterolateral ligament (ALL) have highlighted its fundamental role in rotational control of the knee. These findings have led to the integration of its reconstruction into anterior cruciate ligament (ACL) reconstruction strategies, in order to improve management of residual pivot shift and optimize knee stability. This article describes a minimally invasive technique for ALL reconstruction, independent of the ACL. The procedure is based on the use of a pedicled autograft of the gracilis tendon. The ALL reconstruction follows a pedicled approach, ensuring optimal anatomical and biomechanical restoration. The graft is first directed to the distal insertion of the native ALL on the tibia, equidistant between Gerdy's tubercle and the head of the fibula, then routed to its femoral insertion, passing deep under the iliotibial band, next back on itself before being redirected to its initial point of emergence in the tibial tunnel. After fixation at the femoral level, tibial anchoring is performed in full extension to optimize isometry.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70044"},"PeriodicalIF":1.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065203","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}
Arthroscopy TechniquesPub Date : 2026-09-25eCollection Date: 2026-10-01DOI: 10.1002/atn2.70240
S Ali Ghasemi, Andrea Fabregas, Ahmad Naja, Arthur Bartolozzi, James Raphael, Gene Shaffer
{"title":"Marginal Convergence Repair Technique for Partial Articular-Sided Rotator Cuff Tears.","authors":"S Ali Ghasemi, Andrea Fabregas, Ahmad Naja, Arthur Bartolozzi, James Raphael, Gene Shaffer","doi":"10.1002/atn2.70240","DOIUrl":"10.1002/atn2.70240","url":null,"abstract":"<p><p>Partial rotator cuff tears present a common clinical challenge, and optimal management remains debated. This technical note describes an arthroscopic margin convergence repair technique performed without the use of suture anchors for patients with partial-thickness rotator cuff tears. The technique is applicable for partial-thickness tears of varying configurations, including longitudinal, horizontal, and complex tear patterns. The procedure preserves the native tendon footprint and minimizes disruption of healthy tissue while restoring the rotator cuff's biomechanical continuity. With the patient in the beach-chair position, standard posterior and anterosuperior portals are used to access both articular and bursal aspects of the tear. Suture passage is performed side-to-side using a nonlocking loop configuration to achieve tension-free convergence. This approach avoids hardware complications, reduces cost, and allows accelerated rehabilitation by maintaining anatomic integrity. This technique is particularly suitable for high-grade partial rotator cuff tears that fail conservative treatment.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70240"},"PeriodicalIF":1.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065219","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}
Arthroscopy TechniquesPub Date : 2026-09-23eCollection Date: 2026-10-01DOI: 10.1002/atn2.70279
Riccardo D'Ambrosi, Andrea Mei, Rodolfo Muscarella, Alessandro Di Pace, Eno Picori, Luca Maria Sconfienza, Nicola Ursino
{"title":"Rectus Femoris Autograft Harvesting: Tips and Tricks.","authors":"Riccardo D'Ambrosi, Andrea Mei, Rodolfo Muscarella, Alessandro Di Pace, Eno Picori, Luca Maria Sconfienza, Nicola Ursino","doi":"10.1002/atn2.70279","DOIUrl":"10.1002/atn2.70279","url":null,"abstract":"<p><p>The rectus femoris tendon has recently emerged as a potential graft option for anterior cruciate ligament reconstruction because of its favorable biomechanical properties, substantial graft length, and minimally invasive harvest characteristics. As the most superficial layer of the quadriceps tendon complex, the rectus femoris tendon can be selectively harvested while preserving the deeper quadriceps layers and extensor mechanism continuity. This technical note describes a reproducible minimally invasive technique for rectus femoris tendon harvest, emphasizing surgical anatomy, dissection planes, technical pearls, and pitfalls to optimize graft quality and minimize complications.</p>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":" ","pages":"e70279"},"PeriodicalIF":1.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041440","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}