Video journal of sports medicine最新文献

{"title":"Approach to Revision Hip Arthroscopy: Tips and Tricks.","authors":"Collin N Nguyen, Jack H Drake, Andrea M Spiker","doi":"10.1177/26350254261429888","DOIUrl":"10.1177/26350254261429888","url":null,"abstract":"<p><strong>Background: </strong>As the number of hip arthroscopies continues to rise, revision procedures have become increasingly common, with reported rates as high as 13.2%. Persistent functional limitation after primary hip arthroscopy is most often related to unresolved bony impingement, capsular insufficiency, or recurrent labral pathology.</p><p><strong>Indications: </strong>Revision hip arthroscopy is indicated when symptoms persist after primary surgery and an intra-articular source of the symptoms-such as inadequate or excessive bony resection, capsular mismanagement, or iatrogenic cartilage or labral injury-has been identified. Surgeons should also consider the potential need for the different open hip surgeries at this time and rule them out before proceeding with revision hip arthroscopy surgery.</p><p><strong>Technique description: </strong>Revision hip arthroscopy starts with reviewing the previous operative note, obtaining standing anterior-posterior pelvis, 45° Dunn, and false profile radiographs, and, in our practice, performing a 3-dimensional (3D) computed tomography (CT) scan to assess for remaining bony impingement, as well as femoral version and tibial torsion. Magnetic resonance imaging arthrogram helps differentiate postoperative changes from new pathology. Intraoperatively, new portals are created as needed. Diagnostic arthroscopy assesses synovitis, adhesions, labral quality, capsular integrity, and any iatrogenic cartilage injury. Residual cam, pincer, or subspine impingement is addressed with the aid of 3D CT planning and intraoperative fluoroscopy to prevent over- and under-resection of bony pathology. Labral pathology is managed with a re-repair or tibialis anterior allograft reconstruction using the pull-through technique. Capsular insufficiency is addressed through imbrication in a figure-of-8 suture configuration or augmentation with suture anchors when the capsule cannot support additional sutures. Postoperative rehabilitation is similar to that of primary hip arthroscopy protocols with protected weightbearing and early motion precautions.</p><p><strong>Results: </strong>Revision hip arthroscopy is a safe and reliable procedure that improves pain and function in patients, although postoperative gains may be less than after primary arthroscopy. Complication rates are similar to primary arthroscopy, but the risk of conversion to total hip arthroplasty remains higher in the revision population.</p><p><strong>Discussion/conclusion: </strong>When revision hip arthroscopy is appropriately indicated and performed, particularly with attention to residual bony impingement, labral pathology, and capsular integrity, it is a reliable option for patients with failed primary surgeries.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement o","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254261429888"},"PeriodicalIF":0.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148255418","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 Conjoint Tendon Release for Painful Reverse Total Shoulder Arthroplasty.","authors":"Katherine A Burns","doi":"10.1177/26350254261420228","DOIUrl":"10.1177/26350254261420228","url":null,"abstract":"<p><strong>Background: </strong>Persistent pain after reverse total shoulder arthroplasty (RTSA) is a difficult problem to manage. Anterior shoulder pain may arise from conditions, including anterior impingement, conjoint tendonitis, or coracoid fracture after RTSA. Clinical function and anterior pain may improve after release of the conjoint tendon. An open technique for conjoint tendon release has been described. The purpose of this video is to describe and illustrate a technique for arthroscopic release of the conjoint tendon after RTSA.</p><p><strong>Indications: </strong>Patients with recalcitrant pain at the tip of the coracoid, lesser tuberosity, and conjoint tendon origin after RTSA, combined with painful internal rotation, are candidates for arthroscopic decompression and conjoint tendon release. Nonoperative management before surgical intervention can include an injection at the conjoint tendon origin, with care taken to avoid steroid injection into the shoulder joint space or in the RTSA prosthetic components. This injection may be both diagnostic and therapeutic.</p><p><strong>Technique description: </strong>The patient is positioned in the lateral or beach-chair position, depending on the surgeon's preference. Because RTSA does not have an accessible joint space, the scope is placed immediately into the subacromial space. Additional anterior, lateral, and inferolateral portals are placed with spinal needle guidance and blunt instrumentation. Debridement, cultures, coracoplasty, and conjoint tendon release are performed arthroscopically.</p><p><strong>Results: </strong>The conjoint tendon release technique may relieve anterior, coracoid, and lesser tuberosity pain and improve function after RTSA in appropriate patients.</p><p><strong>Discussion/conclusion: </strong>Arthroscopic conjoint tendon release allows the surgeon to evaluate and manage the painful RTSA using a minimally invasive technique. Arthroscopic conjoint tendon release after RTSA provides a minimally invasive method to assess the painful RTSA and may relieve pain and improve function for patients with persistent conjoint tendonitis.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254261420228"},"PeriodicalIF":0.0,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13250430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230196","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":"Various Technique Modifications of BEAR ACL Restoration.","authors":"Samuel G Lorentz, Zachary S Aman, Brian C Lau, Jocelyn R Wittstein, Jacqueline M Brady","doi":"10.1177/26350254261419142","DOIUrl":"10.1177/26350254261419142","url":null,"abstract":"<p><strong>Background: </strong>Anterior cruciate ligament (ACL) injuries are incredibly common, with an annual incidence of 68.6 per 100,000. The Bridge-Enhanced ACL Restoration (BEAR) is a relatively novel technique that combines suture repair of the ligament and a bioactive scaffold implant to bridge the gap between the torn ligament ends. Since the adoption of the BEAR technique, several modifications have been made to the original technique. These modifications are being prospectively studied within the Bridge registry.</p><p><strong>Indications: </strong>ACL tears amenable to repair.</p><p><strong>Technique description: </strong>The described technique demonstrates 2 common modifications to the original BEAR technique. The first technique passes 2 luggage tag-style sutures onto the ACL stump. These are then passed into a tensionable suture loop and button assembly. This is passed through a femoral tunnel, securing the ACL stump to the femoral footprint. Bridging sutures are attached to the button, passed through the BEAR Implant, and brought through a tibial tunnel. The second demonstrated technique again passes 2 luggage tag style sutures through the ACL stump and secures them to the femoral footprint using a knotless anchor. Bridging sutures are passed through the BEAR Implant, out a tibia tunnel, and fixed to the tibia with another knotless anchor. In both techniques, the preparation of the BEAR Implant is the same and is completed without arthroscopic visualization.</p><p><strong>Results: </strong>In our experience, patients undergoing BEAR with real-world technique modifications have achieved successful outcomes. The Bridge registry has prospectively followed these patients and has published their early results. With the first 100 patients, they showed an ACL retear rate of 5% at 2 years. Furthermore, there has been a low rate of adverse events, and 61% of patients have been able to return to sport at 9 months.</p><p><strong>Discussion/conclusion: </strong>Several technical modifications have been developed for the use of the BEAR Implant in ACL repair. These approaches demonstrate promising early outcomes and enable surgeons to tailor the procedure according to their preferences and level of expertise.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254261419142"},"PeriodicalIF":0.0,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13237450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202037","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":"Scoping Out Ankle Impingement.","authors":"Lambert T Li, Ansh Shah, Greta Wilker, Shana N Miskovsky","doi":"10.1177/26350254261419138","DOIUrl":"10.1177/26350254261419138","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Ankle impingement is common in athletes, especially in running, jumping, and cutting activities. We present 2 clinical cases of impingement, anterior (AAI) and posterior (PAI), plus subfibular, demonstrating the utility of ankle arthroscopy and hindfoot endoscopy techniques.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Indications: &lt;/strong&gt;AAI presents with pain at terminal dorsiflexion, tenderness over the anterior joint, and pain with passive hyperdorsiflexion. PAI presents with pain on repetitive plantarflexion, tenderness over the posterior talar process, and pain with passive hyperplantarflexion. Surgical indications include persistent pain or functional limitations refractory to conservative treatment. Contraindications include severe arthritis, poor vascular status, or a compromised soft tissue envelope.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Technique description: &lt;/strong&gt;For AAI, the patient is slightly lateral with the thigh in a foam-lined leg holder. Minimal traction is applied through an ankle stirrup attached to a noninvasive sterile distractor. Standard anteromedial and anterolateral portals are created, with accessory portals made to access the submalleolar spaces. Impinging soft tissue and bony spurs are resected using a radiofrequency wand, shaver, and/or bur, followed by arthroscopic confirmation of resolution of impingement. For hindfoot endoscopy, the patient is prone with the involved ankle off the operative table end. Standard portals are posterolateral and posteromedial. The crural fascia is identified and released with a radiofrequency wand. The flexor hallucis longus is identified and is the most medial extent of any dissection to avoid neurovascular injury. Impinging structures are identified and resected using small joint instruments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;AAI arthroscopy has shown improvements in the American Orthopaedic Foot & Ankle Society (AOFAS) score, visual analog scale, Foot Functional Index, and dorsiflexion. The reported overall complication rate is 4%, with the most common being transient neurapraxia, superficial infection, and disturbed wound healing. PAI hindfoot endoscopy improves AOFAS scores and reduces time to return to play compared with open procedures. There is a reported 6% complication rate with transient sensory nerve symptoms, Achilles pain, and portal thickening being the most common.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion/conclusion: &lt;/strong&gt;Anterior and posterior ankle impingements are common in athletes and present with limited function, decreased range of motion, and localized pain. When conservative treatment fails, ankle arthroscopy and hindfoot endoscopy are effective surgical options that provide pain relief, modest improvement in range of motion, faster return to play, and low complication rates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient consent disclosure statement: &lt;/strong&gt;The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s)","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254261419138"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13230648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166701","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":"Combination of Cartiheal and Osteochondral Allograft for the Treatment of Multifocal Cartilage Defects.","authors":"Hannah L Terry, Lilah Y Z Isenberg, Andreas H Gomoll, Sabrina M Strickland","doi":"10.1177/26350254261419144","DOIUrl":"10.1177/26350254261419144","url":null,"abstract":"<p><strong>Background: </strong>Multifocal cartilage defects about the knee have become increasingly prevalent. When left untreated, these injuries may progress to diffuse knee osteoarthritis. Operative management for patients with multifocal chondral defects typically includes partial or total knee arthroplasty. The senior authors (A.H.G. and S.M.S.) suggest the simultaneous use of osteochondral allograft (OCA) transplantation for patellar chondral defects and the Cartiheal Agili-C implant for trochlear chondral pathology as a viable option for patients with bipolar patellofemoral pathology.</p><p><strong>Indications: </strong>Patients were indicated for the combined procedure presented in the clinic with symptomatic and functional difficulties with activities of daily living and sports. Magnetic resonance imaging evaluation demonstrated multiple chondral lesions. Patients failed nonoperative treatment measures, including a minimum of 3 months of formal physical therapy and injections.</p><p><strong>Technique: </strong>A diagnostic arthroscopy was performed. An arthrotomy was performed, and, using the standard OCA technique, the patella was everted, and the recipient site was sequentially reamed. The OCA was prepared on the back table with a coring reamer using irrigation. A small K-wire was used to microperforate the bone. The allograft was irrigated with pulse lavage and CarboJet, soaked in bone marrow aspirate from the distal femur, and placed in the patellar defect with digital pressure. Attention was turned to the trochlea. Using the Cartiheal Agili-C technique, a threaded guide pin was drilled into the lesion, then drilled, and a hand reamer was used to achieve the appropriate depth. A shaper was used, and the edge was beveled, and the Cartiheal Agili-C implant was placed. This was repeated as necessary.</p><p><strong>Results: </strong>The literature suggests that OCA transplantation is an effective means for treating isolated articular cartilage defects in the knee. Cartiheal Agili-C implant is a novel and effective treatment for focal chondral defects, an alternative to OCA when graft availability is limited, or the defect is narrow or small. The combined use of OCA and Cartiheal Agili-C implants can address complex defect pathology and improve patient symptoms and function.</p><p><strong>Discussion/conclusion: </strong>Full-thickness, multifocal chondral defects about the knee are difficult to treat. The combined use of Cartiheal Agili-C implant and OCA transplantation poses an innovative treatment option.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254261419144"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13219801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148140420","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":"Minimally Invasive Quadriceps Tendon Harvest Technique for ACL Reconstruction.","authors":"Thomas Boucher, Ashley Rosenberg, David E Kantrowitz, Alexis Colvin","doi":"10.1177/26350254251397008","DOIUrl":"10.1177/26350254251397008","url":null,"abstract":"<p><strong>Background: </strong>Graft selection for anterior cruciate ligament (ACL) reconstruction (ACLR) remains a debated topic within the orthopaedic sports medicine community. While the bone-patellar tendon-bone autograft has been considered the gold standard, the quadriceps tendon autograft has gained popularity because of its similarly low failure rate and decreased donor-site morbidity.</p><p><strong>Indications: </strong>We present a case of an active 34-year-old woman with a left knee ACL tear. Using a quadriceps tendon autograft can be indicated when the patient is >5 feet tall and a substantial graft can be expected after harvest.</p><p><strong>Technique description: </strong>We present a reproducible, minimally invasive technique of harvesting a quadriceps tendon autograft using the QuadPro Tendon Harvester. We also demonstrate an effective method to close the donor site endoscopically using a suture passer.</p><p><strong>Results: </strong>Using this technique, our clinical results align with the current literature, with low retear rates and a high return-to-sport rate.</p><p><strong>Discussion/conclusion: </strong>We present a reliable, minimally invasive technique to harvest the quadriceps tendon for ACLR. We discuss the technical pearls we have learned while performing this technique.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254251397008"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148020428","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":"Four-Compartment Fasciotomy for Chronic Exertional Compartment Syndrome.","authors":"Deeya Prakash, Giovanna Medina, Elizabeth Matzkin","doi":"10.1177/26350254251408436","DOIUrl":"10.1177/26350254251408436","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Chronic exertional compartment syndrome (CECS) is characterized by pain related to exercise that resolves with a period of rest. Along with these symptoms, CECS is commonly diagnosed based on an increase in intercompartmental pressure during exercise. A negative magnetic resonance imaging (MRI) is helpful to rule out commonly presenting symptoms. While fasciotomy remains the gold standard for patients who require more than conservative treatment, sex-specific outcome data require further investigation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Indications: &lt;/strong&gt;This case presents a 17-year-old female adolescent with a 2-year history of bilateral calf pain, burning, and foot tingling after 15 minutes of exertion during soccer games that resolved with rest. Several nonoperative interventions, such as footwear modifications and inserts, failed to provide relief. MRI ruled out a stress fracture, and intercompartment pressure testing demonstrated elevated postexercise pressures in all 4 compartments bilaterally, confirming the indication for bilateral 4-compartment fasciotomy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Technique description: &lt;/strong&gt;With the patient in a supine position and without a regional block or tourniquet, both legs were prepped and draped for full exposure. Anatomical landmarks were marked for lateral and medial approaches. Limited (4 cm) longitudinal incisions allowed sequential release of anterior, lateral, superficial posterior, and deep posterior compartments using a combination of blunt dissection, careful nerve identification, and push-cut technique with Metzenbaum scissors, with careful consideration and protection of nerves. Finger palpation was frequently utilized to ensure the completion of the fasciotomies. Wounds were irrigated, closed with nylon sutures, and dressed with sterile coverings and transparent dressings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The patient returned to sports (RTS) within 3 months of surgery and has remained asymptomatic. Based on the literature, operative CECS patients can expect to RTS within 6 to 12 weeks. However, large-cohort data indicate variable sex-specific outcomes, with some studies showing lower RTS rates in females (75%) compared to males (97%), despite lower reported postoperative pain severity in women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion/conclusion: &lt;/strong&gt;After attempted nonoperative intervention, bilateral 4-compartment fasciotomy utilizing the technique demonstrated is an effective surgical option for adolescent females with CECS. Given the conflicting literature on sex-based outcomes, further prospective, sex-inclusive research is warranted to clarify prognostic factors and optimize rehabilitation protocols for female athletes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient consent disclosure statement: &lt;/strong&gt;The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of app","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254251408436"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147944551","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":"Partial Articular Supraspinatus Tendon Avulsion (PASTA) Repair: Transtendinous Technique.","authors":"Brittany Ammerman, Karen Sutton","doi":"10.1177/26350254251408069","DOIUrl":"https://doi.org/10.1177/26350254251408069","url":null,"abstract":"<p><strong>Background: </strong>Partial articular supraspinatus tendon avulsion (PASTA) lesions are a common cause of shoulder pain and dysfunction. Transtendinous repair is a surgical technique used to restore tendon integrity while preserving intact tendon and minimizing iatrogenic tendon damage.</p><p><strong>Indications: </strong>This technique is indicated in patients with symptomatic, partial-thickness rotator cuff tears who have failed conservative management.</p><p><strong>Technique description: </strong>The PASTA transtendinous technique repair is performed in the beach-chair position. The articular-sided tear is visualized, debrided, and 2 suture anchors are placed percutaneously through the tendon into the rotator cuff footprint. The sutures are passed in a boxed mattress configuration, and knot-tying is performed arthroscopically on the bursal side of the cuff, securing the tendon back to its footprint and preserving intact tendon fibers.</p><p><strong>Results: </strong>This construct demonstrates stable fixation of the tendon to its native footprint, with preservation of tendon integrity. Postoperatively, patients undergo a structured rehabilitation protocol. Return to full activity/sport is expected at approximately 4 to 6 months.</p><p><strong>Discussion/conclusion: </strong>Transtendinous repair of PASTA lesions provides a reliable method for restoring native tendon integrity, while preserving intact tendon fibers. This technique minimizes tendon trauma compared with traditional \"take-down\" rotator cuff repair techniques, maintains native anatomy, and facilitates anatomic healing with good functional recovery.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254251408069"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147944597","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":"Medial Patellofemoral Ligament Reconstruction Utilizing Autograft Quadriceps Tendon.","authors":"Alec E Winzenried, Jack H Drake, Collin N Nguyen, Alex D Lucas, Tamara A Scerpella","doi":"10.1177/26350254251399223","DOIUrl":"10.1177/26350254251399223","url":null,"abstract":"<p><strong>Background: </strong>Medial patellofemoral ligament reconstruction (MPFLR) is a common surgical procedure for the treatment of recurrent patellar instability. Techniques vary by graft type, fixation method, number of graft limbs, graft placement, and tensioning. Hamstring tendons are most commonly used, but autograft causes donor-site morbidity, while allograft increases cost and requires availability. Recent anatomic studies have described a medial patellofemoral complex (MPFC) with a broad attachment to both the superomedial patella and the distal medial quadriceps tendon, suggesting the need to restore a broad footprint across both sites.</p><p><strong>Indications: </strong>MPFLR may be performed in isolation or in combination with bony procedures that address structural malalignment. Recent evidence suggests a role for isolated MPFLR regardless of coronal alignment and patellar height, in the absence of severe dysplasia or jumping J sign. We present a modification of the MPFLR technique described by Fink et al, utilizing quadriceps tendon autograft to restore a broad footprint of the MPFC.</p><p><strong>Technique description: </strong>A 6 to 7 mm-diameter partial-thickness strip of tendon is harvested from the medial quadriceps tendon, leaving a thin cuff of tendon intact medially for side-to-side repair. The graft is left intact at the patellar insertion and redirected 90°, beneath the intact medial tendon insertion. The graft base is attached to exposed bone on the medial aspect of the superomedial corner of the patella using an all-suture anchor. The free end is passed between layers 2 and 3 and fixed within a socket at the Schottle point on the medial femoral condyle using a resorbable interference screw.</p><p><strong>Results: </strong>The described technique utilizes the quadriceps tendon autograft for MPFLR. The graft is easily obtained through a slight proximal extension of the incision required for patellar graft fixation. Harvest is reliable and reproducible, with extremely low donor site morbidity.</p><p><strong>Discussion/conclusion: </strong>Maintenance of graft origin at the proximal patella with secondary fixation at the superomedial patella combines the traditional construct for MPFLR (bone fixation at superomedial patella) with that described by Tanaka as medial quadriceps tendon femoral ligament reconstruction (attachment at medial quadriceps tendon insertion). Thus, the technique described here restores a larger footprint of the entire MPFC, more closely approximating normal anatomy.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254251399223"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147944584","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":"Anatomic Rotator Cuff Repair With Dual-Layer Fixation: A Knotless Technique.","authors":"Katherine A Burns","doi":"10.1177/26350254251401624","DOIUrl":"10.1177/26350254251401624","url":null,"abstract":"<p><strong>Background: </strong>Arthroscopic rotator cuff repair (ARCR) is performed with increasing frequency in the United States, with at least 500,000 repairs done annually. Dual-layer repair is a rotator cuff repair technique in which the deep and superficial layers are repaired separately. The superior capsule comprises the majority of the deep articular attachment of the rotator cuff footprint, and these fibers have differential excursion to the tuberosity. Delaminated cuff tears are often larger and are a poor prognostic sign; they are less likely to heal. Adapting repair techniques for delamination using dual-layer fixation improves healing rates and clinical results.</p><p><strong>Indications: </strong>The dual-layer fixation technique is indicated in larger cuff tears with delamination and differential excursion of articular (medial) rotator cuff and bursal (lateral) fibers.</p><p><strong>Technique description: </strong>This rotator cuff repair technique demonstrates dual-layer fixation of the rotator cuff to the footprint using a knotless technique. This technique allows anatomic reduction of the medial cuff and superior capsule fibers, which have less excursion, and the bursal more superficial fibers, which mobilize to the lateral aspect of the tuberosity. This technique does not require additional anchors, minimizes suture use, avoids knot stacks within the substance of the cuff, and provides additional points of fixation in the construct.</p><p><strong>Results: </strong>Independent fixation of the deep capsular layer improves both clinical and radiographic outcomes when compared with an <i>en masse</i> suture bridge technique.</p><p><strong>Discussion: </strong>Dual-layer fixation is technically simple using a knotless suture mechanism, minimizing suture within the substance of the cuff while providing additional points of fixation and precise reduction of the articular fibers. This technique may improve clinical results and healing rates after ARCR.</p><p><strong>Patient consent disclosure statement: </strong>The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.</p>","PeriodicalId":520531,"journal":{"name":"Video journal of sports medicine","volume":"6 3","pages":"26350254251401624"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147944548","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}