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Arthroscopic Myotomy of the Lateral Pterygoid Muscle With Coblation for the Treatment of Temporomandibular Joint Anterior Disc Displacement Without ReductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Different arthroscopic procedures and surgical instruments have been reported for the treatment of temporomandibular joint (TMJ) internal derangement. Of particular interest are those specifically dedicated to repositioning of the disc in cases with anterior disc displacement without reduction and chronic closed lock (CCL). Moses and Poker stressed the importance of the capsular stretch procedure or capsular release for joint mobility, but whether the clinical improvement in relation to mouth opening is due to disc repositioning over the condyle or to the increased mobility of the disc complex has been somehow controversia...
Source: Journal of Oral and Maxillofacial Surgery - November 19, 2009 Category: ENT & OMF Authors: Raúl González-García Tags: Letters to the Editor Source Type: journals

Fracture of the tibial bone block after posterior cruciate ligament allograft reconstruction using double cross pinsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the fracture of the tibial bone block after posterior cruciate ligament reconstruction using double cross pins for bone block fixation in the postoperative period. The possible reasons include the size of bone block, direction of cross pin or the quality of bone block. This case emphasizes the biomechanical properties and failure of modes of double cross pin. Content Type Journal ArticleCategory Arthroscopy and Sports MedicineDOI 10.1007/s00402-009-1005-7Authors Hong Chul Lim, Korea University College of Medicine, Guro Hospital Department of Orthopaedic Surgery 80 Guro-dong, Guro-gu Seoul 152-703 Republic ...
Source: Archives of Orthopaedic and Trauma Surgery - November 18, 2009 Category: Orthopaedics Tags: Archives of Orthopaedic and Trauma Surgery Source Type: journals

Major orthopaedic surgeries for haemophilia with inhibitors using rFVIIaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report is the largest clinical report on major orthopaedic surgeries at a single institute. We have concluded that the combination of bolus and continuous infusion of rFVIIa is safe and effective, and more convenient to administer than simple bolus infusion therapy to achieve haemostasis at peri-operative periods. In addition, our data also concurs with the data of several previous reports which showed that orthopaedic surgery for haemophilia patients with inhibitors by means of rFVIIa is safe and effective. (Source: Haemophilia)
Source: Haemophilia - November 18, 2009 Category: Hematology Authors: H. TAKEDANI, H. KAWAHARA, M. KAJIWARA Source Type: journals

Postoperative analgesic effect of preoperative intravenous flurbiprofen in arthroscopic rotator cuff repairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion These results show that preoperative intravenous flurbiprofen facilitates the analgesic effect in the early postoperative period after arthroscopic rotator cuff repair. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0799-3Authors Masafumi Takada, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanMakoto Fukusaki, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanYoshiaki Terao, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanKazunori Yamashita, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanMiwako Takada, Nagasaki R...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

A comparison of intra-articular magnesium and/or morphine with bupivacaine for postoperative analgesia after arthroscopic knee surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Intra-articular administration of magnesium sulfate or morphine, with bupivacaine, had comparable analgesic effects in the doses used. Their combination provided more effective postoperative analgesia than either drug alone. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0822-8Authors Sherif Farouk, Ain-Shams University Department of Anaesthesiology, Faculty of Medicine Cairo EgyptAnsam Aly, Ain-Shams University Department of Physiology, Faculty of Medicine Cairo Egypt Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volum...
Source: Journal of Anesthesia - November 17, 2009 Category: Anesthesiology Tags: Journal of Anesthesia Source Type: journals

CONMED Linvatec Announces Launch of Novel Biocomposite Technology and Related Matryx(TM) Biocomposite Interference ScrewsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
UTICA, NY, Nov 17--(HSMN NewsFeed) - CONMED Corporation's (NASDAQ:CNMD ) CONMED Linvatec arthroscopy unit today announced the release of new sizes of its Matryx(TM) Biocomposite Interference Screw. These new screws represent the latest advance in biocompos... Devices, OrthopaedicCONMED, CONMED Linvatec, Matryx, Interference Screw (Source: HSMN NewsFeed)
Source: HSMN NewsFeed - November 17, 2009 Category: Pharmaceuticals Source Type: news

CONMED Linvatec Announces Launch of Bullseye(TM) Anatomic Cruciate Reconstruction SystemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
UTICA, NY, Nov. 16--(HSMN NewsFeed) - CONMED Corporation's (NASDAQ:CNMD ) CONMED Linvatec arthroscopy unit today announced the release of the Bullseye(TM) Anatomic Cruciate Reconstruction System, a novel guide system for anatomic cruciate ligament (ACL and... Devices, OrthopaedicCONMED, Bullseye System, cruciate ligament reconstruction (Source: HSMN NewsFeed)
Source: HSMN NewsFeed - November 16, 2009 Category: Pharmaceuticals Source Type: news

FDA warns against continuous intra-articular infusions of local anaestheticsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: FDA Area: News The FDA has notified healthcare professionals in the US of reports of adverse reactions associated with the administration of local anaesthetics (bupivacaine, chlorprocaine, lidocaine, mepivacaine, procaine, ropivacaine) via intra-articular infusion. The Agency has received 35 reports of chondrolysis (necrosis and destruction of cartilage) in patients given continuous intra-articular infusions of local anaesthetics (with and without epinephrine) to control post-surgical pain. The local anaesthetics were infused for extended periods of time (48 to 72 hours) directly into the intra-ar...
Source: NeLM - News - November 16, 2009 Category: Drugs & Pharmacology Source Type: organizations

Interscalene brachial plexus blockade (ISB) appears to be cost effective versus general anaesthesia for arthroscopic shoulder surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: PharmacoEconomics and Outcomes News)
Source: PharmacoEconomics and Outcomes News - November 15, 2009 Category: Health Management Tags: Research article Source Type: journals

The resident’s ridge as an arthroscopic landmark for anatomical femoral tunnel drilling in ACL reconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The purposes of this study were to establish the technique to arthroscopically identify the resident’s ridge without bony notchplasty even in patients with chronic ACL insufficiency and to elucidate if the ridge could be used as a landmark for anatomical femoral tunnel for ACL graft. There were 50 consecutive patients undergoing arthroscopic ACL reconstruction. With the thigh kept horizontal using a leg holder, a meticulous effort was made to find out a linear ridge running proximo-distal in a posterior one-third of the lateral notch wall, after removal of superficial soft tissue with radiofrequen...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 14, 2009 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, arthroscopy Source Type: journals

Changes in ACL length at different knee flexion angles: an in vivo biomechanical studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Recently, there has been a tremendous impetus on anatomical reconstruction of the anterior cruciate ligament (ACL), and the double-bundle reconstruction concept has been advocated by many authors. It is, therefore, important to understand how the lengths of the two bundles of the ACL vary during different knee flexion angles as this could influence the angle of graft fixation during surgery. The aim of this study is to determine the change in length of the ACL bundles during different knee flexion angles. Ten subjects with normal knees were evaluated. A high-resolution computer tomography scan was p...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 14, 2009 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, arthroscopy Source Type: journals

Peroneal nerve damage by bicortical tibial screw in ACL reconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Arthroscopically assisted anterior cruciate ligament reconstruction is regarded as a minimally invasive surgery with low morbidity but complications still occur. Reports of neurovascular injuries related to graft harvesting, tunnel placement, or graft fixation are limited. A rare case of peroneal nerve injury related to hardware used for graft fixation in the tibial in a 28-year-old female patient who underwent an anterior cruciate ligament reconstruction surgery using a patellar tendon graft (bone-tendon-bone graft) is presented. Post-operatively, the patient presented with clinical signs of perone...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 14, 2009 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, arthroscopy Source Type: journals

ACL prosthesis: any promise for the future?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides a review of the history of the use of prosthetics with respect to ACL reconstruction grafts including Carbon Fibre, Gore-Tex and Dacron prosthetics, as well as the Leeds-Keio Artificial Ligament and the Kennedy Ligament Augmentation Device (LAD). Emphasis is placed on the ligament advanced reinforcement system (LARS) as preliminary investigations of its use have been encouraging. Significant progress has been made recently with respect to the understanding of ACL anatomy, composition, biomechanics, and healing processes, leading to innovative techniques using approaches based in tissue engineerin...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 14, 2009 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, arthroscopy Source Type: journals

Risk Factors for Shoulder Redislocation ExaminedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The risk for redislocation among patients who have had a corrective arthroscopic procedure may be linked to younger age, male gender and longer duration between injury and surgery, according to an Italian study in the November issue of the Journal of Bone & Joint Surgery. (Source: Modern Medicine)
Source: Modern Medicine - November 13, 2009 Category: Journals (General) Source Type: info

Expression of TRAIL and death receptor DR4 in Palmer type 2 TFCC lesionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion This is the first study that shows that TFCC cells express TRAIL and DR4, which suggests that apoptosis, as well as, mechanical trauma are involved in the development of disc perforation. The TRAIL/DR4 receptor system is a molecular mediator of apoptosis induction in TFC cells and therefore plays a role in cell loss in degenerative disc lesions. Content Type Journal ArticleCategory Orthopaedic SurgeryDOI 10.1007/s00402-009-0988-4Authors Frank Unglaub, University Erlangen Department of Plastic and Hand Surgery Krankenhausstrasse 12 91054 Erlangen GermanySusanne B. Thomas, University Erlangen...
Source: Archives of Orthopaedic and Trauma Surgery - November 12, 2009 Category: Orthopaedics Tags: Archives of Orthopaedic and Trauma Surgery Source Type: journals

A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the KneeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
. In the legend for Figure 2 (page 1102), the third sentence should have read, "Error bars indicate the ... (Source: New England Journal of Medicine)
Source: New England Journal of Medicine - November 11, 2009 Category: Internal Medicine Tags: CORRECTIONS Source Type: journals

The transtibial versus the anteromedial portal technique in the arthroscopic bone-patellar tendon-bone anterior cruciate ligament reconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The transtibial (TT) drilling of the femoral tunnel in the bone-patellar tendon-bone (BPTB) anterior cruciate ligament (ACL) reconstruction was found to place the tunnel non-anatomically. The use of the anteromedial portal (AMP) for the femoral drilling would provide the surgeon with more freedom to anatomically place the tunnel in the real femoral ACL footprint. The purpose of this study was to compare the clinical outcomes of BPTB ACL reconstruction using the AMP or the TT technique for the femoral tunnel drilling. A Medline search was not able to identify any study directly comparing the clinical...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 10, 2009 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, arthroscopy Source Type: journals

Mattress suture-bridge technique for bursal-side partial-thickness rotator cuff tearsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The standard procedure used to repair partial-thickness tears involves initial progression of the lesion to a full-thickness tear prior to tendon repair. However, the option for a bursal-side partial-thickness rotator cuff tear includes the preservation of as much of the remaining intact fibers as possible. Instead of inserting suture anchors in the medial row, as in the conventional suture-bridge technique, two mattress sutures are inserted into the rotator cuff. Full-thickness access is achieved using a percutaneous spinal needle and medial mattress sutures to preserve the articular bone attachmen...
Source: Archives of Orthopaedic and Trauma Surgery - November 9, 2009 Category: Orthopaedics Tags: Archives of Orthopaedic and Trauma Surgery Source Type: journals

Knee flexor strength after ACL reconstruction: comparison between hamstring autograft, tibialis anterior allograft, and non-injured controlsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study compared the mean peak isometric knee flexor torque of the following three groups: subjects 2 years following ACL reconstruction using semitendinosus–gracilis autografts (Group 1), subjects 2 years following ACL reconstruction using tibialis anterior allografts (Group 2), and a non-injured, activity-level-matched control group (Group 3). We hypothesized that Group 1 would have greater mean involved lower extremity peak isometric knee flexor torque deficits than the other groups. Handheld dynamometry with subjects in prone and the test knee at 90° flexion was used to determine bilateral peak iso...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 7, 2009 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, arthroscopy Source Type: journals

Plasma arginine vasopressin concentration in horses undergoing surgery for colicEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To determine if horses before undergoing anesthesia for surgical correction of colic would have lower plasma arginine vasopressin (AVP) concentrations than healthy horses undergoing anesthesia for arthroscopic surgery, and would not increase their plasma AVP concentrations in response to anesthesia and surgery. Prospective clinical study. University teaching hospital. Fourteen horses with colic and 8 healthy horses. Horses with colic underwent anesthesia and surgery for alleviation of colic, and healthy horses underwent anesthesia and surgery for arthroscopy. Plasma AVP was measured perioperatively in horses with colic and...
Source: Journal of Veterinary Emergency and Critical Care - November 6, 2009 Category: Veterinary Research Authors: John W. Ludders, Hanna-Maaria Palos, Hollis N. Erb, Stephen V. Lamb, Stella E. Vincent, Robin D. Gleed Source Type: journals

Septic arthritis of the knee joint secondary to adjacent chronic osteomyelitis of the femur in an adultEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The present report describes a case of septic knee arthritis secondary to reactivated chronic osteomyelitis. The osteolytic lesion observed on the initial radiographs resulted in further imaging studies including CT and MRI, which confirmed the diagnosis. Based on the patient’s history, physical findings and imaging studies, we performed open debridement rather than arthroscopic surgery in order to treat the infected intraarticular knee joint and ream the femur intramedullary canal. Additionally, an antibiotic-impregnated cement rod was inserted into the medullary cavity to fill the dead space and...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 5, 2009 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, arthroscopy Source Type: journals

Treatment of an osteoporotic Hoffa fractureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Two patients with Hoffa fracture of the knee, both suffering from poliomyelitis are reported. Both had unicondylar coronal plane fracture of the medial femoral condyle. The patients were treated with open reduction and screw fixation. Due to poor screw purchase, reoperation was necessary in one patient. The results were satisfactory in both patients. Content Type Journal ArticleCategory KneeDOI 10.1007/s00167-009-0960-4Authors Joseph Jeremy Hsi Tse Chang, Alice Ho Miu Ling Nethersole Hospital Department of Orthopaedics and Traumatology Tai Po Hong Kong ChinaJason Chi Ho Fan, Alice Ho Miu Ling Net...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 5, 2009 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, arthroscopy Source Type: journals

Intraosseous Ganglion in the Subchondral Region of the Lateral Femoral Condyle in an 11-year-old girl: a Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a patient with intraosseous ganglion in the lateral femoral condyle. An 11-year-old girl presented with right knee pain following a twisting injury. Plain radiographs of the knee showed a small circumscribed radiolucency with a thin sclerotic margin in the subchondral region of the lateral femoral condyle. Although the image findings and location are not typical, the lesion was tentatively diagnosed as osteochodritis dissecans. Six months after the conservative treatment with a break from vigorous sports activities, the size of the bony lesion had not decreased. Thus, we performed arthroscopy to make ...
Source: BioMed Central - November 5, 2009 Category: Journals (General) Authors: Hiroshi NakayamaMasayoshi YagiShinichi Yoshiya Source Type: journals

Comparison of the Clinical Results of Three Posterior Cruciate Ligament Reconstruction TechniquesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Despite its technical difficulty, the arthroscopic tibial inlay double-bundle technique is our preferred method of reconstruction of the posterior cruciate ligament because it stabilizes posterior tibial translation better than do the other two methods. Level of Evidence: Therapeutic Level III. See Instructions to Authors for a complete description of levels of evidence. (Source: JBJS [Am])
Source: JBJS [Am] - November 2, 2009 Category: Orthopaedics Authors: Kim, S.-J., Kim, T.-E., Jo, S.-B., Kung, Y.-P. Tags: Sports Scientific Articles Source Type: journals

Comparison of Arthroscopic and Open Treatment of Septic Arthritis of the WristEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: JBJS [Am])
Source: JBJS [Am] - November 2, 2009 Category: Orthopaedics Authors: Strauch, R. J. Tags: Letters to the Editor Source Type: journals

Predisposing Factors for Recurrent Shoulder Dislocation After Arthroscopic TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Patients who are more likely to have a redislocation following arthroscopic repair of an anterior shoulder dislocation can be identified preoperatively on the basis of sex, age, and the time from the first dislocation to surgery. Level of Evidence: Prognostic Level II. See Instructions to Authors for a complete description of levels of evidence. (Source: JBJS [Am])
Source: JBJS [Am] - November 2, 2009 Category: Orthopaedics Authors: Porcellini, G., Campi, F., Pegreffi, F., Castagna, A., Paladini, P. Tags: Shoulder Scientific Articles Source Type: journals

Tears of the supraspinatus tendon: assessment with indirect magnetic resonance arthrography in 67 patients with arthroscopic correlation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Indirect MR arthrography is highly accurate in the diagnosis of full-thickness rotator cuff tears. However, the diagnosis of partial-thickness tears with indirect MR arthrography remains faulty, because exact demarcation of degenerative change and partial rupture is difficult. On the basis of the above findings, we do not recommend indirect MR arthrography on patients for whom rotator cuff disease is suspected clinically. PMID: 19863417 [PubMed - in process] (Source: Acta Radiologica)
Source: Acta Radiologica - November 1, 2009 Category: Radiology Authors: Van Dyck P, Gielen JL, Veryser J, Weyler J, Vanhoenacker FM, Van Glabbeek F, De Weerdt W, Maas M, van der Woude HJ, Parizel PM Tags: Acta Radiol Source Type: journals

Traumatic Injuries of the HipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Traumatic lesions of the hip in athletes may be clinically challenging because of the overlap in clinical presentation due to differing pathologies and the presence of multiple injuries. Imaging of the hip in the athlete has undergone a recent resurgence of interest and understanding related to the increasing accessibility and use of hip arthroscopy, which expands the treatment options available for intra-articular pathology. MR imaging and MR arthrography have a unique role in diagnosis of these pathologies, guiding the surgeon, arthroscopist, and referring clinician in their management of bony and soft tissue injury. (So...
Source: Magnetic Resonance Imaging Clinics of North America - November 1, 2009 Category: Radiology Authors: Nina Marshall, George Koulouris Source Type: journals

Arthroscopy From Head-to-Toe: Something for EveryoneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The articles in our current issue seem to offer something for everyone. While we don't literally cover head or toe arthroscopy (in this issue), we feel that we come very close, noting that we offer articles on the wrist, scapula, shoulder, hip, knee, and ankle. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: James H. Lubowitz, Gary G. Poehling Tags: Editorial Source Type: journals

Regarding the “Modified Lasso-Loop Stitch”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I read with interest the Technical Note by Toussaint et al. in the June 2009 issue. Knotless approaches to rotator cuff repair represent advancements, arguably as long as biomechanical properties are maintained and clinical outcomes are not compromised. The technique described highlights an efficient way to purchase tissue without having to tie knots during rotator cuff repair, although it does not reduce the number of suture passes required for a simple mattress stitch. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Maxwell C. Park Tags: Letters to the Editor Source Type: journals

Author's ReplyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Thank you for your interest in our technique, as well as your kind words. We would like to answer your second question first: To reduce the tendon to its footprint, you need a construct that will slide through the tendon. In this construct, the lasso loop locks the tendon up, thus preventing the stitch from sliding through the tendon. Because the suture is not fixed within the anchor, the anchor acts like a pulley and pulls the medial-row tendon down to the anchor when the simple limb is tensioned (as shown in parts G and J of our figure). Although you make a good point about cut-through, we cannot envision a way to repeat...
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Erik Schnaser, Bruno Toussaint, Reuben Gobezie Tags: Letters to the Editor Source Type: journals

Videos Accompanying Articles and Cover ImagesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I read with interest your editorial in the July 2009 issue of the Journal. Although I'm sure you did the search, the quote “Let's go to the video” is often stated as “Let's go to the videotape” and is most often attributed to the sportscaster Warner Wolf, who in the 1970s and 1980s truly went to the “videotape.” In 2000 he coauthored a book with Larry Weisman titled Let's Go to the Videotape! All the Plays—and Replays—From My Life in Sports. I'll never forget Mr. Wolf delivering his catchphrase each night during my local news sports report in New York. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Jonathan B. Ticker Tags: Letters to the Editor Source Type: journals

Author's ReplyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We are grateful to Dr. Ticker for educating readers and us about Warner Wolf. His catchphrase is universal, and credit is indeed due. We want to say directly to Dr. Ticker that we really appreciate your video cover image submissions. Like Wolf, you are a pioneer, and we look forward to your continued contributions to the Journal. Thank you also for your support of our efforts to encourage journal video submission. We agree this should “enhance the manuscripts published,” and we hope your letter will reiterate our exhortations. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: James H. Lubowitz, Gary G. Poehling Tags: Letters to the Editor Source Type: journals

Diagnosis of Isolated Posterolateral Bundle Tears of the Anterior Cruciate LigamentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We would like to respond to the article by Sonnery-Cottet et al. entitled “Arthroscopic Identification of Isolated Tear of the Posterolateral Bundle of the Anterior Cruciate Ligament.” This well-written article describes the incidence of isolated posterolateral (PL) bundle tears and their clinical, radiologic, and arthroscopic diagnosis. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Stephan Lorenz, Kenneth D. Illingworth, Freddie H. Fu Tags: Letters to the Editor Source Type: journals

Author's ReplyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We read the letter by Drs. Lorenz, Illingworth, and Fu about our recent article with attention. We thank them for their comments that add complementary information to our work as they describe the diagnosis of partial anterior cruciate ligament (ACL) ruptures. This was not, however, the purpose of our article. As readers most certainly will have observed, our article was mainly based on the histologic evolution of such ruptures, which have been very accurately described by Murray et al., but was never clearly identified during arthroscopic examination in the context of ACL reconstruction in humans. Such retraction of the p...
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Bertrand Sonnery-Cottet, Yann Fournier, Jean-Philippe Hager, Pierre Chambat, Johannes Barth, Nicolas Graveleau Tags: Letters to the Editor Source Type: journals

Has Platelet-Rich Plasma Any Role in Anterior Cruciate Ligament Allograft Healing?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: At this time, the therapeutic role of PDGF in ACL reconstruction remains unclear. The use of PDGF, on the graft and inside the tibial tunnel, in patients treated with bone–patellar tendon–bone allografts has no discernable clinical or biomechanical effect at 2 years' follow-up. More clinical studies will be needed to show the efficacy and use of these factors in daily practice in ACL reconstruction.Level of Evidence: Level I, prospective, randomized, double-blind study. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Juan Ramón Valentí Nin, Gonzalo Mora Gasque, Andrés Valentí Azcárate, Jesús Dámaso Aquerreta Beola, Milagros Hernandez Gonzalez Tags: Original Articles Source Type: journals

Three-Dimensional In Vivo Patellofemoral Kinematics and Contact Area of Anterior Cruciate Ligament–Deficient and –Reconstructed Subjects Using Magnetic Resonance ImagingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: ACL injuries alter patellofemoral kinematics including patellar tilt and patellar lateral translation, but ACL reconstruction with hamstring or allograft restores altered patellar tilt. ACL injuries reduce the patellofemoral contact area at both the extended and flexed positions, but ACL reconstruction enlarges the patellofemoral contact area at extension and restores the normal contact area at low angles of flexion.Level of Evidence: Level III, case-control study. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Choongsoo S. Shin, R. Dana Carpenter, Sharmila Majumdar, C. Benjamin Ma Tags: Original Articles Source Type: journals

Open Versus Arthroscopic Acromioclavicular Joint Resection: A Retrospective Comparison StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study did not show a significant difference in the outcome between arthroscopic and open ACJ resection. Incomplete excision and regrowth of the distal clavicle are the most common causes of revision. Although only the arthroscopic group showed a small percentage of patients (3.7%) with regrowth of the distal clavicle, the number is too small to assume that this complication is the result of the arthroscopic technique only.Level of Evidence: Level IV, therapeutic case series. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Bassem Elhassan, Mehmet Ozbaydar, David Diller, Daniel Massimini, Laurence D. Higgins, Jon J.P. Warner Tags: Original Articles Source Type: journals

Evaluation of Clinical Assessment Methods for Scapular DyskinesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The yes/no method allows multiple-plane asymmetries to be considered in clinical assessment and therefore renders this a good screening tool for the presence of scapular dyskinesis. Kinematic analysis shows that asymmetries are common in symptomatic and asymptomatic populations. Testing in flexion showed a higher frequency of multiple-plane scapular asymmetries in the symptomatic group.Clinical Relevance: Identification of scapular dyskinesis is a key component of the shoulder examination. The clinician's ability to establish the presence or absence of scapular dyskinesis by observation is enhanced using a sim...
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Tim L. Uhl, W. Ben Kibler, Ben Gecewich, Brady L. Tripp Tags: Original Articles Source Type: journals

A New Arthroscopic Technique to Determine Anterior-Inferior Glenoid Bone Loss: Validation of the Secant Chord Theory in a Cadaveric ModelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The SCT is shown to be a more accurate method of determining glenoid bone loss in an arthroscopic model; however, additional mathematic calculations are necessary. As shown in the intact state, there is an inherent small error of approximately 4% when arthroscopically determining bone loss.Clinical Relevance: The technique may aid the clinician in quantifying glenoid bone loss and help determine when bone augmentation may be advisable. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Alvin J. Detterline, Matthew T. Provencher, Neil Ghodadra, Bernard R. Bach, Anthony A. Romeo, Nikhil N. Verma Tags: Original Articles Source Type: journals

Strength of Single- Versus Double-Anchor Repair of Type II SLAP Lesions: A Cadaveric StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The results of this study imply that using 1 anchor with 2 sutures is biomechanically equivalent to 2 anchors with 1 suture each for repairing type II SLAP lesions.Clinical Relevance: Using 1 suture anchor is sufficient to repair a type II SLAP lesion. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Todd Baldini, R. Lance Snyder, Gabby Peacher, Joel Bach, Eric McCarty Tags: Original Articles Source Type: journals

Anatomic Course of the Superficial Branch of the Radial Nerve in the Wrist and Its Location in Relation to Wrist Arthroscopy Portals: A Cadaveric StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The limited size of the area where portals can be positioned and the anatomic variations between individuals are major obstacles in developing a guideline for reducing the risk of SBRN injury in wrist arthroscopy.Clinical Relevance: Great care must be taken when using the 1-2 portal. We suggest making a skin-only incision for this portal and then using blunt dissection to help prevent injury to the SBRN. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Ayhan Kılıç, Aysin Kale, Ahmet Usta, Fuat Bilgili, Yavuz Kabukçuoğlu, Sami Sökücü Tags: Original Articles Source Type: journals

Standard Anterior Cruciate Ligament Reconstruction Versus Isolated Single-Bundle Augmentation with Hamstring AutograftEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The AM augmentation group was injured more by a direct injury mechanism, and it presented with a greater incidence of medial collateral ligament tear than the PL augmentation group. The incidence of a preoperative grade 2 or 3 positive pivot-shift test was lower in the AM augmentation group than in the other 2 groups. MRI was useful for detection of remnant ACL fibers.Level of Evidence: Level III, retrospective comparative study. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Kyoung Ho Yoon, Dae Kyung Bae, Seung Mok Cho, Soo Yeon Park, Jung Hwan Lee Tags: Original Articles Source Type: journals

Bone Tunnel Widening After Anterior Cruciate Ligament Reconstruction Using EndoButton or EndoButton Continuous LoopEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study showed that femoral anterior cruciate ligament graft fixation with an EndoButton and continuous polyester loop compared with an EndoButton with knot-fixed polyester tape reduced the radiographic tunnel widening at 1 year for both the femur and tibia. The reduction in tunnel widening was not associated with differences in clinical outcome with respect to International Knee Documentation Committee scores or KT-1000 knee laxity measurement.Level of Evidence: Level III, retrospective comparative study. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Martin Lind, Julian Feller, Kate E. Webster Tags: Original Articles Source Type: journals

Effect of Repair of Radial Tears at the Root of the Posterior Horn of the Medial Meniscus With the Pullout Suture Technique: A Biomechanical Study Using Porcine KneesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Radial tears at the root of the PHMM in a porcine model significantly increased medial tibiofemoral contact pressure and decreased contact area. Although repair of tears of the PHMM with the pullout suture technique aids in significantly reducing tibiofemoral peak contact pressure between 30° and 90°, it remains significantly high at 0° and 15° of flexion.Clinical Relevance: Pullout sutures for radial tears at the root of the PHMM may lead to an increase in peak medial tibiofemoral contact pressure and may be prone to mechanical failure, especially during the stance (loading) phase of gait (mean, 15° of f...
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Jeong-Hee Seo, Guoan Li, Gautam M. Shetty, Ji-Hoon Kim, Ji-Hoon Bae, Myoung-Lae Jo, Jung-Sung Kim, Sung-Jae Lee, Kyung-Wook Nha Tags: Original Articles Source Type: journals

Peroneal Tendon Tears: Associated Arthroscopic Findings and Results After RepairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: All patients with peroneal tendon tears had associated intra-articular pathology, with the majority of patients having more than 1 intra-articular lesion. For patients meeting surgical criteria, correction of the tendon tears and arthroscopic treatment of the intra-articular lesions produced statistically significantly improved results and patient satisfaction, paralleling historical controls.Level of Evidence: Level IV, therapeutic case series. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Aaron Bare, Richard D. Ferkel Tags: Original Articles Source Type: journals

Clinical Outcomes of Double-Row Versus Single-Row Rotator Cuff RepairsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Arthroscopic rotator cuff repairs with double-row repair show no significant difference compared with single-row repair in clinical outcome at 1-year follow-up. Additional prospective, randomized controlled trials are needed with longer-term follow-up to determine whether there is any clinical difference between the 2 techniques.Level of Evidence: Level II, systematic review of Level I and II studies. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Lindley B. Wall, Jay D. Keener, Robert H. Brophy Tags: Systematic Reviews Source Type: journals

Glenohumeral Chondrolysis After Arthroscopy: A Systematic Review of Potential Contributors and Causal PathwaysEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The literature is limited to correlates, rather than true risk factors, for PAGCL. Well-designed epidemiologic studies that examine various exposures in relation to health outcomes, while controlling for potential confounders, are needed to determine relative risks that allow causal inference, thereby facilitating sound practice and policy decision making.Level of Evidence: Level IV, systematic review. (Source: Arthroscopy)
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Daniel J. Solomon, Maryam Navaie, Eric T. Stedje-Larsen, Jessica C. Smith, Matthew T. Provencher Tags: Systematic Reviews Source Type: journals

Arthroscopic Double-Pulley Remplissage Technique for Engaging Hill-Sachs Lesions in Anterior Shoulder Instability RepairsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a modified arthroscopic technique used to treat anterior shoulder instability associated with mild glenoid bone loss and a large Hill-Sachs lesion. The procedure aims to convert a bony intra-articular defect into an extra-articular defect by insetting the infraspinatus into the Hill-Sachs lesion. The arthroscopic procedure is performed with the patient in the lateral decubitus position, and the same portals used for anterior instability repair are used for this technique. The sequence of steps involves placing and passing the glenoid anchors and sutures and then waiting to tie the anterior sutures until after th...
Source: Arthroscopy - November 1, 2009 Category: Surgery Authors: Samuel S. Koo, Stephen S. Burkhart, Eloy Ochoa Tags: Technical Notes Source Type: journals