Simultaneous Acetabular Labrum Reconstruction and Remplissage of the Femoral Head–Neck Junction
Publication date: Available online 13 November 2019Source: Arthroscopy TechniquesAuthor(s): Luis Perez-Carro, Natalia Fernández Escajadillo, Linda Fernández Escajadillo, Carlos Rodrigo Arriaza, Manuel Sumillera García, Ana Alfonso FernandezAbstractWith the recent increase in the use of hip arthroscopy, revision hip arthroscopy also has become more prevalent; nevertheless, it is often complex, and many factors should be considered to achieve a satisfactory clinical outcome. Labral reconstruction or augmentation technique is used in cases of severely deficient acetabular labral tissue to restore the fluid seal mechanism. In cases of previous over-resection of cam impingement, the remplissage technique, used to restore the bony defect of the femoral head–neck junction and preserve the joint seal, is an established technique that has been recently reported in the hip with the use of iliotibial band with the same aim as in the shoulder, filling in of the defect due to healing of the soft tissue to the underlying bony impression. We aim to describe a labrum reconstruction in combination with a remplissage of the femoral head–neck junction with a dermal graft in a patient with recurrent hip pain after hip scope. This combination may improve hip stability and reduced pain after failed hip scope.
Conditions: Shoulder Pain; Phrenic Nerve Paralysis Interventions: Procedure: Upper trunk block; Procedure: Costoclavicular block; Procedure: Diaphragmatic function assessment Sponsor: Bezmialem Vakif University Not yet recruiting
ConclusionA long history of shoulder pain that is not responsive to conservative management in young patients should raise the suspicion of an "OO", and physicians should be encouraged to use early advanced imaging modalities in order to confirm it.
AbstractPigmented villonodular synovitis (PVNS) is a proliferative disease that develops in the synovium of joints, especially the knee joints. A 52-year-old man visited our hospital with left knee pain, swelling and symptoms of collapse. Twenty-one years earlier, he had undergone anterior cruciate ligament (ACL) reconstruction using an active bioprosthetic composite (ABC) as an artificial ligament. T1 and T2 weighted magnetic resonance imaging of the knee joint showed rupture of the ABC ligament and low signal intensity of hyperplastic synovium. Arthroscopic total synovectomy without ACL reconstruction was performed and t...
Condition: Shoulder Pain Intervention: Sponsors: University Hospital, Limoges; Clinique chénieux Not yet recruiting
American Journal of Roentgenology, Ahead of Print.
We present a simple and reproducible technique to address patella baja that combines a partial transposition of the tibial tubercle and patellar tendon lengthening using a subperiosteal patellar flap in continuity with the patellar tendon.
The purpose of this investigation was to evaluate the analgesic effect of preoperative fascia iliaca block (FIB) on postoperative morphine equivalent dose (MED), pain level, and patient satisfaction for patients electing to undergo primary hip arthroscopic labral repair with osteochondroplasty.
Background: The efficacy of celecoxib for pain management of arthroscopy remains controversial. We conduct a systematic review and meta-analysis to assess if celecoxib before the surgery decreases postoperative pain intensity of arthroscopy. Methods: We search PubMed, Embase, Web of science, EBSCO, and Cochrane library databases for randomized controlled trials (RCTs) assessing the effect of celecoxib versus placebo on pain control of arthroscopy. Results: Five RCTs are included in the meta-analysis. Celecoxib is administered at 200 mg or 400 mg dosage before the surgery. Overall, compared with control group fo...
MRI is the advanced imaging modality of choice for the evaluation and diagnosis of full thickness rotator cuff tears (RCT). Tear size progression has been correlated with increasing pain. However, there is little data on tear size progression in symptomatic RCT with regard to time from MRI to actual rotator cuff repair (RCR). The purpose of the study was to evaluate the effect of time (from date of MRI measured tear dimensions to date of RCR measured intraoperative tear dimensions) on tear size progression.
Hip abductor tendon tears or tears of the gluteus medius and minimus is a common etiology of lateral hip pain, especially in females between the fourth and sixth decade. Abductor tears are often associated with severe functional impairment including hip abduction weakness and Trendelenburg gait. Excellent outcomes have been demonstrated using open repair with an increasing interest in endoscopic management. The purpose of this study is to add to the growing body of evidence by prospectively evaluating the short-term outcomes of endoscopic repair of full and partial abductor tendon tears, with a minimum of 1-year follow-up.