Editorial Commentary: Shoulder Superior Capsular Reconstruction Has a High Complication Rate, Whereas Reverse Total Shoulder Arthroplasty Results in Improved Motion, Strength, and Return to Play
Superior capsular reconstruction (SCR) was developed to restore patient biomechanics for patients with massive irreparable rotator cuff repair (MIRCT) that precludes shoulder arthroplasty. Current studies have shown excellent short-term clinical outcomes and improved pain and functional scores, a high complication rate including re-tear, loss of fixation, or incomplete healing. An alternative, reverse total shoulder arthroplasty (rTSA) is a reliable and safe method to ensure good muscle strength and return to play in this patient group. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 14, 2024 Category: Surgery Authors: Phob Ganokroj, Ryan J. Whalen, Matthew T. Provencher Tags: Editorial Commentary Source Type: research
Long-Term Outcomes of Autologous Osteochondral Transfer of the Knee Are Successful and Predicated Upon Appropriate Patient Selection
Cartilage restoration techniques continue to grow in complexity, expanding from traditional marrow-stimulation or isolated chondroplasty of chondral lesions to various grafting procedures. Microfracture can induce a less favorable biologic response that includes formation of type I fibrocartilage and development of subchondral cystic changes or sclerosis. Thus, chondral graft options that restore native type II hyaline cartilage are favored. Autologous osteochondral transfer (AOT) is a favorable graft option because it provides native type II hyaline cartilage on an autologous subchondral scaffold that most-closely emulate...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 14, 2024 Category: Surgery Authors: Kyle T. Boden Tags: Editorial Commentary Source Type: research
Ultrasonic shear wave elastography predicts the quality of the residual tendon before the rotator cuff repair
ConclusionSWE could be used to predict the quality of the residual tendon before the rotator cuff repair. SWV of the supraspinatus tendon and muscle was a useful parameter to predict the quality of the residual tendon.Critical relevance statementMeasuring the shear wave velocity of the supraspinatus tendon and muscle with SWE is useful for predicting the quality of the residual tendon which is one of the key factors for a successful rotator cuff repair.Key points• Evaluating the quality of the residual tendon is important before surgery.• Elasticity measurements were negatively correlated with the arthroscopic score.â€...
Source: Insights into Imaging - March 14, 2024 Category: Radiology Source Type: research
Arthroscopic Thermal Shrinkage of Lunotriquetral Ligament Incomplete Tear without Triangular Fibrocartilage Complex Perforation
Conclusion We should be careful to differentiate LT ligament tears from TFCC lesions in the cases with ulnar wrist pain, because LT ligament tears may not be detected by MRI. Arthroscopic thermal shrinkage for traumatic LT ligament tear can be an effective treatment.
Level of Evidence Level IV. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - March 14, 2024 Category: Orthopaedics Authors: Kim, Byung Sung Hwang, Jin Yeong Kim, Sung Hwan Park, Eunseok Kim, Junyong Tags: Scientific Article Source Type: research
Editorial Commentary: Long-Term Outcomes of Autologous Osteochondral Transfer of the Knee Are Successful and Predicated Upon Appropriate Patient Selection
Cartilage restoration techniques continue to grow in complexity, expanding from traditional marrow stimulation or isolated chondroplasty of chondral lesions to various grafting procedures. Microfracture can induce a less favorable biologic response that includes formation of type I fibrocartilage and development of subchondral cystic changes or sclerosis. Thus, chondral graft options that restore native type II hyaline cartilage are favored. Autologous osteochondral transfer is a favorable graft option because it provides native type II hyaline cartilage on an autologous subchondral scaffold that most closely emulates the ...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 14, 2024 Category: Surgery Authors: Kyle T. Boden Tags: Editorial Commentary Source Type: research
Knee Lateral Extra-articular Tenodesis Procedures: Appropriate Study Design is Essential for Reducing Conflicting Findings and Unnecessary Controversy in the Orthopedic Literature
Knee lateral extra-articular tenodesis procedures (LEAPS) reduce graft rupture rates when performed at the time of ACL reconstruction. However, in the setting of revision ACL reconstruction, LEAPS is less studied and remains controversial. Many studies support combined procedures (ACL + LEAPS), yet others do not. When the literature comprises small patient cohorts and short follow-up periods, conflicting results often arise. The controversy surrounding may be unnecessarily generated by the publication of low quality studies. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Bertrand Sonnery-Cottet, Celine Fabre, Thais Dutra Vieira, Adnan Saithna Tags: Editorial Commentary Source Type: research
The Severity of Femoral and Acetabular Articular Cartilage Defects are Inversely Proportional to Mid- and Long-term Success of Hip Arthroscopy
The health of the articular cartilage is an important determinant of success with hip arthroscopy. Recent research has demonstrated that articular cartilage damage on both the acetabular and femoral sides of the hip joint place patients at higher risk of failure following a primary hip arthroscopy, leading to the need for a revision arthroscopy or total hip arthroplasty. This risk appears to increase with degree of cartilage damage and manifests at the mid-term and long-term follow-up timepoints. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Dominic S. Carreira, Matthew R. Yuro Tags: Editorial Commentary Source Type: research
Biceps Rerouting Augmentation Technique Restores Biomechanics, Improves Healing, and has Many Advantages for Repair of Large and Massive Rotator Cuff Tears
The biceps rerouting (BR) augmentation technique has emerged as a useful option for the repair of rotator cuff tears (RCTs) when the torn tendon does not cover the footprint or can only be reduced under excessive tension. BR offers several advantages over traditional methods. It is an all-inside joint procedure, eliminating the need for skin incisions other than those for the arthroscopic portal, thus reducing operative time and infection risk. It does not lead to donor site morbidity, (unlike superior capsular reconstruction. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Yang-Soo Kim, Sung-Hyun Cho Tags: Editorial Commentary Source Type: research
Evaluation for Cartilage Lesions on MRI Continues to Improve: Artificial Intelligence Applications May Result in Higher Sensitivity and Specificity
Accurate detection of cartilage lesions of the knee is required to offer patient specific care and can alter surgical intervention options. To date, diagnostic arthroscopy remains the gold standard yet often requires the need for staged operative procedure for treatment. MRI is the most accurate imaging modality with high specificity, yet even with recent advances, MRI has limited specificity. Newer scanners (3T) and updated scanning sequences (3D MRI and Quantitative MRI) are most sensitive in characterizing cartilage lesions of the knee but these resources are not available to all users. (Source: Arthroscopy - Journal of...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Travis J. Dekker, Zachary S. Aman Tags: Editorial Commentary Source Type: research
Editorial Commentary: Biceps Rerouting Augmentation Technique Restores Biomechanics, Improves Healing, and Has Many Advantages for Repair of Large and Massive Rotator Cuff Tears
The biceps rerouting (BR) augmentation technique has emerged as a useful option for the repair of rotator cuff tears when the torn tendon does not cover the footprint or can only be reduced under excessive tension. BR offers several advantages over traditional methods. It is an all-inside joint procedure, eliminating the need for skin incisions other than those for the arthroscopic portal, thus reducing operative time and infection risk. It does not lead to donor-site morbidity, unlike superior capsular reconstruction. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Yang-Soo Kim, Sung-Hyun Cho Tags: Editorial Commentary Source Type: research
Editorial Commentary: The Severity of Femoral and Acetabular Articular Cartilage Defects Is Inversely Proportional to Mid- and Long-Term Success of Hip Arthroscopy
The health of the articular cartilage is an important determinant of success with hip arthroscopy. Recent research has shown that articular cartilage damage on both the acetabular and femoral sides of the hip joint places patients at higher risk of failure after primary hip arthroscopy, leading to the need for revision arthroscopy or total hip arthroplasty. This risk appears to increase with the degree of cartilage damage and manifests at the mid- and long-term follow-up points. Future studies may use this conclusion as a justification to characterize chondral defects in greater detail, reporting on defect size and locatio...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Dominic S. Carreira, Matthew R. Yuro Tags: Editorial Commentary Source Type: research
Editorial Commentary: Knee Lateral Extra-articular Tenodesis Procedures: Appropriate Study Design Is Essential for Reducing Conflicting Findings and Unnecessary Controversy in the Orthopaedic Literature
Knee lateral extra-articular tenodesis procedures (LEAPs) reduce graft rupture rates when performed at the time of anterior cruciate ligament (ACL) reconstruction. However, in the setting of revision ACL reconstruction, LEAPs are less studied and remain controversial. Many studies support combined procedures (ACL Â + LEAP), yet others do not. When the literature comprises small patient cohorts and short follow-up periods, conflicting results often arise. The controversy surrounding them may be unnecessarily generated by the publication of low-quality studies. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Bertrand Sonnery-Cottet, Celine Fabre, Thais Dutra Vieira, Adnan Saithna Tags: Editorial Commentary Source Type: research
Editorial Commentary: Evaluation for Cartilage Lesions on Magnetic Resonance Imaging Continues to Improve: Artificial Intelligence Applications May Result in Higher Sensitivity and Specificity
Accurate detection of cartilage lesions of the knee is required to offer patient-specific care and can alter surgical intervention options. To date, diagnostic arthroscopy remains the gold standard yet often requires the need for staged operative procedure for treatment. Magnetic resonance imaging (MRI) is the most accurate imaging modality with high specificity, yet even with recent advances, MRI has limited specificity. Newer scanners (3 T) and updated scanning sequences (3-dimensional MRI and quantitative MRI) are most sensitive in characterizing cartilage lesions of the knee, but these resources are not available to al...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - March 13, 2024 Category: Surgery Authors: Maj. Travis J. Dekker, Zachary S. Aman Tags: Editorial Commentary Source Type: research
Wrist Arthroscopy-Assisted Reduction for Distal Radius Fracture and its Associated Injuries: Clinical Observation of Triangular Fibrocartilage Complex Injuries
CONCLUSION: Wrist arthroscopy-assisted surgery facilitates precise reduction of the articular surface and alleviation of intraarticular congestion. Moreover, it enables evaluation and repair of concurrent intra-articular injuries such as TFCC tears and other tissue injuries, thereby reducing the likelihood of chronic wrist pain. Consequently, this technique should be deemed valuable in clinical practice owing to its outstanding clinical efficacy.PMID:38469615 (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - March 12, 2024 Category: Surgery Authors: Fengwei Yu Botao Pang Yongtao Liu Chengnian Zhang Zhiyang Deng Daijie Zhang Xiaozhi Liu Weiqiang Yang Source Type: research
