3D Zero Echo Time (ZTE) MRI versus 3D CT for Glenoid Bone Assessment
To evaluate the 3D ZTE MRI technique and compare with 3D CT for the assessment of the glenoid bone. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - June 1, 2020 Category: Surgery Authors: Ricardo Andrade Fernandes de Mello, Ya-jun Ma, Aria Ashir, Saeed Jerban, Heinz Hoenecke, Michael Carl, Jiang Du, Eric Y. Chang Source Type: research

Arthroscopic ankle arthrodesis provides similarly satisfactory surgical outcomes in ankles with severe deformity compared to mild deformity in elderly patients
The purpose of this study was to evaluate the surgical outcome in terms of radiographic measurements, functional outcomes, and complications following arthroscopic ankle arthrodesis (AAA) in patients 60 years of age or older, and to compare the results of patients with mildly deformed ankle with those of patients with severely deformed ankle. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - June 1, 2020 Category: Surgery Authors: Tzu-Cheng Yang, Yun-Hsuan Tzeng, Chien-Shun Wang, Ming-Chau Chang, Chao-Ching Chiang Source Type: research

Regenerative Potential of Mesenchymal Stem Cells for the Treatment of Knee Osteoarthritis and Chondral Defects: A Systematic Review and Meta-Analysis
The purpose of this study is to perform a systematic review and meta-analysis evaluating the effects of mesenchymal stem cells on cartilage regeneration and patient-reported pain and function. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - June 1, 2020 Category: Surgery Authors: Bhargavi Maheshwer, Evan M. Polce, Katlynn Paul, Brady T. Williams, Theodore S. Wolfson, Adam Yanke, Nikhil N. Verma, Brian J. Cole, Jorge Chahla Source Type: research

Increased Healthcare Costs and Opioid Use in Patients with Anxiety and Depression Undergoing Rotator Cuff Repair
The purpose of this study was to 1) quantify the prevalence of mood disorders in patients undergoing arthroscopic rotator cuff repair using a large claims database and 2) compare opioid use and medical costs in the year before and the year after rotator cuff repair between those with and without comorbid mood disorders. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - June 1, 2020 Category: Surgery Authors: Kevin J. Cronin, Scott D. Mair, Greg S. Hawk, Katherine L. Thompson, Carolyn M. Hettrich, Cale A. Jacobs Source Type: research

Regarding “Hamstring Braid Graft Technique for Anterior Cruciate Ligament Reconstruction”
We took interest in reading the article “Hamstring Braid Graft Technique for Anterior Cruciate Ligament Reconstruction” (1) published in Arthroscopy Techniques in Aug 2019 and would like to make a number of observations. We agree that when choosing the type and preparation technique of ACL reconstruction grafts, there are desirable ef fects in ensuring a sufficient graft diameter to maximize strength, and novel solutions to the current limitations in hamstring autografts are welcomed. The authors describe a technique to do this by braiding the graft strands, which they hypothesize would lead to a stronger graft...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 28, 2020 Category: Surgery Authors: J.R. Manara, S.E. Putnis Tags: Letter to the Editor Source Type: research

Author Reply to “Regarding Hamstring Braid Graft Technique for Anterior Cruciate Ligament Reconstruction”
We appreciate the interest and comments from Manara et al. regarding our published technical note “Hamstring Braid Graft Technique for Anterior Cruciate Ligament Reconstruction”.1 In our published article we described a step-by-step technical note presenting a novel “in vivo” hamstring braid graft configuration for anterior cruciate ligament (ACL) reconstruction that could potentially ov ercome some of the known disadvantages of hamstring autograft. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 28, 2020 Category: Surgery Authors: Gonzalo Samitier, Gustavo Vinagre Tags: Letter to the Editor Source Type: research

A Cadaveric Study of Cam Type Femoroacetabular Impingement: Biomechanical Comparison of Contact Pressures Between Cam Deformity, Partial Femoral Osteoplasty, and Complete Femoral Osteoplasty
To compare the biomechanical properties of the hip joint with an intact femoral cam lesion, partial resection, and complete cam resection. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 24, 2020 Category: Surgery Authors: Sunikom Suppauksorn, Edward C. Beck, Jonathan Rasio, Jourdan M. Cancienne, Elizabeth Shewman, Jorge Chahla, Laura M. Krivich, Shane J. Nho Source Type: research

Larger acetabular labrum is associated with hip dysplasia, joint incongruency and clinical symptom
To evaluate the association of labral length with acetabular morphology and clinical symptoms. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 24, 2020 Category: Surgery Authors: Tomoyuki Kamenaga, Shinya Hayashi, Shingo Hashimoto, Koji Takayama, Takahiro Niikura, Ryosuke Kuroda, Tomoyuki Matsumoto Source Type: research

Editorial Commentary: Femoral Nerve Block. Don ’t kill the Motor Branch.
Femoral nerve block (FNB) is commonly used for pain control after knee surgery and helps to reduce the need for opioids in the early postoperative period . The potential disadvantage is blockage of the motor branch of the femoral nerve resulting in quadriceps weakness and reduced strength by up to 50%. Adductor canal nerve block (ACB) is a possible alternative resulting in less muscle weakness. The rationale behind ACB is blockage of the saphenous nerve and part of the obturator nerve providing reliable and adequate pain relief. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 22, 2020 Category: Surgery Authors: Erik Hohmann Tags: Editorial Commentary Source Type: research

Aragonite-based implants for Osteochondral Defects Could coral make old goats run again?
The early arthritis population remains a treatment challenge due to the specifics of their disease (diffuse chondrosis rather than focal defect, frequent associated morbidities such as instability or meniscal deficiency), and where they are in life (young, active, working). Too young with “not enough damage” for arthroplasty, but frequently unresponsive to conservative care, they are in the midst of life, yet functionally quite limited. The next generation of non-arthroplasty implants are being investigated to potentially bridge this treatment gap and provide relief for the every growing number of young arthrit...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Andreas H. Gomoll Tags: Editorial Commentary Source Type: research

Preoperative Opioid Prescription Filling is a Risk Factor for Prolonged Opioid Use After Elbow Arthroscopy
The purpose of this study was to (1) report the frequency of postoperative opioid prescriptions following elbow arthroscopy, (2) evaluate if filling opioid prescriptions preoperatively increased risk of requiring more opioid prescriptions after surgery, and (3) determine patient factors associated with postoperative opioid prescription needs. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Edward O. Rojas, Zain M. Khazi, Trevor R. Gulbrandsen, Alan G. Shamrock, Christopher A. Anthony, Kyle Duchman, Robert W. Westermann, Brian R. Wolf Source Type: research

What is the Effect of the Ulnar Plus Variance on the Outcomes of Arthroscopic Repair for the Peripheral Ulnar-side TFCC tear?
The purposes of this study were to compare the outcomes of arthroscopic repair for peripheral ulnar-side triangular fibrocartilage complex (TFCC) tear between patients with and without ulnar plus variance (UPV) and to identify factors associated with index surgery failure in these patients. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Bong Cheol Kwon, Jeong Hwan Lee, Suk Yoon Lee Source Type: research

Similar Results in Return to Sports, Recurrences and Healing Rates Between the Classic and Congruent Arc Latarjet for Athletes with recurrent glenohumeral instability and a failed stabilization
The purpose of this study was to compare the return-to-sport rate, the functional outcomes and the complications of the “classic Latarjet” surgery with those of the “congruent arc Latarjet” surgery in athletes with recurrent glenohumeral instability and failed previous stabilization procedures (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Luciano Andr és Rossi, Ignacio Tanoira, Tomas Gorodischer, Ignacio Pasqualini, Maximiliano Ranalletta Source Type: research

Governmental Regulations and Increasing FDA Oversight of Regenerative Medicine Products: What's New in 2020?
The United States Food and Drug Administration (FDA) is responsible for protecting and promoting public health through rules and regulations. Over the past few years, the field of regenerative medicine and cell therapy have garnered significant interest, and this evolving new biology is changing fast and challenging regulatory bodies. The FDA has published a series of guidance documents outlining steps to protect consumers against potentially dangerous and unproven treatments. The agency has offered a grace period for “stem cell clinics” until November 2020 to come into compliance by obtaining investigational n...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: William Fang, C. Thomas Vangsness Tags: Level V Evidence Source Type: research

Letter to the editor. Systematic review by Dr. Moran et al “Associated Morbidity After the Percutaneous Release of the Medial Collateral Ligament for Knee Arthroscopy”
After reading the systematic review by Dr. Moran et al “Associated Morbidity After the Percutaneous Release of the Medial Collateral Ligament for Knee Arthroscopy”, we noticed that they have missed some information leading to an incorrect statement mentioned at the discussion section: “Claret et al. made no mention in their study about where the r elease was performed.”2 (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: R. Vega-Croker, G. Claret-Garcia, S. Sastre-Solsona, J. Monta ñana-Burillo, A. Combalia-Aleu Tags: Letter to the Editor Source Type: research

Author ’s Reply to a Letter to the Editor: Associated Morbidity After the Percutaneous Release of the Medial Collateral Ligament for Knee Arthroscopy
We would like to offer our sincere apologies to Dr. ’s Bega-Croker, Claret-Garcia, Sastre-Solsona, Montanan-Burillo, and Cambalia-Aleu for not fully recognizing their summary description explaining the location where the percutaneous medial collateral ligament (MCL) release was performed in their 2016 paper entitled, “The Effect of Percutaneous R elease of the Medial Collateral Ligament in Arthroscopic Medial Meniscectomy on Functional Outcome.”1 It is possible that in analyzing the included papers of our systematic review, we focused too much on the Materials and Methods sections when determining whether...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Thomas E. Moran, John T. Awowale, Brian C. Werner, Michael A. Fox, Mark D. Miller Tags: Letter to the Editor Source Type: research

Posterior Glenohumeral Instability: Diagnosis and Management
Posterior glenohumeral instability can manifest as posterior shoulder pain and dysfunction, particularly among athletes. Repetitive, posteriorly-directed axial loads, as commonly encountered by contact athletes (American football linemen, rugby players), result in microtrauma that can induce posteroinferior labral tears. Alternatively, superior labrum anterior posterior (SLAP) tears commonly seen in throwing athletes may propagate in a posteroinferior direction (i.e. a Type VIII SLAP tear), owing to a complex pathological cascade involving glenohumeral capsular contracture and imbalances among the dynamic stabilizing muscl...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Andrew J. Sheean, Justin W. Arner, James P. Bradley Tags: Infographic Source Type: research

Reply to “Regarding “Does the use of knotted versus knotless transosseous equivalent rotator cuff repair technique influence the incidence of re-tears? A Systematic
We thank Bin Wang et al. for their interest and the letter to the editor regarding their concerns about our recently published article entitled ‘‘Does the use of knotted versus knotless transosseous equivalent rotator cuff repair technique influence the incidence of re-tears? A Systematic Review.’1 We certainly welcome the authors, and others in the scientific and medical community, to critically assess our article and encourage acade mic discussion. Respectfully, we do not believe that the methodologic concerns posed by this recent letter to the editor detract from the findings of our study nor divulge i...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Kyle N. Kunze, Jorge Chahla Tags: Letter to the Editor Source Type: research

Regarding “Does the use of knotted versus knotless transosseous equivalent rotator cuff repair technique influence the incidence of re-tears? A Systematic Review”
In this study, the authors compared whether rotator cuff tears with knotted or knotless transosseous equivalent affected re-tear rates. Based on their systematic review, the authors concluded that the application of the above two transosseous equivalents did not affect re-tears of the rotator cuff. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Bin Wang, Jun-Long Zhong, Xiang-He Xu, Hua-Ding Lu Tags: Letter to the Editor Source Type: research

A Rigged Game: Surgeon Reimbursement Under the Resource-Based Relative Value System, Current Procedural Terminology, and the Affordable Care Act
The value of surgeon procedural work is currently determined through a fee setting process controlled by the Center for Medicare and Medicaid Services (CMS). That process relies on the Resource-Based Relative Value System (RBRVS) to advise CMS concerning surgical work reimbursement. That system, and several other government policy decisions over the last 25 years, have placed orthopedic surgeons at great disadvantage in establishing and maintaining the value of orthopedic surgical work. Continued reliance on RBRVS will result in further reductions in surgical reimbursements and may affect patient access to orthopedic servi...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: Louis F. McIntyre, William S. Beach Tags: Editorial Commentary Source Type: research

Medial Patellotibial Ligament Reconstruction Improves Patella Tracking when Combined with Medial Patellofemoral Reconstruction: An In Vitro Kinematic Study
The purpose of this study was to investigate the isolated and combined effects of MPFL and MPTL deficiency and reconstruction on patellofemoral kinematics. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 19, 2020 Category: Surgery Authors: W. Jeffrey Grantham, Zachary S. Aman, Alex W. Brady, Samuel I. Rosenberg, Travis Lee Turnbull, Hunter W. Storaci, Grant J. Dornan, Robert F. LaPrade Source Type: research

Operative versus non-operative treatment of symptomatic femoracetabular impingement syndrome: A meta-analysis
We thank Kim et al for their comments regarding our article. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 18, 2020 Category: Surgery Authors: Tim Dwyer, Daniel Whelan, Prakesh S. Shah, Prabjit Ajrawat, Graeme Hoit, Jaskarndip Chahal Tags: Letter to the Editor Source Type: research

Letter to the Editor about the article, “Operative Versus Nonoperative Treatment of Femoroacetabular Impingement Syndrome: A Meta-analysis of Short-Term Outcomes”
We recently read with interest the article titled, “Operative Versus Nonoperative Treatment of Femoroacetabular Impingement Syndrome: A Meta-analysis of Short-Term Outcomes”1. The authors conducted a meta-analysis of patient-reported outcomes of both treatment strategies, and they concluded that patients with femoroacetabular impingement (FAI) s yndrome treated with hip arthroscopy have superior hip-related outcomes in the short term compared with patients receiving physical therapy. This letter to the editor contains some queries about the statistical methods and interpretation of those pooled analysis results...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 18, 2020 Category: Surgery Authors: Chul-Ho Kim, Jae Youn Yoon, Jun-Ki Moon, Sunhyung Lee, Hyojune Kim, Soong Joon Lee, Pil Whan Yoon Tags: Letter to the Editor Source Type: research

Sham Surgery Studies in Orthopedic Surgery May Just Be a Sham: A Systematic Review of Randomized Placebo-Controlled Trials
To determine the limitations of randomized sham surgery-controlled trials in orthopedic sports medicine and fidelity of the trials ’ conclusions. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 14, 2020 Category: Surgery Authors: Kyle R. Sochacki, Richard C. Mather, Benedict U. Nwachukwu, David Dong, Shane J. Nho, Mark P. Cote, Joshua D. Harris Tags: Systematic Review Source Type: research

Preoperative Opioid Usage, Male Gender, and Preexisting Knee OA Impacts Opioid Refills after Isolated Arthroscopic Meniscectomy: A Population Based Study.
To identify risk factors for opioid consumption after arthroscopic meniscectomy using a large national database. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 10, 2020 Category: Surgery Authors: Zain M. Khazi, Jacqueline Baron, Alan Shamrock, Trevor Gulbrandsen, Nicolas Bedard, Brian Wolf, Kyle Duchman, Robert Westermann Source Type: research

Biomechanical Evaluation of an All-Inside Posterior Medial Meniscal Root Repair Technique via Suture Fixation to the Posterior Cruciate Ligament
The purpose of this study was to evaluate the tibiofemoral contact mechanics of an all-inside posterior medial meniscal root repair technique via suture fixation to the posterior cruciate ligament (PCL), and to compare with that of the intact knee and the knee with a root tear. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 10, 2020 Category: Surgery Authors: Bryan M. Saltzman, Nahir A. Habet, Allison J. Rao, David P. Trofa, Keith T. Corpus, Nicholas C. Yeatts, Susan M. Odum, Juan C. Carrillo Garcia, Dax T. Varkey, Dana P. Piasecki, James E. Fleischli Source Type: research

Arthroscopic Bankart Repair versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability - A Systematic Review & Meta-Analysis
The purpose of the current study is to meta-analyze the current evidence in the literature to compare arthroscopic Bankart repair versus conservative management for first-time anterior shoulder dislocation. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 10, 2020 Category: Surgery Authors: Eoghan T. Hurley, Amit K. Manjunath, David A. Bloom, Leo Pauzenberger, Hannan Mullett, Michael J. Alaia, Eric J. Strauss Source Type: research

Supplement Use in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Systematic Review
The purpose of this systematic review is to assess whether a standardized dietary supplementation can help to decrease postoperative muscle atrophy and/or improve rehabilitation outcomes in patients who underwent anterior cruciate ligament reconstruction (ACL-R). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 10, 2020 Category: Surgery Authors: Dylan N. Greif, Christopher P. Emerson, Paul Allegra, Azael Arizpe, Kailey L. Mansour, William H. Cade, Michael G. Baraga Tags: Systematic Review Source Type: research

Patellar Tendon Versus 4-strand Semitendinosus and Gracilis Autografts for Anterior Cruciate Ligament Reconstruction: A Meta-analysis of Randomized Controlled Trials with Mid- to Long-term Follow-up
To compare PT autografts with 4-strand semitendinosus and gracilis (STG) autografts concerning knee stability, functional outcomes as well as complications after anterior cruciate ligament (ACL) reconstruction at minimal follow-up of 5 years. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 7, 2020 Category: Surgery Authors: Haitao Chen, Hankun Liu, Liaobin Chen Tags: Meta-analysis Source Type: research

Return to Sport and Patient Satisfaction after Meniscus Allograft Transplantation
To investigate patient return to sport and satisfaction following meniscus allograft transplantation (MAT). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 7, 2020 Category: Surgery Authors: Gregory L. Cvetanovich, David R. Christian, Grant H. Garcia, Joseph N. Liu, Michael L. Redondo, Adam B. Yanke, Brian J. Cole Source Type: research

Outcomes of Medial Meniscal Posterior Root Repair during Proximal Tibial Osteotomy. Is Root Repair Beneficial?
To compare the clinical and radiological outcomes and arthroscopic findings of proximal tibial osteotomy (PTO) alone versus PTO combined with medial meniscal posterior root repair (MMPRR). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 7, 2020 Category: Surgery Authors: Dhong Won Lee, Su Hyun Lee, Jin Goo Kim Source Type: research

Resident Involvement is Not Associated with Increased Risk of Postoperative Complications After Arthroscopic Knee Surgery: A Propensity Matched Study
The purpose of this study is to investigate whether resident involvement in knee arthroscopy procedures affects postoperative complications or operative times. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 7, 2020 Category: Surgery Authors: Zain M. Khazi, Trevor R. Gulbrandsen, Alan G. Shamrock, Qiang An, Kyle Duchman, J. Lawrence Marsh, Brian R. Wolf, Robert W. Westermann Source Type: research

Hip Arthroscopy for Femoroacetabular Impingement and Concomitant Labral Tears: a Minimum 2-year Follow-up Study
The present study investigated the minimum 2-year outcomes of hip arthroscopy for femoroacetabular impingement (FAI) and concomitant labral tears in Asian patients. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 7, 2020 Category: Surgery Authors: Jun-Ki Moon, Jae Youn Yoon, Chul-Ho Kim, Sunhyung Lee, Aditya L. Kekatpure, Pil Whan Yoon Source Type: research

Hypo-High-Density Lipoproteinemia is Associated with Preoperative Tear Size and with Postoperative Retear in Large to Massive Rotator Cuff Tears
The purpose of this study was to evaluate any association of specific subtypes of dyslipidemia with increments of preoperative tear size and with structural integrity after arthroscopic rotator cuff repair (ARCR). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 7, 2020 Category: Surgery Authors: Hyung Bin Park, Ji-Yong Gwark, Byung Hoon Kwack, Jaehoon Jung Source Type: research

The Effect of Corticosteroid Injections on Clinical Outcomes and Failure Rates after Rotator Cuff Repair: A Systematic Review
To synthesize the clinical outcome data of pre-operative and post-operative corticosteroid injections and their effect on rotator cuff repairs. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 7, 2020 Category: Surgery Authors: Addison M. Cimino, Garrison C. Veazey, James T. McMurtrie, Jonathan Isbell, Alexandra M. Arguello, Eugene W. Brabston, Brent A. Ponce, Amit M. Momaya Tags: Systematic Review Source Type: research

Primary and Revision Circumferential Labral Reconstruction for Femoroacetabular Impingement in Athletes: Return to Sport and Technique
To determine return-to-play (RTP) rates and hip-specific outcomes in athlete hips with femoroaceatabular impingement (FAI) syndrome treated with circumferential labral reconstruction (CLR). (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 7, 2020 Category: Surgery Authors: John P. Scanaliato, Jesse Chasteen, Michael M. Polmear, Catherine Salfiti, Andrew Wolff Source Type: research

Management of Symptomatic OCD of the Knee
Osteochondritis dissecans (OCD) is a focal lesion of the subchondral bone that can result in fragmentation, instability, and if untreated, loose body formation with progression to early degenerative changes. Particularly in adolescent male athletes, OCD of the knee is a common source of pain, effusion, and mechanical symptoms with sporting activities. Conservative treatment for athletes with OCD of the knee yields can entail several months of activity modification and non-weight-bearing restrictions, with varying degrees of healing and return to activity. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 6, 2020 Category: Surgery Authors: Timothy Waters, Anirudh K. Gowd, Brian R. Waterman Tags: Infographic Source Type: research

Endoscopic Repair of Full-Thickness Gluteus Medius and Minimus Tears —Prospective Study with a Minimum 2-Year Follow-up
The purpose of this study is to evaluate the short-term outcomes of endoscopic repair of full-thickness gluteus medius and minimus tendon tears with a minimum of 2-year follow-up and add to the paucity of literature on abductor tendon tears. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 6, 2020 Category: Surgery Authors: Mark R. Nazal, Paul F. Abraham, William K. Conaway, Noah J. Quinlan, Stephen M. Gillinov, Jada S. Gibbs, Shivam Upadhyaya, Kyle Alpaugh, Scott D. Martin Source Type: research

Editorial Commentary: Posterolateral Corner Reconstruction: Is Better (Anatomy) the Enemy of Good?
The negative consequences of neglected posterolateral corner injury (PLC) have led to numerous advancements in the understanding and treatment of these injuries. As anatomic, biomechanical, and clinical knowledge of PLC injury continues to progress, finding the balance between re-creating native anatomy and safely performing PLC reconstruction continues to provide challenges to surgeons managing this complex constellation of injuries. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Carl K. Schillhammer Tags: Editorial Commentary Source Type: research

Editorial Commentary: Proximal Hamstring Tendon Injuries: Is the Research Hamstrung by the Use of Poor Outcome Measures?
Proximal hamstring tendon injuries are uncommon injuries, and there are few high-quality studies of surgical procedures in the literature. Increasing standardization of outcome measures with the use of validated, injury-specific, patient-reported outcome measures will improve research in this area. This will allow better assessment of novel surgical techniques. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: William G. Blakeney Tags: Editorial Commentary Source Type: research

Editorial Commentary: So Your Knee Has a Big Pivot Shift Before Anterior Cruciate Ligament Surgery —Why Does that Matter???
Control of anterolateral knee laxity has always been a major goal of anterior cruciate ligament (ACL) reconstruction. The recent focus on the anatomy of the anterolateral knee and new studies demonstrating decreased graft failure risk with the additional of lateral procedures to intra-articular ACL reconstruction have given these procedures new relevance. A key question that drives indications is which patients benefit the most from these procedures. Those patients with increased rotational knee laxity, particularly in the absence of a repairable meniscus injury, may be good candidates. (Source: Arthroscopy - Journal of Ar...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Robert A. Magnussen Tags: Editorial Commentary Source Type: research

Editorial Commentary: Those Who Don't Know History Are Condemned to Repeat It —What Are the Next Steps to Improve Posterolateral Knee Outcomes?
Two decades ago, it was not uncommon to call the posterolateral corner of the knee the “dark side of the knee.” This was because there were few quantitative anatomic data, no anatomic-based reconstructions, and a high rate of clinical outcome failures. Most nonanatomic posterolateral reconstruction procedures at the time commonly resulted in significant recurrent increases in varu s gapping and significant overconstraint in external rotation. Postoperative protocols for treating these injuries were designed to often either cast or immobilize the operative knee for 2 to 6 weeks, which resulted in a higher incide...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Robert F. LaPrade, Lars Engebretsen Tags: Editorial Commentary Source Type: research

Editorial Commentary: Patient-Reported Outcomes Measurement Information System (PROMIS) Is Important Part of Future Clinical Research
The Patient-Reported Outcomes Measurement Information System (PROMIS) is more efficient than legacy measures and is generalizable across all patients and diseases. Patient-reported outcome scores may eventually become related to physician reimbursement and give patients a voice in their care. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Ilya Voloshin Tags: Editorial Commentary Source Type: research

Editorial Commentary: Bone Marrow Aspirate Concentrate Harvested From the Ilium During Acetabular Labral Repair: Is the Biologic Juice Worth the Squeeze?
The use of regenerative technologies including mesenchymal stromal cells, also known as connective tissue progenitors (CTPs), has gained tremendous popularity as a primary and adjuvant treatment for many musculoskeletal conditions. The concentration of bone marrow –derived CTPs delivered to the site of injury has been directly correlated to the therapeutic effect in the setting of rotator cuff repair and the healing of long-bone fractures. In addition, there has been some limited in vitro and in vivo evidence to suggest that the delivery of bone marrow– derived CTPs may improve cartilage regeneration....
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Frank A. Petrigliano Tags: Editorial Commentary Source Type: research

Editorial Commentary: Sternoclavicular Joint Osteoarthritis Surgical Treatment Offers Benefits as Well as Risks
Sternoclavicular (SC) joint surgical procedures have risks as well as benefits and should be performed by experienced surgeons with a good understanding of the neurovascular anatomy and with a thoracic surgeon on call. Computed tomography angiograms to evaluate the proximity of the SC joint to the blood vessels are essential for preoperative planning. Care must be taken to exclude instability as a cause of SC joint symptoms, and surgeons must avoid causing iatrogenic instability. Both arthroscopic and open approaches can result in excellent clinical outcomes for patients with symptomatic SC arthritis. (Source: Arthroscopy ...
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Justin W. Arner, Peter J. Millett Tags: Editorial Commentary Source Type: research

Editorial Commentary: Sometimes You Don ’t Know What You’ve Got Until It’s Gone—The Effect of Missing Data in “Big Data” Studies
Big-data studies are powerful tools for comparative-effectiveness research, but because of the large number of included patients, they risk falsely identifying a difference when none exists because large sample sizes may result in statistically significant differences that have little clinical importance. Other limitations of big-data studies include lack of generalizability because of inclusion of only specific patient populations, lack of validated outcome measures, recording bias or clerical error, and vast troves of missing data. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Aman Dhawan Tags: Editorial Commentary Source Type: research

Editorial Commentary: Should We Consider Early Retirement for Adolescent Pitchers and Catchers With Osteochonditis Dissecans of the Capitellum?
Repetitive throwing in the adolescent athlete often leads to long-term problems. Strict pitch counts and limitation of pitches (e.g., curve balls) that place extreme stress on the immature elbow must be monitored closely. And until our outcomes for osteochondritis dissecans of the capitellum in adolescent baseball players improve, it may be wise to counsel those pitchers and catchers who are symptomatic to consider switching to another position or sport. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Michael D. Feldman Tags: Editorial Commentary Source Type: research

Editorial Commentary: Postoperative Pain Management After Arthroscopic Rotator Cuff Repair: The Journey to Pain Relief
Presently, interscalene block is the undisputed gold-standard procedure for postoperative pain management after arthroscopic rotator cuff surgery in patients experiencing considerable pain. However, the challenge is to make this short-term total pain relief long-term. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Seikai Toyooka, Wataru Miyamoto, Masaaki Ito Tags: Editorial Commentary Source Type: research

Editorial Commentary: The Hip Capsule: To Close or Not to Close? Is That Still the Question?
The question of capsule closure or no closure after hip arthroscopy remains controversial as we try to decipher best practice and which patients should and should not have a repair. Closure seems of particular importance in younger patients and with larger capsulotomies. In my practice, I routinely repair the capsule after hip arthroscopy, except in patients with significant stiffness. Capsule repair may not be vital in some patients, as a smaller capsulotomy could sometimes heal on its own, but my patients and I certainly do not want to learn the hard way. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Timothy J. Jackson Tags: Editorial Commentary Source Type: research

Editorial Commentary: That ’s Why They Call It Practice: The Arthroscopic Learning Curve
The learning curve for hip arthroscopy is steep. This progress represented a combination of both increased technical skill and, importantly, development of more refined surgical indications. In the end, safety and efficiency are aspects of a well performed operation, and the ultimate aspect is long-term patient outcome. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - May 1, 2020 Category: Surgery Authors: Stephen Lyman Tags: Editorial Commentary Source Type: research