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Soft Tissue Endoscopy
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - January 13, 2016 Category: Sports Medicine Tags: Editorial Source Type: research

Endoscopic-assisted Correction of Hallux Valgus Deformity
Endoscopic distal soft-tissue procedure is one of the minimally invasive techniques for correction of the hallux valgus deformity. It employs the same principle as the open procedure. The intermetatarsal angle is corrected by screw and interosseous suture instead of first metatarsal osteotomy. The associated procedures of first metatarsal derotation, medial collateral ligament reconstruction, and arthroscopic Lapidus arthrodesis can tackle various problems faced during the endoscopic distal soft-tissue procedure. (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - January 13, 2016 Category: Sports Medicine Tags: Digital Exclusives Source Type: research

Piriformis Syndrome and Endoscopic Sciatic Neurolysis
Piriformis syndrome is the compression or the irritation of the sciatic nerve by the adjacent piriformis muscle in the buttock leading to symptoms that include buttock pain, leg pain, and altered neurology in the sciatic nerve distribution. Epidemiological figures of the prevalence are unknown, but are estimated to be about 12.2% to 27%. There is no consensus on the diagnostic criteria. Advancement in magnetic resonance imaging allows us to observe unilateral hyperintensity and bowing of the sciatic nerve. The pathophysiology of the disease includes single blunt trauma, overuse causing piriformis hypertrophy, and long-term...
Source: Sports Medicine and Arthroscopy Review - January 13, 2016 Category: Sports Medicine Tags: Digital Exclusives Source Type: research

Disorders of the Peritrochanteric and Deep Gluteal Space: New Frontiers for Arthroscopy
Arthroscopic techniques for the hip joint have evolved into endoscopic methods for extra-articular disorders. These endoscopic strategies provide a less invasive alternative to open procedures for traditionally recognized forms of pathology. Endoscopy has defined new disorders amenable to surgical correction and has redefined some of these existing disorders. The peritrochanteric and deep gluteal regions represent 2 of the most currently active areas of exploration. Peritrochanteric problems include trochanteric bursitis, full-thickness and partial-thickness tears of the abductors including the gluteus medius and minimus, ...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Core Muscle Injury/Sports Hernia/Athletic Pubalgia, and Femoroacetabular Impingement
Core muscle injury/sports hernia/athletic pubalgia is an increasingly recognized source of pain, disability, and time lost from athletics. Groin pain among athletes, however, may be secondary to various etiologies. A thorough history and comprehensive physical examination, coupled with appropriate diagnostic imaging, may improve the diagnostic accuracy for patients who present with core muscular injuries. Outcomes of nonoperative management have not been well delineated, and multiple operative procedures have been discussed with varying return-to-athletic activity rates. In this review, we outline the clinical entity and t...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Evidence and Approach for Management of Labral Deficiency: The Role for Labral Reconstruction
The acetabular labrum is a complex fibrocartilaginous structure with unique anatomy. Its unique anatomy imparts biomechanical functions important in hip stability, synovial fluid dynamics, contact pressure dissipation, proprioception, and nociception. Although the importance of labral preservation through surgical repair techniques has been increasingly recognized, situations do occur where the labrum is either absent, deficient, or simply irreparable. In these situations, both open and arthroscopic reconstructive techniques have been described to help restore the function of the native labral tissue. Efforts should be mad...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Management of Labral and Chondral Disease in Hip Preservation Surgery
The techniques utilized for the management of articular cartilage and labrum injuries during hip preservation surgery have changed dramatically recently. Conservative treatment may involve image-guided injection of cortisone or viscosupplementation in conjunction with oral NSAIDs and physical therapy. Damage to the labrum runs a broad spectrum, and the treatments are individualized, but span from debridement to repair and reconstruction. The overarching goal of labral treatment is to restore the native functions of the labrum to allow for more normal biomechanical function. Similarly, cartilage injuries can be managed a nu...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Understanding and Treating the Snapping Hip
Snapping hip, or coxa saltans is a palpable or auditory snapping with movement of the hip joint. Extra-articular snapping is divided into external and internal types, and is caused laterally by the iliotibial band and anteriorly by the iliopsoas tendon. Snapping of the iliopsoas usually requires contraction of the hip flexors and may be difficult to distinguish from intra-articular coxa saltans. Ultrasound can be a useful modality to dynamically detect tendon translation during hip movement to support the diagnosis of extra-articular snapping. Coxa saltans is typically treated with conservative measures including anti-infl...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Complications in Hip Arthroscopy: A Systematic Review and Strategies for Prevention
The primary objective of this study was to determine the minor and major complication rate of hip arthroscopy. The secondary objective was to provide strategies for avoiding complications. A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and checklist. Therapeutic hip arthroscopy investigations that reported on adverse events or complications were included. Narrative and other systematic reviews, meta-analyses, conference abstracts or proceedings, and level V evidence studies were excluded. No follow-up minimum was imposed. The results yi...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

The Dysplastic and Unstable Hip: A Responsible Balance of Arthroscopic and Open Approaches
The treatment of young adult hip disorders, including hip dysplasia, has evolved significantly in the last decade. The association of hip dysplasia with hip osteoarthritis is well accepted, but remains based on basic radiographic parameters. Our understanding of the complexity and variability of hip dysplasia continues to evolve. As the clinical presentation of mild and borderline acetabular dysplasia is very similar to that of other young adult hip disorders, such as femoroacetabular impingement, a thorough history, physical examination, and radiographic evaluation are important to properly diagnose these patients. Acetab...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Does Femoroacetabular Impingement Contribute to the Development of Hip Osteoarthritis? A Systematic Review
Femoroacetabular impingement (FAI) has been linked to specific patterns of cartilage damage. The goal of this systematic review is to answer the following questions: (1) Does FAI contribute to the development and progression of hip osteoarthritis (OA)? (2) If FAI does contribute to the development and progression of hip OA, does CAM-type or pincer-type impingement play a greater role? A search of the electronic databases, MEDLINE and EMBASE, was performed to identify relevant studies performed between January 1, 2000 and January 1, 2015 that link the pathophysiology of OA to FAI. Methodological quality of included studies ...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Biomechanical Implications of Corrective Surgery for FAI: An Evidence-based Review
Femoroacetabular impingement (FAI) has been identified as a potential cause of hip osteoarthritis. The goal of FAI surgery is to relieve pain, and hopefully delay or prevent osteoarthritis of the hip. Several studies have now demonstrated favorable clinical outcomes after arthroscopic and open surgical correction of symptomatic FAI. The concept is restoration of normal hip anatomy may result in improved biomechanical function and kinematics of the hip, which may prevent or delay the progression of osteoarthritis. Although many clinical studies demonstrate restoration of “normal” anatomy, there are few studies evaluatin...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Biomechanics of the Hip Capsule and Capsule Management Strategies in Hip Arthroscopy
Recent advances in our understanding of the function of the hip capsule have clarified its importance to normal hip function and kinematics. The iliofemoral ligament is the primary stabilizing structure for controlling anterior translation and external rotation of the hip, and is violated by the arthroscopic interportal capsulotomy. Microinstability of the hip occurring after surgical trauma remains a poorly defined clinical entity. In certain at-risk populations, capsular repair should be considered as part of an arthroscopic hip procedure to achieve optimal outcomes and avoid iatrogenic instability (dislocation or microi...
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Review Articles Source Type: research

Hip Preservation: Current Concepts and Future Frontiers
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Editorial Source Type: research

Subject Index.
No abstract available (Source: Sports Medicine and Arthroscopy Review)
Source: Sports Medicine and Arthroscopy Review - November 4, 2015 Category: Sports Medicine Tags: Digital Exclusives: PDF Only Source Type: research