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Arthroscopy: the Journal of Arthroscopic & related Surgery

Mirco Sgroi, Thomas Loitsch, Heiko Reichel, Thomas Kappe
PURPOSE: To analyze and compare the diagnostic value and interpretation of 6 established clinical tests for infraspinatus tendon tears; to assess their ability to distinguish between partial- and full-thickness tears of the infraspinatus tendon; and to investigate whether conducting multiple tests increases the precision of diagnosis. METHODS: A total of 91 patients scheduled for shoulder arthroscopy from March 2015 to April 2017 were included in the present study...
February 12, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Robert A Christian, Ryan J Lubbe, Danielle S Chun, Ryan S Selley, Michael A Terry, Wellington K Hsu
PURPOSE: To evaluate return to play (RTP) and performance-based outcomes in professional athletes across 4 major North American team sports following hip arthroscopy. METHODS: Professional athletes of the National Football League, Major League Baseball (MLB), National Basketball Association, and National Hockey League (NHL) who underwent hip arthroscopy were identified using an established protocol of public reports. Sport-specific statistics were collected before and after hip arthroscopy for each athlete, leading to a performance score...
February 5, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Carlos M Barrera, Hayley Ennis, Gaëtan J-R Delcroix, David Kaimrajh, Edward Milne, Loren Latta, Michael G Baraga
PURPOSE: To compare the time-zero load to failure of a quadrupled, single-tendon, all-inside anterior cruciate ligament (ACL) reconstruction graft construct with (supplemented) and without the incorporation of inner-limb whipstitch sutures (control) into a tibial suspensory fixation button. METHODS: Eight matched pairs of peroneus longus tendons were prepared according to a quadrupled, all-inside ACL soft-tissue graft technique with 1 side serving as a control and the contralateral side supplemented...
February 5, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Arne J Venjakob, Peter Föhr, Florian Henke, Thomas Tischer, Gunther H Sandmann, Fabian Blanke, Andreas B Imhoff, Stefan Milz, Rainer Burgkart, Stephan Vogt
PURPOSE: To evaluate whether different suture materials in meniscal repair may harm cartilage. METHODS: A preloaded linear friction testing setup including porcine knees with porcine cartilage, porcine meniscus, and different suture materials (braided nonabsorbable, absorbable monofilament) was used. Five groups with different tribological pairs were tested: cartilage on meniscus (control), cartilage on cartilage (control No. 2), and cartilage on different meniscus sutures (3 groups)...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
David R Maldonado, Justin M LaReau, Itay Perets, Victor Ortiz-Declet, Joseph R Laseter, Ajay C Lall, Benjamin G Domb
PURPOSE: To report minimum 5-year follow-up results of concomitant hip arthroscopy followed by periacetabular osteotomy (PAO) to treat acetabular dysplasia and intra-articular pathology, such as femoroacetabular impingement syndrome and labral tears. METHODS: Data were prospectively collected from October 2010 to December 2012. Patients were included in this study if they underwent concomitant hip arthroscopy and PAO and if they had preoperative scores documented for the following measures: modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports-Specific Subscale (HOS-SSS), and pain on a visual analog scale (VAS)...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Drew A Lansdown, Gregory L Cvetanovich, Nikhil N Verma, Brian J Cole, Bernard R Bach, Gregory Nicholson, Anthony Romeo, Robert Dawe, Adam B Yanke
PURPOSE: To evaluate clinical measurements of glenoid bone loss based on 3-dimensional (3D) computed tomography (CT) and automatically segmented 3D reconstructions from Dixon fat-water magnetic resonance (MR) imaging. METHODS: Available CT and MR studies from 16 patients with recurrent anterior shoulder instability were retrospectively reviewed. Three-dimensional reconstructions were formed independently by 2 observers using freely available software and a simple threshold-based segmentation (3D Slicer, version 4...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Lorenzo Fagotti, Eduardo Soares, Ioanna K Bolia, Karen K Briggs, Marc J Philippon
PURPOSE: To compare the clinical outcomes between 2 groups of patients who underwent arthroscopic hip capsular reconstruction with the same surgical technique with an iliotibial band (ITB) allograft versus dermal allograft tissue. METHODS: From March 2013 to October 2015, patients who were 18 years of age or older and who underwent revision arthroscopic hip surgery with capsular reconstruction by the senior author were identified. Patients who were younger than 18 years old, had a lateral center-edge angle <20° or Tonnis osteoarthritis grade 2 or 3, or refused to participate were excluded...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Matthew J Kraeutler, Jesse A Goodrich, Zachary R Ashwell, Tigran Garabekyan, Mary K Jesse, Omer Mei-Dan
PURPOSE: To compare the lateral osseolabral coverage between groups of patients with different degrees of acetabular bony coverage using a magnetic resonance imaging parameter known as the combined lateral center-edge angle (cLCEA). METHODS: The cLCEA was measured among a consecutive series of patients presenting to a dedicated hip preservation surgeon with a magnetic resonance imaging scan. The cLCEA was measured using a coronal T1 or proton density image and was defined as the angle subtended by (1) a line through the center of the femoral head and orthogonal to the transverse line passing through the teardrops of both hips and (2) an oblique line drawn from the center of the femoral head to the free edge of the lateral acetabular labrum...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Cynthia A Kahlenberg, Benedict U Nwachukwu, Hamidreza Jahandar, Kathleen N Meyers, Amar S Ranawat, Anil S Ranawat
PURPOSE: The purposes of this study were (1) to evaluate the percentage of gluteus medius and minimus tendon footprint restoration that can be achieved with fixation using single-row repair versus double-row repair and (2) to evaluate the yield load of a repair of the gluteus medius and minimus tendon using single-row versus double-row repair techniques. METHODS: Twelve human fresh-frozen cadaveric hip specimens (6 matched pairs, 4 female, mean age 47.5 ± 14.5 years) were tested...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Tomoyuki Suzuki, Konsei Shino, Satoshi Yamakawa, Hidenori Otsubo, Daisuke Suzuki, Takashi Matsumura, Mineko Fujimiya, Hiromichi Fujie, Toshihiko Yamashita
PURPOSE: The first objective of our cadaveric study was to perform a biomechanical comparison of single-bundle (SB), double-bundle (DB), and triple-bundle (TB) anterior cruciate ligament (ACL) reconstructions using a hamstring tendon graft to determine the laxity match pre-tension (LMP) value, which is the tension within the graft required to re-create the same anterior laxity as the ACL-intact knee. The second objective was to determine the anterior laxity and force distribution during the application of both an anterior force and a simulated pivot-shift test...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Sophia A Traven, Daniel Brinton, Kit N Simpson, Zachary Adkins, Alyssa Althoff, John Palsis, Harris S Slone
PURPOSE: The goal of this study was to determine whether the timing of preoperative shoulder injections is associated with an increased risk of revision rotator cuff repair following primary rotator cuff repair (RCR). METHODS: A retrospective analysis of claims data of privately insured subjects from the MarketScan database for the years 2010 to 2014 was conducted. Multivariable logistic regression models were used to compare the odds of reoperation between groups...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Richard W Nicolay, Ryan S Selley, Michael A Terry, Vehniah K Tjong
PURPOSE: To use the American College of Surgeons National Surgical Quality Improvement Program database to determine whether body mass index (BMI) is associated with 30-day postoperative complications following arthroscopic surgery. METHODS: Cases of elective knee, hip, and shoulder arthroscopy were identified. A retrospective comparative analysis was conducted, and the overall rates of morbidity, mortality, readmission, reoperation, and venothromboembolism (VTE) were compared using univariate analyses and binary logistic regressions to ascertain the adjusted effect of BMI, with and without diabetes, on morbidity, readmission, reoperation, and VTE...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Mohit N Gilotra, Ashley Klein, Nabil Elkassabany, Andrew F Kuntz, G Russell Huffman, David L Glaser
PURPOSE: The goals of this study were 2-fold: (1) to determine the risk factors for cerebral desaturation events (CDEs) after implementation of a comprehensive surgical and anesthetic protocol consisting of patient risk stratification, maintenance of normotensive anesthesia, and patient positioning in a staged fashion, and (2) to assess for subclinical neurologic decline associated with intraoperative ischemic events through cognitive testing. METHODS: One hundred patients undergoing shoulder surgery in the beach chair position were stratified for risk of CDE based on Framingham stroke criteria, body mass index (BMI), and history of cerebrovascular accidents...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Kailai Zhang, Darren de Sa, Ajay Kanakamedala, Andrew J Sheean, Dharmesh Vyas
PURPOSE: Concomitant preoperative adhesive capsulitis (AC) and rotator cuff (RC) pathology pose therapeutic challenges in light of contrasting interventional and rehabilitative goals. The purposes of this systematic review were to assess the literature regarding the management and rehabilitation of patients with concomitant RC tears and preoperative AC and to compare overall clinical outcomes between strategies for this common scenario. METHODS: In accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, 3 databases (MEDLINE, Embase, and PubMed) were searched and screened in duplicate using predetermined criteria for studies on the aforementioned patient population...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Young-Kyun Lee, Jong-Min Kim, Byung-Il Yoon, Jae-Yoon Kim, Guen Young Lee, Sujin Kim, Yong-Chan Ha
PURPOSE: To evaluate the prevalence and location of paralabral cysts and the correlation between the type of femoroacetabular impingement (FAI) and acetabular labral tears, as well as the location of the paralabral cysts. METHODS: Patients who received a diagnosis of FAI syndrome using plain radiography, magnetic resonance imaging or magnetic resonance arthrography, or computed tomographic arthrography from 2010 to 2015 were included in this study. The exclusion criteria were patients with arthritis (Tönnis grade 2 or greater) or dysplasia...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Hien Pham, Michael Pickell, Michelle Yagnatovsky, Mark Kramarchuk, Michael J Alaia, Eric J Strauss, Laith M Jazrawi, Kirk A Campbell
PURPOSE: To evaluate the efficacy of oral nonsteroidal anti-inflammatory drugs (NSAIDs) as the primary postoperative pain medication compared with standard oral opioids following arthroscopic partial meniscectomy. METHODS: This was a single-center, prospective, nonrandomized, comparative observational study. Patients ages 18 to 65 years who were indicated for arthroscopic meniscectomy were included. Postoperatively, patients were prescribed 1 of 2 analgesic regimens: (1) ibuprofen (600 mg every 6-8 hours as needed) and 10 tablets of oxycodone/acetaminophen (5/325 mg as needed for breakthrough pain) or (2) 30 to 40 tablets oxycodone/acetaminophen (5/325 mg every 6 hours as needed)...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Luis Fernando Z Funchal, Diego Costa Astur, Rafael Ortiz, Moises Cohen
PURPOSE: To compare the outcomes of patients with an arthroscopic floating meniscus sign at 24-month follow-up when treated with and without medial compartment reconstruction surgery. Another aim of the present study was to compare magnetic resonance imaging and arthroscopic findings directly related to the characterization and localization medial collateral ligament (MCL) injuries. METHODS: A total of 112 patients diagnosed with combined anterior cruciate ligament (ACL)-MCL grade II injuries to be treated with ACL reconstruction surgery were included in the study...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Ahmad F Bayomy, Viviana Bompadre, Gregory A Schmale
PURPOSE: To evaluate the effect of transphyseal anterior cruciate ligament (ACL) reconstruction on lower extremity radiographic growth and alignment. METHODS: We retrospectively reviewed patients who underwent transphyseal ACL reconstruction and were followed to skeletal maturity or at least 2 years, with the nonoperative limb used as an internal control. Changes in coronal plane alignments and tibial slope of the operative limb were compared with a Wilcoxon test...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
John W Belk, Matthew J Kraeutler, Darby A Houck, Eric C McCarty
PURPOSE: To systematically review high-quality studies in the literature to compare the postoperative radiographic incidence of knee osteoarthritis (OA) after anterior cruciate ligament reconstruction (ACLR) with a single-bundle (SB) versus double-bundle (DB) graft. METHODS: A systematic review was performed by searching PubMed, the Cochrane Library, and Embase to locate randomized controlled trials that compared the postoperative progression of knee OA in SB versus DB ACLR patients...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Michael P Fice, J Chance Miller, Robert Christian, Charles P Hannon, Niall Smyth, Christopher D Murawski, Brian J Cole, John G Kennedy
PURPOSE: To review the basic science studies on platelet-rich plasma (PRP) for cartilage and determine whether there has been an improvement in methodology and outcome reporting that would allow for a more meaningful analysis regarding the mechanism of action and efficacy of PRP for cartilage pathology. METHODS: The PubMed/MEDLINE and EMBASE databases were screened in May 2017 with publication dates of January 2011 through May 2017 using the following key words: "platelet-rich plasma OR PRP OR autologous conditioned plasma (ACP) OR ACP AND cartilage OR chondrocytes OR chondrogenesis OR osteoarthritis OR arthritis...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
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