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Mashup Score: 104Basics of Shoulder Arthroscopy Part IV: Diagnostic Arthroscopy in the Lateral Decubitus Position - 8 hour(s) ago
Shoulder arthroscopy is a versatile method for treating a variety of shoulder pathologies in a minimally invasive manner. Typically, it is performed with the patient positioned in a beach-chair or lateral decubitus position with the latter being conventionally preferred for shoulder instability work given the use of traction and creation of a distracted joint. This allows ideal visualization and accessibility of the anterior, inferior, and posterior aspects of the glenoid, labrum, and axillary pouch.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 7Modified Centralization Technique of Tibial Side Capsulodesis for Radial Tear of Incomplete Discoid Lateral Meniscus - 5 day(s) ago
An incomplete discoid lateral meniscus is often associated with radial tears, which cause meniscal extrusion and result in poor healing outcomes. Centralization has recently been used as a surgical method to reduce extrusion. However, various repair techniques use single point of fixation sutures exclusively on the femoral side, potentially hindering healing. In this study, a method is devised in which 2 anchor sutures are placed on the tibia and guided out of the capsule from the tibial side of the meniscus, and another anchor is placed distally to tighten the meniscotibial ligament in a plane.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 70Circumferential Fiber Augmentation Technique Combined With Transtibial Pullout Repair - 7 day(s) ago
This Technical Note presents a surgical approach that combines circumferential fiber augmentation with transtibial pullout repair for the treatment of medial meniscal posterior root tears. To address the challenge of meniscal extrusion and subsequent joint space narrowing that predisposes to osteoarthritis, this technique uses an artificial ligament to add circumferential collagen fiber reinforcement to improve meniscal extrusion. This integrated approach is designed to address the limitations of conventional tibial pullout repairs by potentially providing better results in preventing meniscal extrusion.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 149Biplanar Lateral Hemi-Wedge Osteotomy for the Correction of Severe Tibial Varus Deformity - 8 day(s) ago
Indication for this hemi-wedge high tibial osteotomy is the combination of medial osteoarthritis or cartilage damage, varus deformity of >10°, and medial proximal tibial angle of <80°. The proximal lateral tibia is exposed via a skin incision of approximately 10 cm length between the tibial tuberosity and the head of the fibula. After detachment of the anterior tibial muscle, a first oblique guidewire marks the main osteotomy plane and a second guidewire marks the hemi-wedge. Then, the osteotomy is performed along the guidewires with an oscillating saw and the laterally based wedge is removed.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 38
Inside-out repair of meniscal tears is the gold standard surgical approach; however, its use is limited by the need for a posterior incision and neurovascular risk. In this Technical Report, we present details of the all-inside arthroscopic tie-grip approach for repairing a radial tear of the midbody of the lateral meniscus using an all-inside device (TRUESPAN) and a slotted cannula. In contrast to the inside-out approach, this technique helps reduce surgical invasiveness and provides stable fixation as the vertical mattress sutures bundle the circumferential fibers and act as rip stops for the horizontal sutures.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 34Endoscopic Retrofibular Groove Deepening for Management of Type A Intrasheath Peroneal Tendon Subluxation - 9 day(s) ago
In intrasheath peroneal tendon subluxation, the peroneal tendons subluxate on each other within the retrofibular peroneal tendon sheath. Two subtypes can be distinguished: type A, in which the tendons are normal, and type B, in which the peroneus brevis tendon has an associated longitudinal split and the peroneus longus tendon subluxates through this tendon split. The purpose of this technical note is to describe the details of endoscopic retrofibular groove deepening for management of type A intrasheath peroneal tendon subluxation.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 22
Periprosthetic fractures of the lesser trochanter may migrate proximally and result in anterior mechanical irritation and impingement with hip flexion refractory to comprehensive conservative management. In such cases, patients may benefit from arthroscopic resection of the displaced lesser trochanteric fragment. We present a minimally invasive, arthroscopic approach with initial access through an air bursogram. This technique can be performed percutaneously, with standard access cannulas, without the need for additional disposable instrumentation or large cannulas.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 146A Surgical Technique for Tibial Tubercle Avulsion Fractures Using Transpatellar Suture Tape Tension Band and De-tensioning Suture Anchors - 10 day(s) ago
This article aims to present a comprehensive technical note detailing our preferred treatment approach for tibial tuberosity avulsion fractures in the adult and elderly populations, particularly in scenarios characterized by low tissue quality and limited bone stock. Existing literature on this fracture type is scarce, with many described techniques relying on optimal bone quality for effective screw fixation of the tibial tuberosity. Various methods for tibial tuberosity avulsion fixation include K-wires, cannulated screws, staples, tension bands, suture anchors, and in select cases, direct transosseous sutures.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 43Transtibial Pullout for Medial Meniscus Posterior Root Reconstruction With Split-Gracilis Autograft - 11 day(s) ago
Meniscal root tears are recognized as an important pathology. Failure to recognize and to treat this pathology could lead to early-onset osteoarthritis, similar to a total meniscectomy. Surgical treatment is essential to restore meniscal function and to normalize compartment contact pressures, whenever there is joint overload and not severe cartilaginous damage. Still, the biological healing property of the medial meniscus is poor, and failure of the surgical procedure may occur. This Technical Note proposes a technical procedure for revision of medial meniscus posterior root reconstruction with a split-gracilis autograft tendon anatomical transtibial pullout technique.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 19
Hip arthroscopy has been shown to be an effective surgical treatment with excellent outcomes and a low percentage of complications; however, there are published data regarding iatrogenic complications with hip distraction. Hip distraction is mandatory to gain access to the central compartment and to perform a reliable labral repair or labral reconstruction. Postless hip arthroscopy is very popular nowadays, and several techniques have been published. To our knowledge, no published techniques have been described that access the hip with a postless technique in reconstructing a labrum in a complete, segmental, or augmented manner.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, OrthopedicsTweet
Back to school weekend part 4. Refresh yourself on and pick up new tricks for the basics of shoulder arthroscopy in the lateral position. Full video can be found using the link. https://t.co/4FlscoMVyH #shoulderscope #arthroscopy #basics #backtoschool https://t.co/SUJFb05tuC