Sports Medicine and Arthroscopy Review
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Anticipating Problems Unique to Revision ACL Surgery.
Anterior cruciate ligament (ACL) injuries are common in the athletic population. In fact, ACL reconstruction has become one of the most common orthopedic procedures. With the increasing number of primary ACL reconstructions being performed combined with the continued expectations of high-level athle...
Arthroscopic management of subscapularis tears.
Tears of the subscapularis were previously believed to be rare, but are now recognized to be very common. As maintenance of the subscapularis footprint is integral to normal biomechanical function of the shoulder it is important for the shoulder surgeon to be adept at recognizing and treating these...
Management of postoperative shoulder stiffness.
Arthroscopic surgery has become the most popular treatment to repair rotator cuff tears. Although the exact prevalence of postoperative stiffness is unknown, many studies report an incidence rate of 4% to 15%. Management of postoperative shoulder stiffness depends on the cause of the stiffness. Nono...
Management of the failed arthroscopic subacromial decompression: causation and treatment.
Arthroscopic subacromial decompression is an effective treatment for impingement syndrome, with published success rates between 77% and 90%. Failure of subacromial decompression is defined as persistent pain and disability after surgery despite adequate postoperative rehabilitation. Potential causes...
We describe an arthroscopic anterior hip capsular plication using a suture technique....
Second generation issues in cartilage repair.
In recent years, regenerative techniques, such as autologous chondrocyte implantation (ACI), have emerged as a potential therapeutic option for the treatment of chondral lesions. However, the good results reported have to be weighed against the number of problems that can be observed with traditiona...
Sideline management of sport-related concussions.
Concussions remain one of the most troublesome injuries sports physicians face. Studies suggest recovery takes hours to weeks, but at what point is the concussed brain no longer at increased risk for reinjury is unknown. Physicians must be alert to the symptoms of concussion and be familiar with the...
Meniscal repair: the newest fixators.
The surgical techniques and associated devices for meniscus repair have improved over time, spurred in part by the clear recognition of the benefits of meniscal preservation and in part by the introduction of ultra-high-molecular weight polyethylene containing sutures. The desires fo...
As the primary link between the trunk and the lower limb, the hip joint plays an important role in the generation and transmission of forces during routine activities of daily living and athletic activities alike. This joint is characterized by an extraordinary amount of inherent bony stability, wit...