Sports Medicine and Arthroscopy Review
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Distal realignment (tibial tuberosity transfer).
Although tibial tuberosity (TT) transfer has for many years been the basis of many protocols for the management of patellar instability, the role of pure medial transfer in particular appears to be declining. In contrast, the greater recognition of the importance of patella alta as a predisposing fa...
Clinical and biological aspects of rotator cuff pathology.
Inflammation in overuse tendon injuries.
Overuse tendon injuries present with pain and swelling of the affected tendon with associated decrease in exercise tolerance and function of the limb. After early inflammatory and degenerative hypotheses, the term "tendinopathy" is now deemed a more appropriate reflection of the mixe...
Juvenile osteochondritis dissecans.
Juvenile osteochondritis dissecans (JOCD) has been a recognized entity for more than 100 years. Despite our long recognition of OCD, the natural history and most effective therapies are poorly understood. Although conclusive evidence of an exact cause is lacking, there is widespread agreement that J...
Arthroscopic management of pincer-type impingement.
Femoroacetabular impingement is a disorder associated with labrochondral injury and the development of osteoarthritis. Although femoroacetabular impingement is a 3-dimensional disorder with variable size and extent of impingement between individuals, there are 2 primary types of hip impingement: Cam...
FDA regulatory pathways for knee cartilage repair products.
Over the past 2 decades there has been significant progress in the treatment of articular cartilage pathology with the introduction of cell biology, tissue engineering, and biomaterials to address long standing challenges in this debilitating condition. However, cell therapies and products combining...
Posterior cruciate ligament and posterolateral corner reconstruction.
The keys to successful posterior cruciate ligament reconstruction are to identify and treat all pathology, use strong graft material, accurately place tunnels in anatomic insertion sites, minimize graft bending, use a mechanical graft-tensioning device, use primary and backup graft fixation, and emp...
Thromboembolic complications in arthroscopic surgery.
Venous thromboembolism (VTE) is a relatively rare complication of arthroscopic surgery but has the potential to cause significant morbidity and even mortality. VTE has been reported after shoulder and knee arthroscopy prompting controversial guidelines to be proposed. More limited studies are availa...