Sports Medicine and Arthroscopy Review
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Calcific tendinopathy of the rotator cuff tendons.
Calcific tendinopathy (CT) of the tendons of the rotator cuff is common in white populations, with a reported prevalence varying from 2.7% to 22%, mostly affecting women between 30 and 50 years. Although CT shows a strong tendency toward self-healing by spontaneous resorption of the deposits, it does...
Meniscus tears in children.
We review the anatomy and development of the menisci, review classification and diagnosis of meniscal tears, discuss management options and outcomes of treatment, and focus on discoid lateral meniscus and meniscal cysts....
Labrum: resection, repair and reconstruction sports medicine and arthroscopy review.
We describe techniques for labral repair with suture anchors for the torn labrum. When the labrum cannot be repaired owing to lack of adequate or quality tissue, we describe a technique for labral reconstruction using an iliotibial band autograft. Early outcomes for these procedures show patients re...
The future of computer-assisted surgery (CAS) in sports medicine.
Computer-assisted surgery (CAS) will become more common in orthopedics as the technology becomes more accessible. Over the next several years, demonstrated improvements in precision will result in improved clinical outcomes. The cost and time of CAS procedures will substantially decrease. The improv...
Meniscal repair with fibrocartilage engineering.
Injuries to the knee meniscus, particularly those in the avascular region, pose a complex problem and a possible solution is tissue engineering of a replacement tissue. Tissue engineering of the meniscus involves scaffold selection, addition of cells, and stimulation of the construct to synthesize,...
Evaluation and treatment of medial collateral ligament and medial-sided injuries of the knee.
Injuries to the medial side of the knee are not always isolated injuries of the superficial medial collateral ligament. Medial-sided injuries can also involve the deep medial collateral ligament, the posteromedial corner, or the medial meniscus. Magnetic resonance imaging is a useful adjunct to the...
Evaluation and treatment of chronic medial collateral ligament injuries of the knee.
I and II MCL injuries without meniscal avulsion, alone or in combination with anterior or posterior cruciate ligament injuries, can be treated nonoperatively. Grade III or complete tears also can be treated nonoperatively, but only after careful exclusion of any associated injuries that may require...
Management of infections after arthroscopy.
Management and evaluations of infections after arthroscopy of the knee and shoulder can be difficult and fraught with complications, both medical and legal. This article reviews the literature regarding arthroscopic infections from a historical perspective and discusses the treatment of knee and sho...
The role of viscosupplementation.
The treatment of early osteoarthritis in middle-aged athletes with intra-articular (IA) viscosupplementation using hyaluronic acid (HA) has been used since the late 1980s. Administration of IA HA has demonstrated anti-inflammatory, anabolic, and analgesic effects. Treatment of acute injuries such as...