Arthroscopy Techniques

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Simultaneous Rotator Cuff Repair and Arthroscopic Biceps Tenodesis Using Lateral Row Anchor

Jonathan C. Levy

Arthroscopy Techniques > 2012 > 1 > 1 > e1-e4

Treatment of concomitant long head of the biceps pathology in the setting of rotator cuff repair is often required. When a tenodesis of the biceps is used, additional anchors and surgical dissection are typically required. This adds additional surgical time, morbidity of additional surgical dissection, and additional anchor load and cost. We describe a novel technique for arthroscopic biceps tenodesis...

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Arthroscopic Ulnar Nerve Identification During Posterior Elbow Arthroscopy

Srinath Kamineni, David Anthony Hamilton

Arthroscopy Techniques > 2012 > 1 > 1 > e113-e117

Elbow arthroscopy has increased in popularity in the past 10 years for both diagnostic and therapeutic purposes. A major limiting factor faced by the elbow arthroscopist is the close proximity of the neurovasculature to the working field, with the risk of iatrogenic injury. Many arthroscopic procedures are less extensive than their open equivalents because of an inability to consistently and safely...

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Use of a Hip Arthroscopy Flexible Radiofrequency Device for Capsular Release in Frozen Shoulder

Stephen R. Thompson, Marie-Eve LeBel

Arthroscopy Techniques > 2012 > 1 > 1 > e75-e78

Adhesive capsulitis is a common and challenging condition to treat. Arthroscopic capsular release is usually contemplated when conservative treatment fails or when there is severe and/or chronic loss of range of motion. This procedure can be difficult to perform because of difficult access to the joint, poor visualization, and loss of working space from retraction of the joint capsule. The articular...

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Rotator Cuff Repair Augmented With Endogenous Fibrin Clot

Christopher S. Proctor

Arthroscopy Techniques > 2012 > 1 > 1 > e79-e82

Despite recent technical advances, rotator cuff repair continues to have a high retear rate. Recent research focused on biologic augmentation of rotator cuff repair with platelet-rich plasma has shown mixed results, and use of an endogenous fibrin clot from either peripheral blood or bone marrow may have advantages over the use of platelet-rich plasma. This technique describes a method to make an...

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A Novel Technique for Treating Cartilage Defects in the Hip: A Fully Arthroscopic Approach to Using Autologous Matrix-Induced Chondrogenesis

Andrea Fontana

Arthroscopy Techniques > 2012 > 1 > 1 > e63-e68

Microfracture is the standard of care for the treatment of small cartilage defects in the hip. Autologous matrix-induced chondrogenesis (AMIC) is a novel, 1-step approach that combines microfracture with a type I/III collagen matrix (Chondro-Gide; Geistlich Pharma AG, Wolhusen, Switzerland) to cover the microfractured defect area. The AMIC procedure has been successfully established for treating cartilage...

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All-Arthroscopic Double-Bundle Coracoclavicular Ligament Reconstruction Using Autogenous Semitendinosus Graft: A New Technique

Juha O. Ranne, Janne J. Sarimo, Mark I. Rawlins, Olli J. Heinonen, more

Arthroscopy Techniques > 2012 > 1 > 1 > e11-e14

We present our novel arthroscopic anatomic double-bundle coracoclavicular ligament reconstruction technique using a semitendinosus tendon autograft. The dorsal limb of the graft is positioned around the dorsal edge of the clavicle, re-creating the conoid ligament. The anterior limb proceeds superiorly and re-creates the trapezoid ligament. The solution effectively stabilizes the acromioclavicular...

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A Novel Technique for Capsular Repair and Labrum Refixation in Hip Arthroscopy Using the SpeedStitch

Omer Mei-Dan, David A. Young

Arthroscopy Techniques > 2012 > 1 > 1 > e107-e112

Capsulotomy, which is commonly performed in hip arthroscopy, assists visualization and instrument navigation. Despite the necessity, the optimal technique, amount of resection, and indications for capsulotomy remain unknown. Capsular repair is increasingly considered because of concerns raised about the long-term effects of extensive capsulotomies and reports of devastating postoperative side effects...

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Pectoralis Major Muscle Rupture Repair: Technique Using Unicortical Buttons

Paul D. Metzger, James R. Bailey, Robert D. Filler, Robert A. Waltz, more

Arthroscopy Techniques > 2012 > 1 > 1 > e119-e125

Over the past few decades, there has been increased awareness of pectoralis major muscle injuries necessitating further evaluation of management options and, in particular, surgical repair. Injury typically occurs when an eccentric load is applied to the muscle, such as with bench pressing, and failure usually occurs through the tendon. Although nonoperative management is sometimes appropriate, given...

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Arthroscopic Suture Retrieval: A Simple Technique That Disentangles Sutures During Retrieval

Dominik C. Meyer, Georg Lajtai, Christian Gerber, Eugene T.H. Ek

Arthroscopy Techniques > 2012 > 1 > 1 > e87-e89

Efficient and successful arthroscopic surgery relies on methodical and well-organized suture management. However, it is relatively common, especially in complex arthroscopic procedures, that sutures invariability become entangled or twisted as a result of repeated suture shuttling from portal to portal and between individual suture limbs. When this occurs, this can make antegrade suture passage or...

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A New Anterior Cruciate Ligament Reconstruction Fixation Technique (Quadrupled Semitendinosus Anterior Cruciate Ligament Reconstruction With Polyetheretherketone Cage Fixation)

Philippe Calas, Nicolas Dorval, Anthony Bloch, Jean-Noël Argenson, more

Arthroscopy Techniques > 2012 > 1 > 1 > e47-e52

Fixation of the graft during anterior cruciate ligament reconstruction surgery has been the subject of numerous technical innovations but still remains a challenge. This article describes a novel technique of graft fixation for hamstring tendon reconstruction: the Cage For One system (Sacimex, Aix-en-Provence, France). The technique uses only the semitendinosus tendon, which is looped to create a...

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Arthroscopic Suprapectoral Tenodesis of the Long Head Biceps: Reproducing an Anatomic Length-Tension Relationship

Tal S. David, Jeffrey C. Schildhorn

Arthroscopy Techniques > 2012 > 1 > 1 > e127-e132

Tenodesis is an accepted treatment option in the management of pathology involving the long head of the biceps (LHB). Among the common causes for revision surgery after tenodesis are residual pain within the bicipital groove, cramping, early biceps fatigue, and biceps deformity. Most technical descriptions of arthroscopic biceps tenodesis involve fixation of the LHB tendon within or proximal to the...

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Seating of TightRope RT Button Under Direct Arthroscopic Visualization in Anterior Cruciate Ligament Reconstruction to Prevent Potential Complications

Hira L. Nag, Himanshu Gupta

Arthroscopy Techniques > 2012 > 1 > 1 > e83-e85

The ACL TightRope RT (Arthrex, Naples, FL) is a recently introduced fixation device. The adjustable graft loop allows the surgeon some freedom in terms of the length of the femoral socket, eliminates the need for bothersome intraoperative calculations for selecting loop length, ensures that the socket is completely filled with graft, and provides the possibility of tensioning the graft even after...

article

A Load-Sharing Rip-Stop Fixation Construct for Arthroscopic Rotator Cuff Repair

Patrick J. Denard, Stephen S. Burkhart

Arthroscopy Techniques > 2012 > 1 > 1 > e37-e42

Despite advancements in arthroscopic rotator cuff repair techniques, achieving tendon-to-bone healing can be difficult in the setting of poor-quality tendon. Moreover, medial tendon tears or tears with lateral tendon loss may preclude standard techniques. Rip-stop suture configurations have been shown to improve load to failure compared with simple or mattress stitch patterns and may be particularly...

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All-Epiphyseal Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: A Surgical Technique Using a Split Tibial Tunnel

Marios G. Lykissas, Senthil T. Nathan, Eric J. Wall

Arthroscopy Techniques > 2012 > 1 > 1 > e133-e139

Many techniques have been described for anterior cruciate ligament (ACL) reconstruction in skeletally immature patients, including extra-articular, complete or partial transphyseal, and physeal-sparing techniques. An all-epiphyseal technique places the tendon and its tunnels and fixation all within the child's epiphysis, leaving the growth plates untouched. We describe an all-epiphyseal quadruple-hamstring...

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Sonography-Assisted Arthroscopic Resection of Volar Wrist Ganglia: A New Technique

Michiro Yamamoto, Shigeru Kurimoto, Nobuyuki Okui, Masahiro Tatebe, more

Arthroscopy Techniques > 2012 > 1 > 1 > e31-e35

Although satisfactory arthroscopic resection of volar wrist ganglia has been reported recently, the risk of damage to arteries, nerves, and tendons remains. Furthermore, ganglia and their stalks cannot be visualized arthroscopically in many cases, and surgeons must perform a blind resection of the joint capsule until ganglion cysts or their stalks appear. Sonography has limited resolution, but recent...

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Individualized Anatomic Anterior Cruciate Ligament Reconstruction

Stephen J. Rabuck, Kellie K. Middleton, Shugo Maeda, Yoshimasa Fujimaki, more

Arthroscopy Techniques > 2012 > 1 > 1 > e23-e29

Arthroscopic anterior cruciate ligament reconstruction (ACL-R) is a technique that continues to evolve. Good results have been established with respect to reducing anteroposterior laxity. However, these results have come into question because nonanatomic techniques have been ineffective at restoring knee kinematics and raised concerns that abnormal kinematics may impact long-term knee health. Anatomic...

article

New Solution for Massive, Irreparable Rotator Cuff Tears: The Subacromial “Biodegradable Spacer”

Eugenio Savarese, Rocco Romeo

Arthroscopy Techniques > 2012 > 1 > 1 > e69-e74

Massive, irreparable rotator cuff tears are a source of pain and disability. Although most rotator cuff tears can be completely repaired, a significant number are considered massive and irreparable. Numerous operative techniques have been described for the treatment of these kinds of tears including arthroscopic debridement, biceps tenotomy, tendon transfer, grafting, and reverse arthroplasty. We...

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All-Arthroscopic Biceps Tenodesis by Knotless Winding Suture

Hyun Seok Song, Gerald R. Williams

Arthroscopy Techniques > 2012 > 1 > 1 > e43-e46

Biceps tenodesis techniques can use a large-caliber interference screw, a suture anchor, or a knotless anchor. This report describes a tenodesis technique that is easy to perform and does not require any knotting. Before penetration of the tendon with the tip, a No. 2 nonabsorbable braided suture is passed through the lumen of the hook-like instrument. The use of only 1 hooking maneuver through the...

article

Popliteomeniscal Fascicle Tear: Diagnosis and Operative Technique

Hong-Kwan Shin, Hee-Sung Lee, Young-Kuk Lee, Ki-Cheor Bae, more

Arthroscopy Techniques > 2012 > 1 > 1 > e101-e106

The occurrence and the consistency of the popliteomeniscal fascicle between the popliteus tendon and the lateral meniscus have been the subject of debate. It is difficult to diagnose and treat popliteomeniscal fascicle tears. Furthermore, popliteomeniscal fascicle tears are difficult to identify with arthroscopy. This article describes the diagnostic factors for popliteomeniscal fascicle tears and...

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Arthroscopic Labral Reconstruction With Gracilis Autograft

Dean K. Matsuda

Arthroscopy Techniques > 2012 > 1 > 1 > e15-e21

Despite growing interest in hip arthroscopy and labral preservation, some patients have severely damaged, degenerative, or deficient labrums and may be candidates for arthroscopic labral reconstruction. The ligamentum teres has been used as a graft source for open hip labral grafting, and the iliotibial band has been used in the arthroscopic setting. We present an alternative method of hip labral...

INFONA - science communication portal

Arthroscopy Techniques

Simultaneous Rotator Cuff Repair and Arthroscopic Biceps Tenodesis Using Lateral Row Anchor

Arthroscopic Ulnar Nerve Identification During Posterior Elbow Arthroscopy

Use of a Hip Arthroscopy Flexible Radiofrequency Device for Capsular Release in Frozen Shoulder

Rotator Cuff Repair Augmented With Endogenous Fibrin Clot

A Novel Technique for Treating Cartilage Defects in the Hip: A Fully Arthroscopic Approach to Using Autologous Matrix-Induced Chondrogenesis

All-Arthroscopic Double-Bundle Coracoclavicular Ligament Reconstruction Using Autogenous Semitendinosus Graft: A New Technique

A Novel Technique for Capsular Repair and Labrum Refixation in Hip Arthroscopy Using the SpeedStitch

Pectoralis Major Muscle Rupture Repair: Technique Using Unicortical Buttons

Arthroscopic Suture Retrieval: A Simple Technique That Disentangles Sutures During Retrieval

A New Anterior Cruciate Ligament Reconstruction Fixation Technique (Quadrupled Semitendinosus Anterior Cruciate Ligament Reconstruction With Polyetheretherketone Cage Fixation)

Arthroscopic Suprapectoral Tenodesis of the Long Head Biceps: Reproducing an Anatomic Length-Tension Relationship

Seating of TightRope RT Button Under Direct Arthroscopic Visualization in Anterior Cruciate Ligament Reconstruction to Prevent Potential Complications

A Load-Sharing Rip-Stop Fixation Construct for Arthroscopic Rotator Cuff Repair

All-Epiphyseal Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: A Surgical Technique Using a Split Tibial Tunnel

Sonography-Assisted Arthroscopic Resection of Volar Wrist Ganglia: A New Technique

Individualized Anatomic Anterior Cruciate Ligament Reconstruction

New Solution for Massive, Irreparable Rotator Cuff Tears: The Subacromial “Biodegradable Spacer”

All-Arthroscopic Biceps Tenodesis by Knotless Winding Suture

Popliteomeniscal Fascicle Tear: Diagnosis and Operative Technique

Arthroscopic Labral Reconstruction With Gracilis Autograft

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