Massive irreparable rotator cuff tears remain a challenging condition during daily clinical practice. Irreversible fatty infiltration of muscles and excessive chronic retraction tendons predispose to high failure rates their surgical treatment. Superior capsular reconstruction with either fascia lata autograft or dermal allograft patch is newly described solution that could prevent superior humeral head migration restore the anteroposterior shoulder muscle force couples. The purpose this...

Background: Materials and patches with increased biomechanical biological properties superior capsular reconstruction may change the natural history of massive rotator cuff tears (RCTs). Purpose: To compare structural clinical outcomes among 3 surgical techniques for treatment posterosuperior RCTs: double-row (DR) technique, transosseous-equivalent (TOE) technique absorbable patch reinforcement, (SCR) long head biceps tendon (LHBT) autograft. Study Design: Cohort study; Level evidence 3....

The long head of the biceps tendon (LHBT) is an anatomic structure commonly involved in painful shoulder conditions as a result trauma, degeneration, or overuse. Recent studies have pointed out close correlation between LHBT lesions and rotator cuff (RCT) tears. Clinicians need to take into account importance presence other pathologies. This paper provides up-to-date overview recent publications on anatomy, pathophysiology, diagnosis, classification, current treatment strategies.

Tibial eminence avulsion fractures are rare injuries occurring mainly in adolescents and young adults. When necessary, regardless of patient age, anatomic reduction stable internal fixation mandatory for fracture healing accurate restoration normal knee biomechanics. Various arthroscopically assisted methods with sutures, anchors, wires, or screws have been described but can be technically demanding, thus elongating operative times. The purpose this article is to present a technical...

Background: Blood loss during total knee arthroplasty (TKA) remains a concern, as many patients require blood transfusions, which increase risks of allergic reactions, disease transmission, and thromboembolisms. The purpose was to determine factors associated with need for transfusion in receiving routine TKA. Methods: authors prospectively analyzed 150 consecutive uncemented TKAs age, gender, body mass index (BMI), anticoagulant medication, type anesthesia, tranexamic acid (TXA)...

Rotator cuff tears are associated with capsular contraction and stiffness that should be restored before surgical repair. Corticosteroid injections (CSIs) frequently used as conservative treatments This study aimed to determine the influence of preoperative postoperative CSIs on clinical anatomic outcomes after rotator repair.The authors analyzed records 257 patients who had arthroscopic repair, whom 212 were evaluated at 3.1 ± 1.0 years (median, 2.9 years; range, 1.4-7.1 years) by (Constant...

Background: Adjustable-loop suspensory fixation (ALSF) devices are commonly used in anterior cruciate ligament reconstruction (ACLR). However, concern exists regarding the potential for lengthening under cyclical loads. Purpose: To compare residual laxity of 2 methods femoral fixation, ALSF versus interference screw patients undergoing isolated ACLR absence meniscal injuries. determine preoperative risk factors associated with postoperative laxity. Study Design: Cohort study; Level evidence,...

One of the factors that can affect success Latarjet procedure is accurate coracoid graft (CG) placement.The use a guide improve placement CG and screw positioning in sagittal axial planes as compared with classic open ("freehand") technique.Cohort study; Level evidence, 2.A total 49 patients who underwent for treatment recurrent anterior shoulder instability were prospectively included; was performed freehand technique 22 (group 1) parallel drill during 27 2). All postoperative computed...

This study evaluates the position of long head biceps tendon using ultrasound following simple tenotomy, in patients with arthroscopically repaired rotator cuff tears. In total, 52 a mean age 60.7 years (45 to 75) underwent arthroscopic repair and tenotomy tendon. At two post-operatively, revealed that was inside bicipital groove 43 (82.7%) outside nine (17.3%); six these it lying just remaining three (5.8%) remote positive Popeye Sign. A dynamic scan tenotomised tendons had adhered...

Despite the numerous techniques described regarding isolated anterior cruciate ligament (ACL) reconstruction, many authors have reported that residual knee rotational instability is not always eliminated. The combination of lateral extra-articular tenodesis and ACL reconstruction an alternative surgical approach with very promising clinical results. purpose this article to describe a reliable reproducible technique combined using continuous looped hamstring tendon autograft. A 4-strand graft...

A 48-year-old man was being treated unsuccessfully for miliary tuberculosis 5 months until he presented with acromioclavicular joint swelling. Imaging of the shoulder revealed destruction and patient brought to operating theatre underwent excision distal end clavicle, synovectomy drainage abscess. Surgery followed by prompt clinical, functional radiological improvement. Histopathology confirmed diagnosis tuberculosis. Resistance appropriate antituberculous treatment in patients can sometimes...

Chronic acromioclavicular (AC) instability is a rare posttraumatic shoulder condition that can lead to undesirable symptoms like persistent pain, muscle fatigue, loss of strength, or even scapular dyskinesis. It well known in these cases the superior functional results depend on restoration anatomy and stability AC joint both vertical horizontal planes. Considering ligaments degeneration atrophy chronic dislocations, we present an arthroscopic-assisted reconstruction coracoclavicular using...

Anterior cruciate ligament (ACL) rupture predisposes to altered kinematics and possible knee joint degeneration. Graft fiber maturation ligamentization may eliminate this risk during ACL reconstruction procedures. remnant-sparing techniques support the theory that preserved tissue enhances revascularization, preserves mechanoreceptors, leads anatomic remodeling. The purpose of article is present a simple reproducible technique tensioning remnant over femur. A nonabsorbable suture passed...

It has been indicated that rotator cuff tears, especially large or massive ones, can cause suprascapular neuropathy. When such a diagnosis established, it is still unknown whether an arthroscopic release of the superior transverse scapular ligament during repair change course this This single-center, double-blinded randomized controlled trial for which 42 patients with repairable tears and neuropathy will be recruited followed up at 6 12 months. Nerve function measured by nerve conduction...

Intramedullary (IM) nailing is the method of choice for treatment most femoral shaft fractures. However, despite successful solid union, great initial fracture comminution can lead to significant leg length discrepancy affecting normal gait mechanics. Femoral osteotomy and distraction osteogenesis over pre-existing IM nail could restore this limb inequality.Five patients with an average post-traumatic shortening 3.83 cm were presented in our department situ. Limb lengthening was achieved...

While most anatomic TSA stems allow some intra-operative adjustments, the default configuration assumes that head offset is directly proportional to stem diameter. Some authors reported humeral diameter intra-medullary canal width and offset, but none investigated direct relationship between endosteal measurements. The purpose of study was determine whether global intramedullary at distal metaphysis proximal diaphysis. We analyzed 100 Computed Tomography shoulder scans patients aged 59.1 ±...