Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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The purpose of this study was to evaluate 3 different femoral techniques of anterior cruciate ligament (ACL) reconstruction using a skeletally immature canine model. ⋯ ACL reconstruction in the skeletally immature individual is complicated by the presence of active physeal and epiphyseal cartilage surrounding the growing knee, the pathophysiologic consequences of injury to these developing structures, and the final effect on the anatomy and function of the graft, bone, and articular surface. Animal models can provide insight and direction as we develop and evaluate our treatment methods for this clinical problem, but these animal models have anatomic and physiologic differences that limit direct comparison to humans.
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Disorders of the lateral or peritrochanteric space (often grouped into the greater trochanteric pain syndrome), such as recalcitrant trochanteric bursitis, external snapping iliotibial band, and gluteus medius and minimus tears, are now being treated endoscopically. We outline the endoscopic anatomy of the peritrochanteric space of the hip and describe surgical techniques for the treatment of these entities. ⋯ When tears of the gluteus medius and minimus are encountered, suture anchors can be placed into the footprint of the abductor tendons in a standard arthroscopic fashion. Our initial experience indicates that recalcitrant trochanteric bursitis, external coxa saltans, and focal, isolated tears of the gluteus medius and minimus tendon may be successfully treated with arthroscopic bursectomy, iliotibial band release, and decompression of the peritrochanteric space and suture anchor tendon repair to the greater trochanter, respectively.
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The purpose of this study was to study the prevalence of suprascapular neuropathy (SSN) in the setting of massive rotator cuff tears and to determine if arthroscopic rotator cuff repair, even if partial, was associated with reversal of SSN and clinical improvement in pain and function. ⋯ Level IV, case series.
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The purpose of this study was to determine the effectiveness of a new 2-stage surgical treatment for acute traumatic knee dislocation. ⋯ Level IV, therapeutic case series.
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Randomized Controlled Trial Comparative Study
Radiofrequency-based plasma microtenotomy compared with arthroscopic subacromial decompression yields equivalent outcomes for rotator cuff tendinosis.
This study aimed to determine whether radiofrequency (RF)-based plasma microtenotomy (microdebridement) was effective for treating chronic supraspinatus tendinosis. ⋯ Level I, therapeutic randomized controlled study.