Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
-
Knee Surg Sports Traumatol Arthrosc · May 2015
The safe zone for avoiding suprascapular nerve injury in bone block procedures for shoulder instability. A cadaveric study.
The purpose of the study is to identify the safe zone in which the surgeon can place the screws for fixation of the coracoid graft during the Latarjet procedure to avoid injuries of the suprascapular nerve with the shoulder in internal and external rotation. ⋯ The suprascapular nerve is furthest away from the glenoid with the shoulder at 90° of external rotation. Therefore, the placement of screws in external rotation of the humerus during glenoid bone block procedures likely reduces the risk of iatrogenic injuries of the suprascapular nerve.
-
Knee Surg Sports Traumatol Arthrosc · May 2015
Arthroscopic treatment of acute acromioclavicular joint dislocation by coracoclavicular ligament augmentation.
Coracoclavicular (CC) ligament augmentation has been a method to treat acromioclavicular (AC) joint dislocation in recent years. The purpose of this paper is to describe our arthroscopic CC ligament augmentation technique in treating type III and V acute AC joint dislocations and to report the early clinical and radiological results. ⋯ IV.
-
Knee Surg Sports Traumatol Arthrosc · May 2015
Value of additional acromioclavicular cerclage for horizontal stability in complete acromioclavicular separation: a biomechanical study.
To evaluate whether isolated anatomical coracoclavicular (CC) ligament reconstruction with two suture-button devices provides equal horizontal acromioclavicular joint (ACJ) stability compared to additional ACJ suture tape cerclage. ⋯ The results of this study suggest that only combined AC and CC reconstruction can adequately re-establish physiological horizontal ACJ stability. Therefore, it is likely that a combined surgical procedure with double suture-button devices and AC suture tape cerclage can adequately re-establish horizontal AC joint stability in case of an acute injury (≥type Rockwood IV and may allow superior clinical outcomes for patients, especially if early functional rehabilitation is intended).
-
Knee Surg Sports Traumatol Arthrosc · May 2015
Current state of treatment of acute acromioclavicular joint injuries in Germany: is there a difference between specialists and non-specialists? A survey of German trauma and orthopaedic departments.
The purpose of this study was to evaluate currently preferred treatment strategies as well as the acceptance of new arthroscopic techniques among German orthopaedic surgeons. We assumed that surgeons specialized in shoulder surgery and arthroscopy would treat acute acromioclavicular joint dislocations different to non-specialized surgeons. ⋯ Observational survey, Level IV.
-
Knee Surg Sports Traumatol Arthrosc · May 2015
Clinical results and second-look arthroscopic findings after treatment with adipose-derived stem cells for knee osteoarthritis.
In the present study, the clinical outcomes and second-look arthroscopic findings of intra-articular injection of stem cells with arthroscopic lavage for treatment of elderly patients with knee osteoarthritis (OA) were evaluated. ⋯ Therapeutic case series study, Level IV.