Prior to 1972, a variety of operations were performed to treat rotator cuff pain. Neer in 1972 recommended an anterior acromioplasty, which quickly became the standard of care based on Level IV and Level V evidence. In 1987, Ellman offered an arthroscopic approach to performing the acromioplasty; since then Level I studies have been conducted to assess the success of the arthroscopic approach. ...

OBJECTIVES To compare the radiographic findings in patients with a low-velocity gunshot wound through the knee with the intraarticular pathology as documented by arthroscopy, and to evaluate arthroscopic management of these injuries. STUDY DESIGN Retrospective review of a protocol. MATERIALS AND METHODS Thirty-three patients with low-velocity gunshot wounds through the knee, no significant ...

PURPOSE Shoulder instability frequently recurs in young patients without operative treatment. Both open and arthroscopic approaches to shoulder stabilization with labral repair and capsulorrhaphy have been described and are routinely used. Multiple trials have been conducted to compare these approaches, with multiple meta-analyses performed to synthesize these trials; however, the results remai...

PURPOSE The purpose of this study was to describe the arthroscopic clinical findings and treatment in patients with pathologic hypertrophy of the synovium in the anteromedial joint compartment in conjunction with anteromedial knee pain. TYPE OF STUDY Case series. METHODS A group of 21 patients, ranging in age from 11 to 68 years (mean, 29 years) with pathologic hypertrophic changes of the s...

PURPOSE To determine whether traumatic triangular fibrocartilage complex (TFCC) tears treated by arthroscopic repair have improved functional outcome scores, range of motion, grip strength, and pain relief compared with those repaired using an open surgical technique. METHODS From 1997 to 2006, 75 patients had repair of traumatic TFCC tears. Thirty-six patients had arthroscopic TFCC repair, a...

BACKGROUND Medicare insures the largest population of patients at risk for rotator cuff tears in the United States. PURPOSE To evaluate the trends in incidence, concomitant procedures, and complications with open and arthroscopic rotator cuff repairs in Medicare patients. STUDY DESIGN Cohort study; Level of evidence, 3. METHODS All Medicare patients who had undergone open or arthroscopic ...

PURPOSE The objective of this systematic review was to determine the efficacy of anatomic Bankart repair in patients with a first-time shoulder dislocation compared with either arthroscopic lavage or traditional sling immobilization. METHODS We searched the Cochrane Central Register of Controlled Trials, Medline, Embase, CINAHL, Web of Science, LILACS, and a clinical trials registry for ongoi...

PURPOSE To compare the knot characteristics of a pretied suture knot with 3 of the most commonly used arthroscopic knots tied with various high-strength sutures. METHODS Three commonly used arthroscopic knots (surgeon's knot, Seoul Medical Center, and Duncan loop) tied with no. 2 high-strength sutures were compared with a pretied knot secured with either 1, 2, or 3 reversed half hitches (RHAP...

BACKGROUND In the last years, basic research and arthroscopic surgery, have improved our understanding of shoulder anatomy and pathology. It is a fact that arthroscopic treatment of shoulder instability has evolved considerably over the past decades. The aim of this paper is to present the variety of pathologies that should be identified and treated during shoulder arthroscopy when dealing with...

BACKGROUND Anatomic single bundle anterior cruciate ligament (ACL) reconstruction is the current gold standard in ACL reconstructive surgery. However, placement of femoral and tibial tunnels at the anatomic center of the ACL insertion sites can be difficult intraoperatively. We developed a "virtual arthroscopy" program that allows users to identify ACL insertions on preoperative knee magnetic r...