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Athletic Pubalgia: A Diagnostic and Management Algorithm Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-29 Nicholas Walla, Guy Ball, Brian Busconi
Abstract not available
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Acetabular Impingement Management Including Focal and Global Retroversion and the Subspine Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-23 Stephanie A. Boden, Salvador G. Ayala, Jose R. Garcia, Rodrigo Saad Berreta, Felicitas Allende, Jorge Chahla
Symptomatic acetabular impingement represents a distinct subgroup of patients with femoroacetabular impingement syndrome (FAIS). Acetabular-based impingement, or pincer-type FAIS, is characterized by anterior acetabular over-coverage. Pincer subtypes include focal anterior over-coverage, global anterior over-coverage, relative anterior over-coverage (acetabular retroversion), and anterior inferior
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Cam-Type Impingement: Ensuring an Ideal Femoroplasty Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-20 Hansel E. Ihn, Ameen Z. Khalil, Elaine Z. Shing, Travis G. Maak, Stephen K. Aoki
When conservative measures have failed, arthroscopic femoroplasty has proven highly efficacious in treating femoroacetabular impingement (FAI) and improving hip joint mechanics. It is best to approach this in a systematic manner with preoperative planning and intraoperative confirmation. Plain radiographs, MRI and/or CT are helpful in the preoperative assessment with identifying the location and shape
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Hip Tendon Injuries in the Elite Athlete: Gluteal Tears and Proximal Hamstring Tears Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-20 Joshua D. Harris, Miriam Hinojosa
The proximal hamstring origin and gluteal insertion are two common sources of hip pain in elite athletes. Acute proximal hamstring tendon injuries may occur secondary to rapid simultaneous hip flexion and knee extension. Chronic proximal hamstring tendinopathy and partial tearing typically is observed in endurance athletes and most commonly seen in runners. A frequent mechanism responsible for this
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Open and arthroscopic management of chondral and chondrolabral defects of the hip Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-20 Elaine Z. Shing, Zachary W. Wade, Hansel Ihn, Ameen Khalil, Stephen K. Aoki, Travis G. Maak
Focal chondral and chondrolabral injuries of the hip have become more commonly recognized lesions of hip joint pathology in the last decade. These injuries are associated with worse clinical outcomes, risk of global degenerative disease, and future conversion to hip arthroplasty. Recent technological advances have expanded the indications and improved outcomes associated with joint preserving hip procedures
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Introduction Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-20 Travis G. Maak
Abstract not available
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A Layered Approach to the History and Physical Exam of the Athlete's Hip Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-20 Michael J. Vogel, Alexander B. Alvero, Joshua Wright-Chisem, Shane J. Nho
Hip pathology is a common source of pain and dysfunction in athletes. Taking a layered approach to the history and physical examination of the athlete's hip is imperative to deciphering the vast differential diagnoses for an athlete's hip pain. Systematic evaluation of the (1) osteochondral, (2) capsulolabral, (3) musculotendinous, (4) neurovascular, and (5) kinematic chain layers of the hip allow
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Accessing the Hip and Capsular Management: Outside-in and Inside-out including Periportal, Intraportal, T-Capsulotomy Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-20 Saranya A Sethuraman, Brian D Giordano
The hip joint is a ball and socket joint supported by static and dynamic stabilizers. The hip capsule and its constituent ligaments provide support during weight-bearing activities. Hip arthroscopy requires capsulotomy for visualization and instrumentation and a thorough understanding of the anatomy and biomechanics of the hip capsule allows surgeons to select the appropriate capsulotomy technique
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Table of Contents (pick up from previous issue w/updates) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-05
Abstract not available
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Editorial Board (pick up from previous issue) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2024-01-05
Abstract not available
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Table of Contents (pick up from previous issue w/updates) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-12-14
Abstract not available
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Editorial Board (pick up from previous issue) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-12-14
Abstract not available
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Patellofemoral Imaging and Analysis Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-12-02 Galvin J. Loughran, Nicholas G. Rhodes, Monica Sri Vel, Seth L. Sherman
Imaging of the patellofemoral joint (PFJ) is essential for evaluating patellofemoral pathology and injury. In addition to a detailed history and physical examination, PFJ imaging should be used to better understand the relationship between osseous and soft tissue structures, further confirm a diagnosis, and to create an individualized treatment plan for each patient. This article reviews the relevant
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Lower Limb Rotational Malalignment: Derotational Osteotomies of the Femur and Tibia in the Setting of Recurrent Patellar Instability Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-30 Matthew Stiebel, Jack Farr, Dror Paley
Valgus lower extremity alignment with excessive femoral anteversion and tibial external torsion (miserable malalignment syndrome) results in patellar maltracking. Sagittal plane deformities (rotational alignment) should be quantified along with typical frontal plane alignment. Femoral and tibial rotation can be assessed with both physical examination and radiographic studies. Derotational osteotomies
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Cartilage Restoration of the Patellofemoral Joint: Techniques and Outcomes Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-30 Chilan B.G. Leite, Logan W. Huff, Giovanna I.S. Medina, Brian J. Cole, Christian Lattermann
Patellofemoral cartilage injuries present a complex challenge due to the unique anatomy and biomechanics of the joint. The daily activities involving the knee, such as weight-bearing, stair ambulation, and squatting, impose high loads on the joint, increasing the risk of cartilage overload and subsequent cartilage injury. Additionally, several anatomical abnormalities, including patellar malalignment
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Trochleoplasty: Groove-Deepening, Recession Wedge, and Entrance Grooveplasty Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 Andrew Phillips, Erik Haneberg, William Harkin, Richard Danilkowicz, Mario Hevesi, Adam Yanke
Patellar instability in patients with a dysplastic trochlea can be challenging to treat without addressing the trochlea directly. Trochleoplasty allows the surgeon to target a root osseous cause of instability and is an effective treatment option in well-selected patients. This chapter explores the variations in trochleoplasty techniques and offers an overview of recently published data associated
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Lateral Patellofemoral Ligament Reconstruction: Anatomy, Biomechanics, Indications, and Surgical Techniques Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 Benjamin Kerzner, Daniel J. Kaplan, Luc M. Fortier, Zeeshan A. Khan, Johnathon R. McCormick, Betina B. Hinckel, Jorge Chahla
Medial patellar instability is less common than lateral instability and is almost always iatrogenic in nature. The lateral patellofemoral complex, and in particular the lateral patellofemoral ligament, is a major restraint to medial displacement of the patella. When considering surgical intervention, a comprehensive evaluation including understanding of previous procedures and presence of additional
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Introduction Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 Adam B. Yanke, Mario Hevesi
Abstract not available
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Tibial Tubercle Osteotomy: Anterior, Medial and Distal Corrections Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 Christopher A. Schneble, Bradford S. Tucker, John P. Fulkerson
Tibial tubercle osteotomies (TTOs) are a versatile procedure that can be used to treat several conditions due to its ability to manipulate both extensor mechanism tracking and patellofemoral joint contact forces. This permits a wide array cut geometries that can be titrated to the individualized needs of each patient. Most common is the anteromedializing (AMZ) TTO, which has been a workhorse procedure
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Medial Patellofemoral Ligament Repair: Still a Relevant Treatment for Patellar Instability? Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 Natalie K. Kucirek, Drew A. Lansdown
Medial patellofemoral ligament (MPFL) repair is a historically relevant treatment option for patellar instability, though it has been increasingly supplanted by MPFL reconstruction. Although several comparative studies report superior functional outcomes and a lower risk of recurrent patellar dislocation after MPFL reconstruction, MPFL repair may still be a viable treatment for a select group of patients
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Update on Patellofemoral Anatomy and Biomechanics Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 Evan T. Zheng, Chris M. Powers, Miho J. Tanaka
The patellofemoral joint experiences substantial physiologic loads with normal daily activity. Anatomic risk factors can place certain patients at risk for patellofemoral pathology including patellar instability. Stability and load capacity of the joint are a result of numerous factors including the unique configuration of osseous and cartilaginous structures, static and dynamic soft tissue stabilizers
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Osseous Medial Patellofemoral Ligament Reconstruction Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 William E. Harkin, Erik Haneberg, Andrew Phillips, Beth E. Shubin Stein, Adam B. Yanke
Medial patellofemoral ligament (MPFL) reconstruction is the most commonly performed surgery for treatment of lateral patellar instability. It may be used in isolation or in conjunction with a variety of different procedures depending on the individual patient's specific risk factors for instability. Indicating the correct patient involves a thorough history, physical examination, and proper imaging
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Lateral Lengthening and Lateral Release Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 Erik Haneberg, Andrew Phillips, Eric Cotter, Adam B. Yanke
The lateral retinaculum is a complex, layered structure that is the primary constraint to medial translation of the patella. Patients can develop patellar hypercompression syndrome and arthritis of the lateral patellofemoral joint from an overly tight lateral retinaculum. Conservative treatments include physical therapy and bracing but if relief is not achieved, surgical treatment in the form of lateral
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Pediatric Medial Patellofemoral Ligament Reconstruction and Concomitant Procedures Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-24 Danielle E. Chipman, Rajul Gupta, Daniel W. Green, Shital N. Parikh
The article describes safe surgical techniques to address patellar instability in children and adolescents. Open physis presents unique technical challenges during surgical treatment in skeletally immature patients. Besides MPFL reconstruction, the article presents physeal-respecting alternatives such as MQTFL reconstruction and adductor sling technique. Concomitant procedures like guided growth and
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Pelvic Floor Dysfunction Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-15 Alethea J. Appavu, Sol Abreu-Sosa, Sheila A. Dugan
The purpose of this chapter is to introduce pelvic floor dysfunction and treatment in female athletes. Pelvic floor dysfunction (PFD) is a composed of a variety of disorders that involve some level of impairment of the pelvic floor musculature. Pelvic floor dysfunction can affect both sports performance and quality of life in female athletes. PFD during elite performance years can increase the likelihood
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Ankle Injuries in Female Athletes Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-15 Taylor Wingo, Arianna L. Gianakos, Mary K. Mulcahey
Female participation in sports has steadily increased over the past several decades, and so has the prevalence of injuries in the female athletic population. However, there has not been a concomitant increase in the literature discussing the specific injury patterns more common in this population. In particular, the incidence in ankle injuries is higher in female athletes compared to their male counterparts
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Shoulder Injuries and Instability in the Female Athlete Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-15 Miranda G. Manfre, Daniel J. Stokes, Lisa A. Malyak, Rachel M. Frank
Female participation in sports, particularly contact sports, increases on a yearly basis, and injuries have become more prevalent with this trend. Despite this, there is a lack of research surrounding interrelated sex-based differences. Societal influences, fewer regulations, varying perceptions, and anatomic and physiological components contribute to an increased susceptibility to injury and potentially
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Pregnancy, the Postpartum Period, and Menopause Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-15 Jeremy J. Loescher, Emily L. Kellogg, Caitlin A. Nicholson
Our article focuses on the specific orthopaedic considerations that arise during 3 important phases in a female athlete's life: pregnancy, postpartum, and menopause. These life events bring about hormonal, physiological, and biomechanical changes that can significantly impact musculoskeletal health. Understanding and managing these considerations are crucial for healthcare providers, as they play a
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Introduction: The Female Athlete Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-15 Caitlin A. Nicholson
Abstract not available
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Relative Energy Deficiency in Sport (RED-S) and Bone Stress Injuries Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-15 Daniel R. Kim, Kathleen Weber
Relative Energy Deficiency in Sport (RED-S) is a syndrome caused by low energy availability that has significant physiological consequences. Bone stress injuries (BSIs), including stress fractures, are overuse injuries that occur when there is an imbalance of bone microdamage and its removal and replacement via bone remodeling. Female athletes are at particular risk of RED-S, which can manifest as
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Knee Injuries: ACL Tears and Patellofemoral Pathology Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-15 Ophelie Lavoie-Gagne, Miho J. Tanaka
Female athletes are at a greater risk of knee injuries than males, which has been attributed to anatomic, biologic, and kinematic risk factors. Knee conditions such as anterior cruciate ligament tears and patellofemoral disorders are more commonly reported in females. There exist sex-specific differences in anatomy that may influence assessment and surgical treatment of knee injuries, such as intercondylar
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Concussion in Female Athletes Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-11-15 Elizabeth M. Pieroth, Alissa Wicklund
The majority of research on sport-related concussions is conducted on male athletes. The paucity of research focused on female athletes creates a challenge in developing protocols for prevention and treatment of female athletes with concussions. This paper reviews the current epidemiology, injury mechanisms and treatment of concussions in female athletes. Theories on sex-based differences in sport-related
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Table of Contents (pick up from previous issue w/updates) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-10-16
Abstract not available
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Editorial Board (pick up from previous issue) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-10-16
Abstract not available
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Unstable Knee OCD Lesion Fixation with Bioabsorbable Fixation Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-09-09 Danielle E. Chipman, Alexandra H. Aitchison, Daniel W. Green
Osteochondritis dissecans (OCD) lesions of the knee are a common injury and may occur in up to 15% of acute or recurrent patellar dislocations. While small, stable lesions may be treated nonoperatively or with excision, large or unstable lesions generally require surgical treatment to optimize clinical outcomes. Surgical treatment often involves arthroscopy to visualize the lesion, followed by open
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Osteochondritis Dissecans Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-09-03 Brian J. Cole, Daniel W. Green
Abstract not available
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Unstable Osteochondritis Dissecans (OCD) Lesion Fixation with Sutures Bridge Fixation Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-08-29 Henry B. Ellis, Benjamin Johnson, Charles Wyatt, Philip L. Wilson
Treatment principles of osteochondritis dissecans management are predicated upon improving the biology and stability of the subchondral bone and unossified epiphyseal cartilage to preserve the integrity of the scaffold providing support to the articular cartilage. Desirable characteristics of fixation options for these lesions include readily available implants, reasonable cost, a favorable outcome
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Drilling of Stable Symptomatic Juvenile OCD: Techniques and Outcomes Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-08-29 Kaisen Yao, Benton E. Heyworth
Osteochondritis dissecans (OCD) lesions in the skeletally immature patient are rare but have the potential to become debilitating if left untreated. For skeletally immature patients with stable OCD lesions who have failed nonoperative measures, drilling is often considered the gold standard for surgical treatment. The 3 main techniques of drilling include (1) trans-articular, (2) retro-articular, and
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Osteochondral Autograft Transplantation for OCD: Techniques and Outcomes Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-08-29 Joshua T. Bram, Preston W. Gross, Peter D. Fabricant
Osteochondritis dissecans of the knee is a relatively common pathology presenting to sports knee surgeons with a variety of treatment options, such as drilling or drilling and internal fixation (if there is a viable fragment), or articular surface restoration techniques in the case of unsalvageable tissue. Articular surface restoration techniques include osteochondral autograft transplantation (OAT)
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Osteochondral Allograft Transplantation for Osteochondritis Dissecans Lesions Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-08-28 Landon Frazier, Alexander C. Weissman, Allen A. Yazdi, Ryan Quigley, Katie J. McMorrow, Sachin Allahabadi, Brian J. Cole
Osteochondritis Dissecans (OCD) poses a complex treatment challenge, particularly in cases of unstable lesions or in patients who have failed conservative management. Osteochondral allograft transplantation (OCA) offers an effective solution for treating patients with large, multifocal, or complex OCD defects. This review provides an in-depth analysis of the current concepts, indications, and operative
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Diagnostic Evaluation and Treatment Algorithm of Osteochondritis Dissecans Lesions Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-08-28 Sofia Hidalgo Perea, Danielle E. Chipman, Daniel W. Green
Osteochondritis dissecans most commonly affects the knee, elbow, and ankle. Due to its similarity and previous confusion with other conditions such as osteochondral fractures and osteonecrosis, and the inability to investigate the development of lesions prior to clinical presentation, the exact pathogenesis remains an enigma. The true incidence and prevalence are unknown because of the varying degree
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ACI & MACI for the Management of Osteochondritis Dissecans Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-08-28 Thomas Johnstone, Kevin Shea
Osteochondritis dissecans (OCD) is defined as a focal idiopathic alteration of subchondral bone and/or its precursor with risk for instability and disruption of adjacent articular cartilage that may result in premature osteoarthritis. A robust treatment for unstable and unsalvageable OCD lesions, as well as those failing other treatments, is autologous chondrocyte implantation (ACI). In ACI procedures
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Internal Fixation of Unstable OCD Lesions with Metal Compression Screws: Techniques and Outcomes Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-08-28 Ryan Quigley, Landon Frazier, Sachin Allahabadi, Brian J. Cole
Osteochondritis dissecans (OCD) is a pathologic condition that affects the subchondral bone and overlying articular cartilage with variable degrees of instability and detachment. The specific etiology is frequently unknown; however, it is thought to result from multifactorial contributions including acute trauma, recurrent microtrauma, inflammation, or inherited diseases involving vascular perfusion
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Table of Contents (pick up from previous issue w/updates) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-03-21
Abstract not available
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Editorial Board (pick up from previous issue) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-03-21
Abstract not available
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Tuberoplasty: Indications, Technique, and Preliminary Results Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-27 Justin W. Griffin, Dustin M. Runzo, Kevin F. Bonner
The optimal approach to the treatment of massive irreparable rotator cuff tears (MIRCTs) continues to be debated among shoulder surgeons. While nonsurgical treatment is a reasonable option for some, many of these patients continue to experience pain, weakness, and overall limited function of the shoulder. Superior capsular reconstruction has become a widely accepted approach to the treatment of MIRCT
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Advanced Subscapularis Repair Techniques Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-18 Christopher M. Brusalis, Jimmy J. Chan, Garrett R. Jackson, Zeeshan A. Khan, Daniel J. Kaplan, Sachin Allahabadi, Nikhil N. Verma
The subscapularis muscle plays an essential role in full, pain-free shoulder function. Injuries to the subscapularis tendon exist on a spectrum of severity. In the evaluation of the injured and/or painful shoulder, careful scrutiny of the subscapularis tendon on advanced shoulder imaging in all planes facilitates detection of subscapularis pathology. Specific surgical techniques of subscapularis tendon
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Interpositional Balloon: A New Frontier Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-13 Mohamad Y. Fares, Adam Z. Khan, Joseph A. Abboud
The best treatment approach for massive, irreparable rotator cuff tears is a complex and unsolved clinical problem. There are a variety of surgical options described in the literature and debate on the ideal treatment approach depending on the patient's shoulder pathology, preoperative function, postoperative goals, and medical co-morbidities. The subacromial balloon spacer is an innovative device
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Biologic Adjuvants for Rotator Cuff Augmentation Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-12 Colin L. Uyeki, Nicholas P.J. Perry, Evan M. Farina, Charles Wang, Robert J. Nascimento, Augustus D. Mazzocca
Rotator cuff tears are a common injury in adults, and many patients will subsequently require surgical repair. While advancements in surgical technique have allowed for excellent time-zero mechanical repair of rotator cuff tears, retears remain a significant issue for patients and surgeons. Biologic adjuvants have been under investigation with the hope of reducing retears by enhancing the healing milieu
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Rotator Cuff Repair: How Many Rows? Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-12 Edward Bowen, Answorth Allen, Asheesh Bedi
Technical considerations of the rotator cuff repair remain of great importance as retear rates remain high. The double-row (DR) rotator cuff repair was designed to better restore the native enthesis footprint to maximize healing. The DR repair features a medial and lateral row of suture anchors. Anatomical and cadaveric studies have demonstrated improved footprint restoration with DR repair. Biomechanically
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Massive Rotator Cuff Tears: Tips and Tricks for Surgical Management Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-12 Burton D. Dunlap, Alexander J. Hodakowski, Grant E. Garrigues
Massive rotator cuff tears provide a significant challenge to the orthopedic surgeon. A complete and anatomical tendon restoration without significant tension is the goal of treatment, but oftentimes the chronicity of the presentation makes it difficult. The treating surgeon must approach these cases in a methodical and organized manner. Visualization and recognition of the tear pattern, followed by
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Put a Patch on It!: When and How to Perform Soft-Tissue Augmentation in Rotator Cuff Surgery Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-12 Landon P. Frazier, Ryan A. Quigley, Joseph W. Galvin, Brian R. Waterman, Christopher M. Brusalis, Brian J. Cole
Despite advancements in arthroscopic and surgical techniques, successful management of large to massive rotator cuff tears remains challenging. Risk factors including advanced age, significant retraction, reduced bone mineral density, and high physical demand have previously been shown to be negative prognostic indicators of good outcomes in rotator cuff repair. In order to increase healing rates,
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Prevalence, Natural History, and Nonoperative Treatment of Rotator Cuff Disease Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-11 John E. Kuhn
Rotator cuff disease is extremely common, affecting between 6.8% and 22.4% of the population over age 40. Tear prevalence, size, likelihood of progression, and retear rates after surgical repair are all related to increasing age. These data suggest that asymptomatic rotator cuff tears are a process related to aging, and the description of this as a “tear” may be inaccurate. In addition to age, other
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Suprascapular Nerve Decompression With Rotator Cuff Repair; Indications, and Techniques Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-11 Felix H. Savoie, Michael J. O'Brien
Repair of the rotator cuff is a common procedure with a relatively high success rate. Failures do occur for a variety of issues, most related to healing and trauma. Neuropathy may also be a cause of failure of repair, more often related to cervical myelopathy or nerve root compression, but also due to compression, traction, or scarring of the suprascapular nerve at either the suprascapular notch or
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Reverse Shoulder Arthroplasty for Rotator Cuff Deficiency Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-11 Gregory P. Nicholson, Burton D. Dunlap
Rotator cuff disease is one of the more common causes of shoulder pain, but there still is some dilemma with management of large or massive tears. When all other options short of a joint replacement have been explored, the reverse shoulder arthroplasty serves as a reliable and predictable treatment option. The surgeon must incorporate a detailed history, physical examination, and imaging workup when
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Tendon Transfers in Rotator Cuff Deficiency Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-11 Abdulaziz F. Ahmed, Karan Dua, Ryan Lohre, Bassem T. Elhassan
Massive irreparable rotator cuff tears (MIRCT) is a difficult clinical problem to treat in young, active individuals with minimal arthritis. Tendon transfers allow for donation of muscle units that can power the shoulder and restore kinematics. Posterosuperior rotator cuff deficiency can be treated with either a latissimus dorsi tendon or lower trapezius tendon transfer. The authors preferred method
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Biceps Management in Rotator Cuff Disease Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-11 Paul Sethi, Byron Ward, Marc Kowalsky
LHBT tendinopathy is frequently encountered during the treatment of rotator cuff tears. Persistently symptomatic, or structurally abnormal/unstable LHBT may necessitate surgical treatment. Biceps tenotomy remains a viable option. Biceps tenodesis, when appropriate, may be performed through an arthroscopic intra-articular, high-in-the-groove approach, suprapectoral approach, or an open subpectoral approach
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Advanced Surgical and Biologic Management of Rotator Cuff Pathology Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2023-01-11 Nikhil N. Verma, Brian J. Cole
Abstract not available
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Table of Contents (pick up from previous issue w/updates) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2022-11-22
Abstract not available
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Editorial Board (pick up from previous issue) Op. Tech. Sport. Med. (IF 0.3) Pub Date : 2022-11-22
Abstract not available