Arthroscopy News

In patients with suspicion but no clear evidence of periprosthetic shoulder infection, published results showed diagnostic arthroscopy may be a useful diagnostic tool, offering high sensitivity and specificity.

The indications for acetabular labral reconstruction are controversial. The literature is full of reports that show good results with labral treatment ranging from minimal debridement to repair or segmental reconstruction and ultimately to circumferential reconstruction. Also reflected in the literature is the shared experience of surgeons who have dedicated their careers to helping people with non-arthritic hip problems. In other words, some times it may not matter how we treat the labrum; other times it matters quite a bit. Widely cited work that shows superior results with repair vs. debridement suggests that patients who underwent debridement, but did not fare well had undertreated labral pathology. However, we must be aware that the majority of these patients still did well. We can infer from such results, as well as from many other published reports and our shared experience, that how we treat the labrum does matter to a consequential percentage of our patients.

Higher rheumatoid arthritis disease activity at the time of total hip or knee arthroplasty is associated with an increased risk for worse pain and function 1 year following the operation, according to data published in Arthritis Care & Research.

Social support appears to be a prognostic factor for some outcomes, including long-term beneficial impacts on certain WOMAC and Oxford Knee scores, following total hip or knee replacement, according to findings published in The Lancet Rheumatology.

NEW YORK — Bankart repair with remplissage may reduce the risk of re-dislocation up to 2 years postoperatively among patients with anterior shoulder instability and a Hill Sachs lesion, according to results presented at the American Shoulder and Elbow Surgeons Annual Meeting.

I perform arthroscopic labral repair when possible. The real question is whether the entire labrum, even intact sections, should be replaced by a labral graft in the common scenario of focal anterosuperior labral insufficiency typically observed in patients with femoroacetabular impingement (FAI).

A 15-year-old boy with no significant past medical history arrives to clinic for evaluation of left knee pain and swelling after sustaining a non-contact injury 2 days earlier while playing baseball. The patient states he was running from third base to home and felt a sudden sharp pain and a pop in his left knee when his foot struck the plate. He reports that his knee became significantly swollen the night of the injury. He has been able to bear weight for the last 2 days. When asked to localize his pain, he points to the anteromedial and anterolateral aspects of the left knee. The pain has subsided in the last day; however, he still has some discomfort and rates his pain as a two out of 10. The patient describes having a subjective feeling of instability. He denies a history of other injuries or surgeries to the left knee. Review of systems was negative aside from that stated above.

BOSTON — Results presented at the American Orthopaedic Society for Sports Medicine Annual Meeting showed preoperative mental health status was more predictive of 1-year patient-reported outcomes of hip pain and function compared with intraoperative findings during hip arthroscopy for femoroacetabular impingement.

Published results showed significant improvements in patient-reported outcomes at a minimum of 5 years among patients who underwent hip arthroscopy with segmental labral reconstruction. These results were comparable with patients who underwent primary labral repair, except primary labral reconstruction resulted in lower patient satisfaction scores.

In a study of patients with no or mild osteoarthritis who underwent arthroscopic partial meniscectomy, investigators found no clinically meaningful differences in patient satisfaction or clinical outcomes between patients who had traumatic vs. degenerative tears.