Arthroscopy News

Patients with rotator cuff tears with shoulder stiffness and a preoperative duration of symptoms of 6 months or longer experienced poorer functional outcomes after one-stage arthroscopic treatment compared with patients who had a shorter duration of symptoms, according to results.

A 14-year-old right hand dominant female patient presented with the chief complaint of left non-dominant shoulder pain associated with a decreased range of motion. She described her pain as being diffusely throughout the shoulder joint anteriorly, posteriorly and laterally. She rated her pain at 5 out of 10 and took naproxen occasionally as needed. She initially noted this pain about 3 months prior to consultation after she sustained a minor trauma during tae kwon do lessons which was not sufficient to remove her from participation in the sport. A few weeks prior to her presentation, she was evaluated by a physical therapist, however, no formal recommendations were made and she received formal treatment for her symptoms. In addition to tae kwon do, the patient participated in soccer and softball. Upon systems review, she refuted any numbness, tingling or paresthesia distal to her shoulder joint on both her left and right side.

Patients with Tönnis grade 1 who underwent arthroscopic treatment of femoroacetabular impingement and labral tears experienced similar, durable improvements compared with patients with Tönnis grade 0, according to results.

Despite some initial clinical differences, multivariate analysis results published in The American Journal of Sports Medicine showed no associations between BMI and clinical outcomes after hip arthroscopic surgery with capsular plication for femoroacetabular impingement.

The lateral hip is a common site for hip pain. It has been termed greater trochanteric pain syndrome and the condition can be debilitating for patients. It has been shown in MRI studies that recalcitrant greater trochanteric pain syndrome is secondary to underlying abductor tendon pathology in about 50% of cases and it may not respond to the usual treatments for greater trochanteric pain syndrome, such as therapy, NSAIDs and corticosteroid injections. Abductor tendon pathology most commonly occurs in women in their fifth and sixth decade of life and it often presents as a lateral pain, limp, Trendelenburg gait and weak abduction of the hip.

An otherwise healthy 16-year-old high school football player presented to the clinic with right knee pain following a blow to the anteromedial side of the knee in a football game. He could walk off the field and in clinic did not have significant pain, but his knee was stiff and swollen. The patient had a history of ACL reconstruction, which was performed twice on the affected right knee. The primary reconstruction was with an ipsilateral hamstring tendon autograft and the revision surgery was with the contralateral hamstring autograft. At the time of both ACL surgeries, the patient’s meniscus was normal with no evidence of tears and did not require treatment. However, the patient’s initial ACL reconstruction failed after 4 months following a non-contact twisting injury sustained during physical therapy.

Recently published results showed no increased risk for diminished performance among athletes invited to the National Football League Combine and who had a history of successful athletic pubalgia surgery and those with persistent pathology on MRI.

Patients with anterior shoulder instability treated with the traditional Latarjet technique had greater bony contact with the glenoid and greater bone width on each side of the screws, which allowed for a larger surface for healing, compared with the congruent arc modification of the Latarjet technique, according to results.

Recently published results showed athletes with chronic anterior shoulder instability treated with arthroscopic subscapularis augmentation experienced restoration of joint stability.

TORONTO — At the American Orthopaedic Society for Sports Medicine, Benedict U. Nwachukwu, MD, MBA, discussed a study that looked at the outcomes of arthroscopic treatment of anterior inferior iliac spine/subspine-related hip impingement. He said orthopedic surgeons should pay attention to the sub-spine region to see if it is an area causing a problem and if arthroscopic sub-spine decompression provided good outcomes for patients with sub-spine impingement.