Bridging Reconstruction for Massive Rotator Cuff Tears has a Low Rate of Arthritic Progression and Maintained Excellent Clinical Outcomes for a Minimum 5-year Follow-up.

Background: Bridging reconstruction (BRR) using human dermal allograft has emerged as a promising technique for large to massive rotator cuff tears allowing anatomical reconstruction of the rotator cuff, and preventing excessive repair tension, but little is known on the mid to long term results of this technique. The purpose of this study was to evaluate progression of rotator cuff arthropathy, graft healing, and clinical outcomes in patients following BRR for large to massive rotator cuff tears with a minimum 5-year follow-up.

Methods: A retrospective chart review of prospectively collected data was conducted for all patients who underwent BRR between 2012 and 2017.

Screw Fixation has Better Outcomes, Lower Incidence of Re-dislocation and Lower Bone Resorption than Button Fixation for Arthroscopic Anatomic Glenoid Reconstruction with Distal Tibia Allograft: A Matched Cohort Analysis.

Purpose: To compare the clinical outcomes between patients who received arthroscopic anatomic glenoid reconstruction (AAGR) using distal tibia allograft with button fixation versus screw fixation.

Methods: A retrospective chart review was conducted for all patients who underwent AAGR with button or screw fixation between 2012 and 2021. Patients were matched at a 1:1 ratio based on sex, type of surgery, and time since surgery.

Protocol-Driven Best Practices and Cardiogenic Shock Survival in Asian Patients.

Background: Cardiogenic shock carries high mortality. This study investigated the relationship between protocol-advocated best practices and outcomes.

Methods: Patients with cardiogenic shock supported by Impella CP in an Asian tertiary cardiac center were evaluated for 30-day post percutaneous ventricular assist device (PVAD) survival after adopting a standardized protocol emphasizing early mechanical circulatory support (shock-to-PVAD time ≤180 minutes), pulmonary artery catheterization for invasive hemodynamics, and safe vascular access.

Management of First-Time Anterior Shoulder Dislocation-A Systematic Review and Meta-analysis: Arthroscopy Association of Canada Position Statement.

Background: While surgical stabilization is typically recommended for patients with recurrent shoulder instability, the management of first-time shoulder dislocation (FTSD) presents a unique challenge for health care providers.

Purpose: To assess the efficacy of arthroscopic Bankart repair (ABR) compared with nonoperative management for FTSDs.

Study Design: Review.

Management of Labral Tears in the Hip: A Consensus Statement.

Background: Inconsistencies in the workup of labral tears in the hip have been shown to result in a delay in treatment and an increased cost to the medical system.

Purpose: To establish consensus statements among Canadian nonoperative/operative sports medicine physicians via a modified Delphi process on the diagnosis, nonoperative and operative management, and rehabilitation and return to play (RTP) of those with labral tears in the hip.

Study Design: A consensus statement.

Association between COVID-19 anxiety syndrome and COVID-19 vaccine hesitancy in the postpandemic era: a cross-sectional study in Hong Kong.

Background: The COVID-19 pandemic has had profound psychophysiological and socioeconomic effects worldwide. COVID-19 anxiety syndrome (CAS) is a specific cluster of maladaptive coping strategies, including perseveration and avoidance behaviours, in response to the perceived threat and fear of COVID-19. CAS is distinct from general COVID-19 anxiety.

Patients with associated spine or other major joint pain have equivalent outcomes to patients with isolated hip pain after hip arthroscopy.

Objectives: This study aims to evaluate the outcomes of patients following surgery diagnosed with femoroacetabular impingement syndrome (FAIS) who also experience low back and other joint pain compared to those with isolated hip pain.

Methods: This is a retrospective cohort study of patients diagnosed with FAIS, with or without other joint pain, treated with hip arthroscopy from 2016 to 2020. Excluded cases were patients who had significant arthritis, irreparable labral tear requiring reconstruction, or were lost follow-up.

Rehabilitation from delayed bilateral complete quadriceps tendon repairs with knee extension assist braces: A case report.

Simultaneous bilateral quadriceps tears are rare with fewer than 150 cases reported in the literature and typically occur in male patients greater than 40 years of age. If left untreated or with delayed clinical intervention, these injuries often lead to chronic disability including pain and reduced ambulation. Typical treatments include surgical repair with considerable post-operative rehabilitation and a guarded prognosis.

Altered Hip Flexor and Extensor Activation During Progressive Inclined Walking in Individuals With Femoroacetabular Impingement Syndrome.

Context: Femoroacetabular impingement syndrome (FAIS) is a movement-related condition associated with pain and impaired function; yet the evidence for level ground walking hip biomechanics is limited and inconsistent. Challenging the hip with inclined walking for individuals with FAIS might be important for elucidating mechanically driven function loss and informing tailored rehabilitation. The purpose of this study was to determine the effects of progressive inclined walking on sagittal hip biomechanics and hip flexor and extensor activity in individuals with FAIS.

Mixed reality applications in upper extremity surgery: the future is now.

Mixed reality refers to the integration of virtual reality into the real-world environment. This digital content can be interacted with in real time. The emergence of mixed reality technology has been made possible by the introduction of head-mounted displays, which are being utilized across multiple surgical specialties.

Current Evidence and Techniques for Arthroscopic Bone Augmentation.

The indications for bone block augmentation of the glenoid following recurrent anterior shoulder instability are expanding. Arthroscopic anatomic glenoid reconstruction (AAGR) is an evolving technique with similar clinical results to the Latarjet procedure and other open bone block procedures. Multiple types of bone grafts and fixation techniques have been described, with varying results on bony integration, resorption, articular congruity, and recurrence rates.

Characteristics and pathogenicity of SWS causing high mortality in mud crab () aquaculture in Hong Kong.

Introduction: is a Gram-negative, rod-shaped bacterium belonging to the family of , a common pathogen in aquaculture animals, However, studies on its impact on (mud crabs) are limited. In this study, we isolated SWS from dead mud crab during a disease outbreak in a Hong Kong aquaculture farm, which caused up to 70% mortality during summer.

Methods: Experimental infection and histopathology were used to investigate the pathogenicity of SWS in and validate Koch's postulates.

Arthroscopic Augmentation of Subscapularis Revision Repair Using a Bioinductive Collagen Implant.

The overall failure rate of rotator cuff healing after primary repair is high and is even greater in revision cases. This worrisome outcome has spurred the development and use of biological materials to help promote healing potentials. This Technical Note describes an all-arthroscopic technique for the application of a bioinductive collagen patch to augment subscapularis full-thickness tear repair.

Cardiac power output ratio: Novel survival predictor after percutaneous ventricular assist device in cardiogenic shock.

Aims: Currently, there is limited data on prognostic indicators after insertion of percutaneous ventricular assist device (PVAD) in the treatment of cardiogenic shock (CS). This study evaluated the prognostic role of cardiac power output (CPO) ratio, defined as CPO at 24 h divided by early CPO (30 min to 2 h), in CS patients after PVAD.

Methods And Results: Consecutive CS patients from the QEH-PVAD Registry were followed up for survival at 90 days after PVAD.

Transmission Patterns of Co-Circulation of Omicron Sub-Lineages in Hong Kong SAR, China, a City with Rigorous Social Distancing Measures, in 2022.

Objective: This study aimed to characterize the changing landscape of circulating SARS-CoV-2 lineages in the local community of Hong Kong throughout 2022. We examined how adjustments to quarantine arrangements influenced the transmission pattern of Omicron variants in a city with relatively rigorous social distancing measures at that time.

Methods: In 2022, a total of 4684 local SARS-CoV-2 genomes were sequenced using the Oxford Nanopore GridION sequencer.

Clinical and radiographic outcomes of primary vs. revision arthroscopic anatomic glenoid reconstruction with distal tibial allograft for anterior shoulder instability with bone loss.

Background: The purpose of this study was to assess the clinical and radiographic outcomes of arthroscopic anatomic glenoid reconstruction (AAGR) used for primary vs. revision surgery for addressing anterior shoulder instability with bone loss.

Methods: We performed a retrospective review on consecutive patients who underwent AAGR from 2012 to 2020.

Retrograde closure of post-infarct ventricular septal rupture to avoid moderator band entanglement.

A 63-year-old man presented with delayed inferior ST-elevation myocardial infarction complicated with ventricular septal rupture (VSR). He developed cardiogenic shock and respiratory failure requiring intubation and Impella (Abiomed) support.

Short-Term Outcomes of ACURATE neo2.

Inferior outcomes with ACURATE neo, a self-expanding transcatheter heart valve (THV) for the treatment of severe aortic stenosis, were mainly driven by higher rates of moderate/severe paravalvular leak (PVL). To overcome this limitation, the next-generation ACURATE neo2 features a 60% larger external sealing skirt. Data on long-term performance are limited; however, clinical evidence suggests improved short-term performance which is comparable to contemporary THVs.