Return to Play After Surgical Treatment of High-Grade Acromioclavicular Joint Injuries in the Australian Football League.

Background: Acromioclavicular joint (ACJ) injuries are the second most common upper limb injuries in the Australian Football League (AFL); however, there is little evidence on the return-to-sport results after surgical stabilization of the ACJ in this sporting population.

Purpose: To investigate the return-to-sport time, on-field performance, and patient-reported outcomes in a series of professional AFL players after undergoing ACJ stabilization.

Study Design: Case series; Level of evidence, 4.

Current trends in the evaluation and treatment of SLAP lesions: analysis of a survey of specialist shoulder surgeons.

Background: Controversies exist in the classification and management of superior labral anterior and posterior (SLAP) lesions. Our aims were to assess the concordance rate of a group of specialist shoulder surgeons on the diagnosis of SLAP types and to assess the current trends in treatment preferences for different SLAP types.

Methods: Shoulder surgeons (N = 103) who are members of the Shoulder and Elbow Society of Australia were invited to participate in a multimedia survey on the classification and management of SLAP lesions.

Hidden degloving rotator cuff tears secondary to glenohumeral dislocation.

Background: A rare form of rotator cuff tear (RCT) is observed secondary to glenohumeral dislocation, followed by immediate repositioning, as well as formation of scar tissue between tendons and tuberosities. Radiographic diagnosis of such "degloving" tears is problematic because they are obscured by scar tissue. We aimed to describe characteristics of degloving tears and report outcomes following their arthroscopic repair.

Arthroscopic "Panorama" View of the Subacromial Space via Deltoid Fascia Release.

Proper visualization is of paramount importance during arthroscopic rotator cuff repair. We propose a technique that significantly improves the visualization of the rotator cuff when viewing from the anterolateral or lateral portals. This "panorama" view is obtained by a release of the deep layer of the deltoid fascia, which in turn increases the space between the humerus and the deltoid muscle.

Arthroscopic Distal Clavical Resection Using "Vis-à-Vis" Portal.

Arthroscopic distal clavicle resection has become an increasingly popular procedure in orthopaedics, and various techniques have been published. Many of the arthroscopic distal clavicle resection techniques that have been reported require visualization from the lateral portal with an anterior working portal to perform the resection. While these techniques have reported high success rates, there is often difficulty in viewing the entire acromioclavicular joint from the 2 standard arthroscopic portals (lateral and anterior).

A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging.

Background: Since Walch and colleagues originally classified glenoid morphology in the setting of glenohumeral osteoarthritis, several authors have reported varying levels of interobserver and intraobserver reliability. We propose several modifications to the Walch classification that we hypothesize will increase interobserver and intraobserver reliability.

Methods: We propose the addition of the B3 and D glenoids and a more precise definition of the A2 glenoid.

A Rare Case of Bipolar Clavicle Fracture.

Segmental or bipolar fractures of the clavicle generally refer to a concomitant ipsilateral distal clavicle and midshaft clavicle fracture. These injuries are exceedingly rare and are generally secondary to higher energy injuries. We report a case of a 38-year-old male who sustained a left bipolar clavicle fracture after falling from a push bike while riding recreationally which unusually involved the medial and lateral ends of the clavicle and not the midshaft as previously reported in other patients.