Needle assisted arthroscopic clysis of the medial collateral ligament of the knee: a simple technique to improve exposure in arthroscopic knee surgery.

During knee arthroscopy, narrowness and tightness maybe encountered in the medial compartment that does not allow sufficient visualization or instrumentation. When this occurs, our team has found it helpful to perform a percutaneous clysis of the deep portion of the medial collateral ligament with a spinal needle. With the knee positioned in 10° to 20° of flexion and a valgus stress is applied.

Arthroscopic anterior diskectomy of the cervical spine.

We describe a minimally invasive arthroscopic technique for anterior diskectomy of the cervical spine. Fingertip pressure is applied between the carotid sheath laterally and the pharynx medially. The trachea and esophagus are displaced to the contralateral side.

Arthroscopic transfer of the long head of the biceps tendon: functional outcome and clinical results.

Purpose: We sought to evaluate clinical and functional outcome in a cohort of patients who underwent transfer of the long head of the biceps tendon (LHBT).

Methods: Patients who were diagnosed with biceps pathology or instability underwent an arthroscopic assisted or all arthroscopic transfer LHBT as either an isolated procedure or part of another shoulder procedure by the senior author. The procedure was performed using a new arthroscopic subdeltoid technique.

The Di Giacomo technique: simplified suture passing in SLAP repair.

A 30 degrees arthroscope is introduced via the posterior soft spot portal, and an anterosuperior portal is created with the use of a 7-mm disposable cannula. The anterosuperior portal is used for instrumentation. An 18-gauge spinal needle is passed via the portal of Neviaser and the rotator cuff into arthroscopic view above the superior labrum.

Anterior cruciate ligament revision: double-bundle augmentation of primary vertical graft.

A variety of factors contribute to the failure of primary anterior cruciate ligament (ACL) reconstruction; most commonly, it is technical error related to tunnel placement. Recently, the increasing popularity of the all-endoscopic ACL reconstruction and concern about graft impingement may have led to more posterior placement of the tibial tunnel by surgeons. Working through a tibial tunnel placed too posterior makes it more difficult to recognize the correct starting position on the femur, and more likely to start the femoral tunnel in a central 12 o'clock position.

Lasso repair of SLAP or Bankart lesions: a new arthroscopic technique.

Restoring the anatomic position and securing a torn superior labrum or Bankart lesion to its bony bed on the superior or anterior glenoid is the objective of surgical repair. The following technique describes a method that we have found to be effective, reproducible, and more time-efficient in affecting this goal. This technique allows the sutures to be passed through the soft tissue in a single step and, in addition, makes suture management easier before knot tying.

Arthroscopic removal of an osteoid osteoma of the shoulder.

Two cases of arthroscopic retrieval of intra-articular shoulder pathology are presented. With this technique, areas that are often difficult to expose in an open fashion and those previously deemed inaccessible arthroscopically are localized readily. In the setting of intra-articular pathology, thought should be given to the possibility of arthroscopic retrieval or excision before proceeding with open surgery.

The joint jack: report of a new technique essential for elbow arthroscopy.

Visualization and access are of fundamental importance in arthroscopy, including arthroscopy of the elbow. A new technique not previously described in the literature improves both of these factors for key areas within the elbow that would otherwise be inaccessible. This technique employs the application of gentle leverage to pry apart the surfaces of the ulnohumeral articulation when viewing and working posteriorly to improve visualization and access to the ulnohumeral and radiocapitellar articular spaces.