Arthroscopic rotator cuff surgery following shoulder trauma improves outcome despite additional pathologies and slow recovery.

Purpose: To compare the outcome, recovery and surgical findings after shoulder arthroscopy of clinically defined traumatic and non-traumatic rotator cuff pathology in middle-aged patients.

Methods: Of the patients who underwent rotator cuff surgery, 37 patients who reported a preceding shoulder injury related to their shoulder symptoms (traumatic group) were compared to a control group of 58 patients without a preceding injury (non-traumatic group), matched by age, body mass index and comorbidities. Data included demographic details, patient history, surgical findings, the Oxford Shoulder Score questionnaires and overall satisfaction from surgery.

Nerve injury during anterior cruciate ligament reconstruction: A comparison between patellar and hamstring tendon grafts harvest.

Background: Tendon harvesting for anterior cruciate ligament reconstruction often injures sensory branches of the saphenous nerve. The reports on the prevalence of these injuries are scarce, while the implications on patient satisfaction are not known. Our objective was to compare the prevalence of sensory nerve injuries in patellar to hamstring autograft harvesting for anterior cruciate ligament reconstructions and follow up their postoperative course.

Prevalence and clinical implications of nerve injury during bone patellar tendon bone harvesting for anterior cruciate ligament reconstruction.

Purpose: Tendon harvesting for anterior cruciate ligament (ACL) reconstruction often injure sensory branches of the saphenous nerve (SN). Our purpose was to estimate the prevalence and postoperative course of sensory nerve injuries in bone patellar tendon bone (BPTB) autograft harvesting for ACL reconstruction.

Methods: Between 2012 and 2014, patients who had primary ACL with BPTB autograft were included ( n = 60) and interviewed specifically for sensory loss and its recovery.

Anamnestic prediction of bucket handle compared to other tear patterns of the medial meniscus in stable knees.

Objective: The aim of this study was to analyze and compare the preoperative anamnestic details between patients with an arthroscopic diagnosis of bucket handle and other tear patterns of the medial meniscus in stable knees.

Methods: A total of 204 patients (mean age 49.3 ± 13 years) were included in the study.

Arthroscopic meniscectomy of traumatic versus atraumatic tears in middle aged patients: is there a difference?

Introduction: Meniscal tears can be classified in various ways, one of which is into traumatic or degenerative. It is not known whether partial meniscectomy of clinically defined traumatic compared to degenerative tears in middle age patients has favorable results. The purpose of this study was to compare the outcome after arthroscopic partial meniscectomy of clinically defined traumatic to degenerative meniscal tears in middle age patients.

Does Timing of Arthroscopic Partial Meniscectomy in Stable Knees Matter?

The timing of arthroscopic partial meniscectomy (APM) is not well defined. The purpose of this study was to evaluate the impact of early surgical intervention on the short-term improvement in clinical outcome. Between June 2012 and July 2013, patients who had APM for symptomatic irreparable meniscal tears in stable knees with no preoperative radiographic osteoarthrosis were included ( = 187).

Gender Effect on the Outcome of Partial Medial Meniscectomy.

Complex posterior horn tears of the medial meniscus are common. Previous reports performed statistical stratifications to address the influence of gender on outcome following arthroscopic partial medial meniscectomy with variable conclusions. The aim of this study was to compare the clinical results of arthroscopic partial meniscectomy of the knee between men and women with complex medial meniscal tear type while controlling for other variables that may affect outcome.

Gender differences in the accuracy of joint line tenderness for arthroscopically confirmed meniscal tears.

Introduction: The reliability of joint line tenderness was previously investigated among other clinical tests for the diagnosis of meniscal pathology with variable results. The aim of this study was to evaluate and compare the accuracy of joint line tenderness as a clinical diagnosing test for arthroscopically confirmed meniscal tears between males and females.

Materials And Methods: For the purpose of preoperative joint line tenderness accuracy calculations, this study included male and female groups of patients who have had knee arthroscopy following preoperative diagnosis of meniscal tear.

[The evolution of surgical arthroscopy in Israel and worldwide].

Arthroscopy is a minimal invasive surgical technique to treat joint disorders with the use of fiber optics for indirect vision and small surgical tools. The first endoscopic direct inspection of the knee joint was documented at the beginning of the 20th century; however, the clinical practice of arthroscopy started only fifty years later. The "historical fathers" of surgical arthroscopy were Kenji Takagi from Japan and Eugen Bircher from Switzerland.

Correlation between body mass index and chondral lesions in isolated medial meniscus tears.

Background: Chondral lesions of the knee are commonly found during arthroscopic partial meniscectomy. The literature advises against arthroscopic medial meniscectomy in the presence of advanced chondral derangement because of unfavorable outcome. Recent studies have shown an association between obesity and chondropathy in patients with meniscal tears.

Which patients are less likely to improve during the first year after arthroscopic partial meniscectomy? A multivariate analysis of 201 patients with prospective follow-up.

Purpose: To determine which specific factors influence the improvements in function and pain at the first year following arthroscopic partial meniscectomy.

Methods: Between 2012 and 2013, patients who had arthroscopic partial meniscectomy were included (n = 201) and followed prospectively before surgery and at 12 months. Multivariable stepwise analysis included preoperative variables (age, gender, limb side, height, weight, body mass index, comorbidities, smoking, Tegner activity scale, Lysholm knee score, preceding injury and duration of preoperative symptoms) and arthroscopic findings (degree of cartilage lesions, medial or lateral meniscus involvement, type of meniscal tear and concomitant cruciate tear).

Low prevalence of isolated medial meniscal tears in young females with stable knees.

The information regarding isolated tears of the meniscus in stable knees (ie, without cruciate ligament tears), specifically in a younger population, is scarce. Although surgical treatment is preferred for young patients with meniscal tears, the diagnosis at this age may be misled by other sources of knee pain. The purpose of this study was to report on the prevalence and sex variance of isolated meniscal tears in a younger population based on arthroscopic findings.

[Greater trochanteric pain syndrome of the hip].

Lateral pain of the hip with point tenderness at the Greater Trochanter is a common musculoskeletal complaint. It is frequently diagnosed as trochanteric bursitis; however, this term is inaccurate because of evident non-inflammatory pathologies, particularly of the abductor tendons of the hip. It is important to differentiate this extra-articular source from an intra-articular or a lower back source of pain.

The complexity of pain around the knee in patients with osteoarthritis.

Osteoarthritis of the knee is a common joint disease that can cause substantial pain and disability. The manifestation of pain, however, is highly variable and has a poor correlation to plain radiographs. The source of pain in gonarthrosis is elusive.

Chondrolysis of the Hip following Septic Arthritis: A Rare Complication of Magnetic Resonance Arthrography.

Magnetic resonance arthrography (MRA) is commonly used to detect labral tears of the hip. Complications of MRA are unusual and include minor reactions such as chemical synovitis and urticaria. This paper presents a rapidly progressive chondrolysis of the hip in a young patient after arthrography.

The results of corrective osteotomy for valgus arthritic knees.

Purpose: To evaluate the results of corrective varus osteotomy in the treatment of arthritic knees with valgus deformity.

Methods: The data were retrieved from a literature review. Each relevant study was screened for demographic details, surgical techniques, follow-up periods, clinical outcomes, and complications.

Distal femoral osteotomy for valgus arthritic knees.

Background: Patients with genu valgum and isolated osteoarthritis of the lateral compartment are candidates for distal femoral varus osteotomy. Opening wedge osteotomy is a precise method to realign the knee axis with good short to midterm results. The aim of this study was to evaluate the outcome of patients who have had opening wedge distal femoral varus osteotomy utilizing the Puddu plate (Arthrex, Naples, FL, USA) fixation.

[Symptomatic rotator cuff tear of the shoulder].

Rotator cuff tears of the shoulder are common in the middle age and elderly population and can cause chronic pain. The prevalence of rotator cuff tears in people in their 50s, 60s, 70s, and 80s is 12.8%, 25.

Mid-term outcome of opening-wedge high tibial osteotomy for varus arthritic knees.

Gonarthrosis in the relatively young and active population causes major daily discomfort and disability. If the arthritic process is mainly limited to the medial compartment, the axis of a varus knee can be realigned laterally with high tibial osteotomy to unload the medial compartment and allow some cartilage regeneration and pain relief. This study describes the outcomes of patients who underwent opening-wedge high tibial osteotomies using Puddu plate (Arthrex, Naples, Florida) fixation.

Intra-articular injection of hyaluronic acid following arthroscopic partial meniscectomy of the knee.

The short-term recovery period post-arthroscopic meniscectomy is characterized by pain and impaired function most likely related to the irrigation of synovial fluid from the knee intraoperatively. Consequently, along with removal of harmful debris, the irrigation fluid dilutes the hyaluronic acid layer covering the joint tissues. Hyaluronic acid contributes to the homeostasis of the joint environment and is an important component of synovial fluid and cartilage matrix.