Patient-Specific E-mailed Discharge Instructions Improve Patient Satisfaction and Patient Understanding After Surgical Arthroscopy.

Purpose: The purpose of this study is to determine whether patient-specific e-mails after surgical arthroscopy improve patient satisfaction and patient understanding of their procedure compared to traditional, preprinted discharge instructions.

Methods: Sixty patients who underwent surgical arthroscopy were prospectively, randomized into two separate groups. One cohort received a detailed e-mail of their procedure, discharge instructions, and labeled intraoperative arthroscopic images, while the second cohort received the standard preprinted instructions, while their arthroscopic images were discussed at the time of follow-up.

Functional Rehabilitation and Return to Play After Arthroscopic Surgical Stabilization for Anterior Shoulder Instability.

Background: There exists limited objective functional return-to-play criteria after surgical stabilization for anterior shoulder instability in the competitive athlete.

Hypothesis: The proposed functional rehabilitation program and psychological evaluation after arthroscopic Bankart repair will help athletes return to sport with a decreased redislocation rate on return.

Study Design: Case series.

Core Muscle and Adductor Injury.

Core muscle injury is a common but difficult problem to treat. Although it can affect all individuals, it is most commonly seen in male athletes in cutting, twisting, pivoting, and explosive sports. Owing to the high association of femoroacetabular impingement, we believe these individuals are best treated with a multidisciplinary approach involving both orthopedic and general surgeons.

Assessing the effectiveness of neuromuscular training programs in reducing the incidence of anterior cruciate ligament injuries in female athletes: a systematic review.

Background: Anterior cruciate ligament (ACL) injuries are more common in female athletes because of anatomic and biomechanical factors. These injuries can have detrimental ramifications for the athlete and the health care system. Neuromuscular training programs have been designed to modify risk factors and prevent ACL injuries.

Surgical treatment of a chronically fixed lateral patella dislocation in an adolescent patient.

Acute patellar dislocation or subluxation is a common cause for knee injuries in the United States and accounts for 2% to 3% of all injuries. Up to 49% of patients will have recurrent subluxations or dislocations. Importance of both soft tissue (predominantly, the medial patellofemoral ligament, MPFL, which is responsible for 60% of the resistance to lateral dislocation) and bony constraint of femoral trochlea in preventing subluxation and dislocation is well documented.

MRI study of associated shoulder pathology in patients with full-thickness subscapularis tendon tears.

Subscapularis tendon tears are a well-established cause of shoulder pain. The objective of the current study was to evaluate the associated shoulder pathology in patients with full-thickness subscapularis tendon tears using magnetic resonance imaging. Forty-seven magnetic resonance imaging studies taken between 2008 and 2009 with a diagnosis of full-thickness subscapularis tendon tears were reviewed.

Evaluation of sterilization methods following contamination of hamstring autograft during anterior cruciate ligament reconstruction.

Purpose: Inadvertent contamination of the hamstring autograft during ACL reconstruction is infrequent, but can result in significant complications. The purpose of this study is to evaluate bacterial contamination of hamstring autografts dropped onto the operating room floor and methods of graft decontamination.

Methods: Hamstring tendons were harvested from patients.

Athletic pubalgia (sports hernia).

Athletic pubalgia or sports hernia is a syndrome of chronic lower abdomen and groin pain that may occur in athletes and nonathletes. Because the differential diagnosis of chronic lower abdomen and groin pain is so broad, only a small number of patients with chronic lower abdomen and groin pain fulfill the diagnostic criteria of athletic pubalgia (sports hernia). The literature published to date regarding the cause, pathogenesis, diagnosis, and treatment of sports hernias is confusing.

Soft tissue pathology around the hip.

Snapping hip syndromes have been treated with open surgery for many years. Recently, endoscopic techniques have been developed for treatment of snapping hip syndromes with results that are at least comparable if not better than those reported for open procedures. The greater trochanteric pain syndrome is well known by orthopedic surgeons.

Mechanics of hip arthroscopy.

In this article, the concepts important for hip arthroscopy are reviewed. Room setup, necessary equipment, and the basics of patient positioning are detailed, and the benefits of lateral versus supine positions are evaluated. The placement of common arthroscopic portals and the authors' preferred position and technique for hip arthroscopy are discussed.

Radiology.

Hip and groin pain are a common complaint among athletes of all ages, and may result from an acute injury or from chronic, repetitive trauma. Hip injuries can be intraarticular, extraarticular, or both. Labral abnormalities may occur in asymptomatic patients as well as in those with incapacitating symptoms and signs.

Clinical diagnosis of hip pain.

This article reviews the evaluation of the hip including the clinical history and physical examination. As our understanding of hip pathology evolves, and arthroscopic and other minimally invasive operative techniques improve, the focus is shifting toward earlier identification of hip pathology. Risk factors for the development of arthritis are now well established and include femoral acetabular impingement, labral tearing, developmental dysplasia, and slipped capital femoral epiphysis.

Management of type II superior labrum anterior posterior lesions: a review of the literature.

Superior labrum anterior and posterior lesions were first described in 1985 by Andrews et al. and later classified into four types by Synder et al. The most prevalent is type II which is fraying of the superior glenoid labrum with detachment of the biceps anchor.

Treatment of chronic lateral ankle instability: a modified Broström technique using three suture anchors.

Ankle sprains are very common injuries seen in the athletic and young population. Majority of patients will improve with a course of rest and physical therapy. However, with conservative management about twenty percent of all patients will go on to develop chronic lateral ankle instability.

Arthroscopic treatment of concomitant superior labral anterior posterior (SLAP) lesions and rotator cuff tears in patients over the age of 45 years.

Background: Rotator cuff tears commonly occur in combination with other shoulder injuries such as superior labral anterior posterior (SLAP) lesions. The incidence of these associated lesions increases with age; however, the management of concomitant SLAP and rotator cuff tears has yet to be convincingly addressed in the literature.

Hypothesis: Patients over the age of 45 years who have concomitant arthroscopic rotator cuff repair and debridement of their type II SLAP lesions will have improved patient satisfaction and functional outcome compared with those who undergo simultaneous rotator cuff and type II SLAP repair.

Anatomical reconstruction for chronic lateral ankle instability in the high-demand athlete: functional outcomes after the modified Broström repair using suture anchors.

Background: Modification of the Bröstrom repair with suture anchors has been used to address chronic lateral ankle instability. However, there are few studies in the literature reporting the functional outcomes after this particular procedure in the high-demand athlete.

Hypothesis: Anatomical reconstruction of the lateral ankle ligaments for chronic instability will return the high-demand athlete functionally to his or her previous level of activity.

Primary repair of knee dislocations: results in 25 patients (28 knees) at a mean follow-up of four years.

Objective: To investigate the outcomes of knee dislocations treated with primary repair and an early rehabilitation protocol.

Design: Retrospective.

Settings: Level 1 Trauma Center.

Arthroscopy for hip dislocation and fracture-dislocation.

We reviewed consecutive patients undergoing hip arthroscopy for loose bodies after sustaining hip dislocations and fracture-dislocations not requiring open fracture management. Eleven patients were identified, all with intra-articular loose bodies diagnosed by computed tomography. After 3 weeks, all patients underwent hip arthroscopy in which loose bodies were removed and labral pathology debrided.

Radiofrequency energy: applications and basic science.

Interest in using radiofrequency energy devices in orthopedics has been growing recently. The basic science of this intervention is similar to that of laser energy application and involves the heating of tissue. Collagen responds characteristically to heat--it becomes denatured, and its configuration becomes disorganized.

Treatment of type III tibial intercondylar eminence fractures in skeletally immature athletes.

Our retrospective study of 12 skeletally immature athletes with type III intercondylar eminence fractures showed that arthroscopic evaluation with mini-open arthrotomy and repair of the tibial intercondylar eminence fracture with absorbable suture can be successful in repairing anterior cruciate ligament avulsion fractures and in helping such patients return to their athletic endeavors.

Hip arthroscopy in the pediatric population.

Hip arthroscopy has obvious advantages over arthrotomy in the pediatric population. Hip arthroscopy, used as a diagnostic or therapeutic tool, is significantly less invasive than arthrotomy and allows for quicker recovery and return to activities. In addition, arthroscopy avoids dislocation of the femoral head and the corresponding risk of osteonecrosis.

Hip arthroscopy: surgical approach, positioning, and distraction.

The hip is the most deeply recessed joint in the body making it difficult to access arthroscopically. However, for the patient with a symptomatic loose body or labral tear open techniques are less advantageous. It is for this reason that, however difficult, minimally-invasive approaches to the hip have been developed.