Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103915
Gaurav Kumar Gupta M.S., D.N.B. , Rajkumar S. Amaravathi D.N.B. , Jerin Jeevo M.S., D.N.B. , Velpula Mohan Babu M.S. , Bibin Selvin M.S. , Anoop Pilar M.S., D.N.B. , Mahesh Shekoba M.S. , Padmanaban Sekaran M.Sc., P.T.
Acromioclavicular joint injuries are common, especially among athletes. Multiple techniques have been described for the reconstruction of acromioclavicular joint separation. Techniques described earlier or currently have addressed the coracoclavicular and acromioclavicular reconstruction, addressing only the superior-inferior and anteroposterior instability components. We describe an arthroscopy-assisted global and biological reconstruction of subacute acromioclavicular joint separation using a hamstring graft, showing the reconstruction of coracoclavicular, acromioclavicular, and coracoacromial ligaments and the deltotrapezial fascia to address superior-inferior instability, anteroposterior instability, and scapular dyskinesia.
{"title":"Arthroscopy-Assisted Anatomic Global Reconstruction of Acromioclavicular Joint Separation","authors":"Gaurav Kumar Gupta M.S., D.N.B. , Rajkumar S. Amaravathi D.N.B. , Jerin Jeevo M.S., D.N.B. , Velpula Mohan Babu M.S. , Bibin Selvin M.S. , Anoop Pilar M.S., D.N.B. , Mahesh Shekoba M.S. , Padmanaban Sekaran M.Sc., P.T.","doi":"10.1016/j.eats.2025.103915","DOIUrl":"10.1016/j.eats.2025.103915","url":null,"abstract":"<div><div>Acromioclavicular joint injuries are common, especially among athletes. Multiple techniques have been described for the reconstruction of acromioclavicular joint separation. Techniques described earlier or currently have addressed the coracoclavicular and acromioclavicular reconstruction, addressing only the superior-inferior and anteroposterior instability components. We describe an arthroscopy-assisted global and biological reconstruction of subacute acromioclavicular joint separation using a hamstring graft, showing the reconstruction of coracoclavicular, acromioclavicular, and coracoacromial ligaments and the deltotrapezial fascia to address superior-inferior instability, anteroposterior instability, and scapular dyskinesia.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103915"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ehlers-Danlos syndrome often presents with patellofemoral instability and, less commonly, proximal tibiofibular joint (PTFJ) instability, leading to compounded symptoms and functional impairment. This Technical Note describes a combined surgical approach for managing dual instability in patients with Ehlers-Danlos syndrome, involving medial patellofemoral ligament reconstruction and tibial tubercle osteotomy, in conjunction with PTFJ stabilization using an adjustable-loop cortical suspension device. This technique addresses biomechanical abnormalities and improves joint stability. Postoperative rehabilitation emphasizes controlled mobilization and progressive weightbearing. This comprehensive approach optimizes functional outcomes in patients with complex patellofemoral instability and PTFJ.
{"title":"Surgical Management of Combined Patellofemoral and Proximal Tibiofibular Joint Instability in a Patient With Ehlers-Danlos Syndrome","authors":"Sebastian Schmidt M.D. , Chilan B.G. Leite M.D., Ph.D. , Domenico Franco M.D. , Omar Protzuk M.D. , Nathan Sherman M.D. , Christian Lattermann M.D.","doi":"10.1016/j.eats.2025.103902","DOIUrl":"10.1016/j.eats.2025.103902","url":null,"abstract":"<div><div>Ehlers-Danlos syndrome often presents with patellofemoral instability and, less commonly, proximal tibiofibular joint (PTFJ) instability, leading to compounded symptoms and functional impairment. This Technical Note describes a combined surgical approach for managing dual instability in patients with Ehlers-Danlos syndrome, involving medial patellofemoral ligament reconstruction and tibial tubercle osteotomy, in conjunction with PTFJ stabilization using an adjustable-loop cortical suspension device. This technique addresses biomechanical abnormalities and improves joint stability. Postoperative rehabilitation emphasizes controlled mobilization and progressive weightbearing. This comprehensive approach optimizes functional outcomes in patients with complex patellofemoral instability and PTFJ.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103902"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103506
Peiguan Huang M.Med., Xiaoxu Wang M.D., Yong Fu M.D., Zhengmao Li M.D., Bin Peng M.Med., Min He M.Med., Chunrong He M.D.
Currently, transtendon is a widely used technique for PASTA (partial articular supraspinatus tendon avulsion) lesions. However, tendon trauma on the bursal layer is a drawback in transtendon repair. Therefore, we present a noninvasive transtendon double-pulley suture bridge that uses inverted mattress sutures as medial-row sutures instead of a medial-row anchor. In the treatment of PASTA lesions, the bursal layer can be completely retained, 6 sets of a double-pulley suture bridge can provide sufficient initial strength of tendon fixation, and the surgical difficulty is also greatly reduced.
{"title":"Arthroscopic Noninvasive Transtendon Double-Pulley Suture Bridge Repair of Partial Articular Supraspinatus Tendon Avulsions","authors":"Peiguan Huang M.Med., Xiaoxu Wang M.D., Yong Fu M.D., Zhengmao Li M.D., Bin Peng M.Med., Min He M.Med., Chunrong He M.D.","doi":"10.1016/j.eats.2025.103506","DOIUrl":"10.1016/j.eats.2025.103506","url":null,"abstract":"<div><div>Currently, transtendon is a widely used technique for PASTA (partial articular supraspinatus tendon avulsion) lesions. However, tendon trauma on the bursal layer is a drawback in transtendon repair. Therefore, we present a noninvasive transtendon double-pulley suture bridge that uses inverted mattress sutures as medial-row sutures instead of a medial-row anchor. In the treatment of PASTA lesions, the bursal layer can be completely retained, 6 sets of a double-pulley suture bridge can provide sufficient initial strength of tendon fixation, and the surgical difficulty is also greatly reduced.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103506"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103957
Dustin J. Kress M.A., Lucas C. Voyvodic M.D., Nicholas Pettinelli B.S., Patrick Waldron D.O., Ethan Vallellanes B.S., Sydney Solis B.S., Ravleen Kang B.S., Arina Caliman B.A., Chloe Kung B.S., James L. Chen M.D., M.P.H., Ajith Malige M.D.
Injury to the ulnar collateral ligament of the thumb metacarpophalangeal joint is commonly encountered in clinical practice, particularly among athletes. Although repair using suture anchors is currently the gold standard, recent evidence suggests suture tape augmentation offers superior initial construct strength, allowing for earlier mobilization. This technical note describes a reproducible technique for thumb ulnar collateral ligament repair using suture tape augmentation. The procedure involves primary repair with a 1.3-mm Suturetape (Arthrex, Naples, FL) followed by internal bracing using FiberTape (Arthrex) secured with dual 3.5-mm SwiveLock anchors (Arthrex) spanning the joint. The metacarpophalangeal joint is positioned at 30° of flexion during repair to achieve optimal tension. Suture tape augmentation provides significantly higher maximum load and load at clinical failure than repair alone, with improved resistance to gap formation under cyclic loading. This enhanced construct allows for accelerated rehabilitation protocols with potentially faster return to sport and work activities in 5 to 6 weeks. The technique preserves native ligament proprioception while providing additional stability during early healing phases.
拇指掌指关节尺侧副韧带损伤在临床实践中很常见，尤其是在运动员中。虽然使用缝合锚钉修复目前是金标准，但最近的证据表明，缝合带增强提供了更好的初始构造强度，允许早期活动。本技术说明描述了一种使用缝合带增强修复拇指尺侧副韧带的可重复技术。手术过程包括使用1.3 mm缝合带（Arthrex, Naples， FL）进行初步修复，然后使用FiberTape （Arthrex）进行内部支撑，并用双3.5 mm SwiveLock锚（Arthrex）固定关节。修复时，掌指关节屈曲30°，以达到最佳张力。缝合带增强在临床失败时提供了比单独修复更高的最大载荷和载荷，在循环载荷下提高了对间隙形成的抵抗力。这种增强的结构允许加速康复方案，可能在5到6周内更快地恢复运动和工作活动。该技术保留了原有韧带本体感觉，同时在早期愈合阶段提供了额外的稳定性。
{"title":"Thumb Ulnar Collateral Ligament Repair Using Suture Anchors and Suture Tape Augmentation","authors":"Dustin J. Kress M.A., Lucas C. Voyvodic M.D., Nicholas Pettinelli B.S., Patrick Waldron D.O., Ethan Vallellanes B.S., Sydney Solis B.S., Ravleen Kang B.S., Arina Caliman B.A., Chloe Kung B.S., James L. Chen M.D., M.P.H., Ajith Malige M.D.","doi":"10.1016/j.eats.2025.103957","DOIUrl":"10.1016/j.eats.2025.103957","url":null,"abstract":"<div><div>Injury to the ulnar collateral ligament of the thumb metacarpophalangeal joint is commonly encountered in clinical practice, particularly among athletes. Although repair using suture anchors is currently the gold standard, recent evidence suggests suture tape augmentation offers superior initial construct strength, allowing for earlier mobilization. This technical note describes a reproducible technique for thumb ulnar collateral ligament repair using suture tape augmentation. The procedure involves primary repair with a 1.3-mm Suturetape (Arthrex, Naples, FL) followed by internal bracing using FiberTape (Arthrex) secured with dual 3.5-mm SwiveLock anchors (Arthrex) spanning the joint. The metacarpophalangeal joint is positioned at 30° of flexion during repair to achieve optimal tension. Suture tape augmentation provides significantly higher maximum load and load at clinical failure than repair alone, with improved resistance to gap formation under cyclic loading. This enhanced construct allows for accelerated rehabilitation protocols with potentially faster return to sport and work activities in 5 to 6 weeks. The technique preserves native ligament proprioception while providing additional stability during early healing phases.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103957"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103945
Markus Scheibel M.D. , Tobias Gruber , Irina Todiraş M.D. , Philipp Vetter M.D.
The surgical treatment of chronic acromioclavicular joint (ACJ) instability is most commonly performed using tendon grafts combined with synthetic stabilization. However, autografts can be associated with donor site morbidity, while allografts often have inferior tissue quality and a higher risk of graft failure. We present a technique of arthroscopically assisted ACJ stabilization using an autologous, rerouted long head of the biceps (LHB) tendon transfer, augmented with a suture button pulley construct for the treatment of symptomatic bidirectional ACJ instability. The LHB tendon is tenodesed to the humerus near the musculotendinous junction and tenotomized just proximal to the fixation point. The proximal attachment of the LHB tendon is preserved. The distal free end of the LHB tendon is rerouted transarticularly and passed anterior to the glenoid, proximally through the lateral end of the clavicle. Intraosseous fixation is achieved using an interference screw. The distal LHB tendon portion spans the superior aspect of the ACJ, providing horizontal stabilization. The autologous biceps acromioclavicular and horizontal neutralization technique offers a local, robust, and cost-effective graft option that avoids potential donor site morbidity, preserves the anatomic origin of the LHB tendon, and provides sufficient length for both vertical and horizontal ACJ stabilization.
{"title":"Arthroscopic Acromioclavicular Joint Stabilization Using Autologous Biceps for Horizontal Neutralization (AutoBAHN) Technique","authors":"Markus Scheibel M.D. , Tobias Gruber , Irina Todiraş M.D. , Philipp Vetter M.D.","doi":"10.1016/j.eats.2025.103945","DOIUrl":"10.1016/j.eats.2025.103945","url":null,"abstract":"<div><div>The surgical treatment of chronic acromioclavicular joint (ACJ) instability is most commonly performed using tendon grafts combined with synthetic stabilization. However, autografts can be associated with donor site morbidity, while allografts often have inferior tissue quality and a higher risk of graft failure. We present a technique of arthroscopically assisted ACJ stabilization using an autologous, rerouted long head of the biceps (LHB) tendon transfer, augmented with a suture button pulley construct for the treatment of symptomatic bidirectional ACJ instability. The LHB tendon is tenodesed to the humerus near the musculotendinous junction and tenotomized just proximal to the fixation point. The proximal attachment of the LHB tendon is preserved. The distal free end of the LHB tendon is rerouted transarticularly and passed anterior to the glenoid, proximally through the lateral end of the clavicle. Intraosseous fixation is achieved using an interference screw. The distal LHB tendon portion spans the superior aspect of the ACJ, providing horizontal stabilization. The autologous biceps acromioclavicular and horizontal neutralization technique offers a local, robust, and cost-effective graft option that avoids potential donor site morbidity, preserves the anatomic origin of the LHB tendon, and provides sufficient length for both vertical and horizontal ACJ stabilization.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103945"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103903
Dezhou Tang M.Med., Yang Chi B.S., Yuchen He M.D., Junliang Liu B.S., Ding Zhou M.D., Qi Tang M.D., Weihong Zhu M.D.
Acromioclavicular joint separation is a common shoulder injury that interferes with normal shoulder function. There are various surgical treatment methods for acromioclavicular joint separation; however, no consensus on the gold-standard technique has been established. Therefore, we describe an all-arthroscopic technique using double adjustable loops and triple-button fixation. This method achieves anatomic reconstruction of the coracoclavicular ligament complex to provide a reliable surgical option for the treatment of acromioclavicular joint separation.
{"title":"Arthroscopic Suspensory Construct for Acute Acromioclavicular Joint Separation","authors":"Dezhou Tang M.Med., Yang Chi B.S., Yuchen He M.D., Junliang Liu B.S., Ding Zhou M.D., Qi Tang M.D., Weihong Zhu M.D.","doi":"10.1016/j.eats.2025.103903","DOIUrl":"10.1016/j.eats.2025.103903","url":null,"abstract":"<div><div>Acromioclavicular joint separation is a common shoulder injury that interferes with normal shoulder function. There are various surgical treatment methods for acromioclavicular joint separation; however, no consensus on the gold-standard technique has been established. Therefore, we describe an all-arthroscopic technique using double adjustable loops and triple-button fixation. This method achieves anatomic reconstruction of the coracoclavicular ligament complex to provide a reliable surgical option for the treatment of acromioclavicular joint separation.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103903"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103989
Piotr Wodzinski M.D., Ph.D. , Tomasz Zoraw M.D. , Andrzej Wielgus M.D., Ph.D. , Boguslaw Sadlik M.D., Ph.D. , Szymon Dragan M.D., Ph.D.
Despite constant development of surgical techniques, the outcomes of anterior cruciate ligament (ACL) reconstructions remain unpredictable, and the failure rate remains unacceptably high. Among many factors influencing results, the graft-healing process called ligamentization has recently been highly emphasized. Improvement of healing potential, connected with graft diameter optimization and the addition of lateral extra-articular tenodesis, might lead to superior treatment results. We describe a simple technique of combined anterior cruciate ligament reconstruction with a pedicled hamstring graft of case-specific diameter and lateral extra-articular tenodesis with limited hardware. “PARLET” stands for pedicled anterior cruciate ligament reconstruction and lateral extra-articular tenodesis without additional implants. Three options of graft preparation (3, 4, or 6 strands) enable diameter versatility and optimization during surgery. Preserving the hamstring pedicle and limiting its interference with tibial fixation due to the use of an ACL adjustable cortical button might improve graft healing potential. Fixation of lateral tenodesis with a femoral ACL cortical button solves the problem of tunnel or implant interference.
{"title":"Pedicled Anterior Cruciate Ligament Reconstruction and Lateral Extra-articular Tenodesis Without Additional Implants—“PARLET” Technique","authors":"Piotr Wodzinski M.D., Ph.D. , Tomasz Zoraw M.D. , Andrzej Wielgus M.D., Ph.D. , Boguslaw Sadlik M.D., Ph.D. , Szymon Dragan M.D., Ph.D.","doi":"10.1016/j.eats.2025.103989","DOIUrl":"10.1016/j.eats.2025.103989","url":null,"abstract":"<div><div>Despite constant development of surgical techniques, the outcomes of anterior cruciate ligament (ACL) reconstructions remain unpredictable, and the failure rate remains unacceptably high. Among many factors influencing results, the graft-healing process called ligamentization has recently been highly emphasized. Improvement of healing potential, connected with graft diameter optimization and the addition of lateral extra-articular tenodesis, might lead to superior treatment results. We describe a simple technique of combined anterior cruciate ligament reconstruction with a pedicled hamstring graft of case-specific diameter and lateral extra-articular tenodesis with limited hardware. “PARLET” stands for pedicled anterior cruciate ligament reconstruction and lateral extra-articular tenodesis without additional implants. Three options of graft preparation (3, 4, or 6 strands) enable diameter versatility and optimization during surgery. Preserving the hamstring pedicle and limiting its interference with tibial fixation due to the use of an ACL adjustable cortical button might improve graft healing potential. Fixation of lateral tenodesis with a femoral ACL cortical button solves the problem of tunnel or implant interference.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103989"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103970
Zhenlong Liu M.D., Weixin Ye M.D., Tong Pan M.D., Yu Han M.D., Zhenchen Hou M.D., Ping Liu M.D.
This article describes an improved arthroscopic, drill-free technique for chronic acromioclavicular joint separations, avoiding the risks of coracoid or clavicular fracture associated with bone tunnels. The technique eliminates bone drilling by passing No. 5 sutures and FiberTape (Arthrex) around the coracoid base and clavicle. A semitendinosus tendon graft is guided doubly around this path using the sutures. This creates a FiberTape-tendon complex that replicates native coracoclavicular ligament function, offering vertical stability and biological integration for long-term healing. This approach offers a safe, effective solution for chronic acromioclavicular joint instability.
{"title":"Arthroscopic Fiber Tape-Augmented Coracoclavicular Ligament Reconstruction Using Semitendinosus Tendon for Chronic Acromioclavicular Joint Separation","authors":"Zhenlong Liu M.D., Weixin Ye M.D., Tong Pan M.D., Yu Han M.D., Zhenchen Hou M.D., Ping Liu M.D.","doi":"10.1016/j.eats.2025.103970","DOIUrl":"10.1016/j.eats.2025.103970","url":null,"abstract":"<div><div>This article describes an improved arthroscopic, drill-free technique for chronic acromioclavicular joint separations, avoiding the risks of coracoid or clavicular fracture associated with bone tunnels. The technique eliminates bone drilling by passing No. 5 sutures and FiberTape (Arthrex) around the coracoid base and clavicle. A semitendinosus tendon graft is guided doubly around this path using the sutures. This creates a FiberTape-tendon complex that replicates native coracoclavicular ligament function, offering vertical stability and biological integration for long-term healing. This approach offers a safe, effective solution for chronic acromioclavicular joint instability.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103970"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Massive irreparable rotator cuff tears, particularly those involving the posterosuperior cuff, pose significant functional challenges. Arthroscopy-assisted lower trapezius transfer has emerged as the preferred treatment for patients with these tears, especially in the absence of glenohumeral arthritis. Although traditional techniques often use Achilles tendon allografts, limitations in cost and availability in developing countries necessitate the development of innovative alternatives. This article describes a surgical technique that uses a doubled peroneus longus autograft. We detail the surgical steps, technical nuances, and potential advantages of this approach.
{"title":"Arthroscopy-Assisted Lower Trapezius Transfer Using Doubled Peroneus Longus Autograft as an Interposition Graft","authors":"Karthikraj Kuberakani M.S.(Ortho), M.Ch. , Senthilvelan Rajagopalan F.R.C.S. , Girinivasan Chellamuthu M.S.(Ortho)","doi":"10.1016/j.eats.2025.103838","DOIUrl":"10.1016/j.eats.2025.103838","url":null,"abstract":"<div><div>Massive irreparable rotator cuff tears, particularly those involving the posterosuperior cuff, pose significant functional challenges. Arthroscopy-assisted lower trapezius transfer has emerged as the preferred treatment for patients with these tears, especially in the absence of glenohumeral arthritis. Although traditional techniques often use Achilles tendon allografts, limitations in cost and availability in developing countries necessitate the development of innovative alternatives. This article describes a surgical technique that uses a doubled peroneus longus autograft. We detail the surgical steps, technical nuances, and potential advantages of this approach.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103838"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.eats.2025.103926
Julianne Gillis M.D. , Spencer B. Chambers M.D., M.Sc. , Anna L. Gorsky B.S. , Nina Suh M.D. , Michael B. Gottschalk M.D. , Eric R. Wagner M.D., M.S.
Distal radioulnar joint (DRUJ) instability is a complex pathology that typically occurs due to injury of the triangular fibrocartilage complex. In the acute setting, repair is often successful. However, in the chronic setting or after a prior failed repair, reconstructive methods aim to improve stability using an extrinsic radioulnar soft tissue link. Traditional surgical techniques are technically demanding and require a broad exposure, compromising extrinsic stabilizers. Modifications to these methods using arthroscopy facilitate preservation of ulnocarpal and DRUJ secondary stabilizers, while providing excellent visualization for anatomic passage of the graft and placement of the foveal bone tunnel. We describe a simple and effective arthroscopic reconstruction method for restoring and reinforcing the native anatomy of the critical stabilizers of the DRUJ.
{"title":"Arthroscopic Assisted Distal Radial Ulnar Joint Reconstruction Using a Modified Anatomic Ligament Reconstruction","authors":"Julianne Gillis M.D. , Spencer B. Chambers M.D., M.Sc. , Anna L. Gorsky B.S. , Nina Suh M.D. , Michael B. Gottschalk M.D. , Eric R. Wagner M.D., M.S.","doi":"10.1016/j.eats.2025.103926","DOIUrl":"10.1016/j.eats.2025.103926","url":null,"abstract":"<div><div>Distal radioulnar joint (DRUJ) instability is a complex pathology that typically occurs due to injury of the triangular fibrocartilage complex. In the acute setting, repair is often successful. However, in the chronic setting or after a prior failed repair, reconstructive methods aim to improve stability using an extrinsic radioulnar soft tissue link. Traditional surgical techniques are technically demanding and require a broad exposure, compromising extrinsic stabilizers. Modifications to these methods using arthroscopy facilitate preservation of ulnocarpal and DRUJ secondary stabilizers, while providing excellent visualization for anatomic passage of the graft and placement of the foveal bone tunnel. We describe a simple and effective arthroscopic reconstruction method for restoring and reinforcing the native anatomy of the critical stabilizers of the DRUJ.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"14 12","pages":"Article 103926"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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