Patients: 60 patients (mean age, 26 y, 87% men) with traumatic anterior instability of the shoulder, no shoulder symptoms or surgery before the first traumatic dislocation, ≤4 episodes of anterior dislocation of the shoulder, no clinical evidence of multidirectional instability, and radiological evidence of ≤30% loss of substance of the humeral head. All patients underwent arthroscopy to confir...

INTRODUCTION Suprascapular nerve neuropathy secondary to ganglion cyst impingement has increasingly been found to be a cause of shoulder pain. CLINICAL PICTURE We present 2 patients who complained of dull, poorly localised shoulder pain, which worsened with overhead activities. Magnetic resonance imaging showed ganglion cysts in the spinoglenoid notch. TREATMENT Both patients failed conserv...

Although virtual reality simulators have established construct validity, no studies have proven transfer of skills from a simulator to improved in vivo surgical skill. The current authors hypothesized that simulation training would improve residents' basic arthroscopic performance and safety. Twenty-two orthopedic surgery trainees were randomized into simulation or standard practice groups. At ...

Capsulotomy is typically performed during arthroscopic treatment for femoroacetabular impingement. As the frequency of hip arthroscopy continues to expand rapidly, increased attention is being paid to the implications of interportal capsulotomy and the need for repair. To minimize the risk of postoperative instability, capsular closure has been recommended to restore the anatomy and biomechanic...

Surgical management of shoulder pathologies has evolved tremendously during the past 3 decades, such that many lesions previously treated with open techniques are now addressed arthroscopically. Despite this movement, many surgeons and outcome studies continue to prefer open repairs as the gold standard, criticizing--with good reason--the reliability, reproducibility, and extended operative tim...

Objective  The purpose of this article is to determine whether patient-reported history items are predictive of shoulder pathology and have the potential for use in triaging patients with shoulder pathology to orthopaedic outpatient clinics. Setting  It is set at two tertiary orthopaedic clinics. Patients  All new patients reporting pain and/or disability of the shoulder joint were prospectivel...

PURPOSE The purpose of this study is to investigate and analyze accompanying lesions including injury types of anteroinferior labrum lesion in young and active patients who suffered traumatic anterior shoulder dislocation for the first time. MATERIALS AND METHODS The study used magnetic resonance angiography (MRA) to 40 patients with acute anterior shoulder dislocation from April 2004 to Apri...

INTRODUCTION We aimed to compare the accuracy between the standard anterior technique of shoulder injection and the new superomedial technique modified from Neviaser arthroscopic portal placement. Intra-articular placement, especially at the long head of biceps (LHB) tendon, and needle depth were evaluated. METHODS Fifty-eight patients (ages 57 ± 10 years) requiring shoulder arthroscopy in th...