Cysts of a parameniscal type are produced by synovial fluid accumulating because of a check-valve mechanism. In most cases, their placement is at the knee's posteromedial aspect. The literature provides multiple approaches to repairing and decompressing the damaged areas. This case study details the arthroscopic treatment of an isolated intrameniscal cyst in an intact meniscus, utilizing an open- and closed-door repair strategy.

A normal shock-absorbing meniscus critically depends upon the integrity of its meniscal roots. Untreated meniscal root tears often result in meniscal extrusion, making the meniscus non-operational and increasing the risk of degenerative arthritis. Preservation of the meniscus's tissue, along with restoration of its continuous structure, is becoming the prevailing approach for addressing meniscal root conditions. While root repair is not a universal solution for all patients, it may be considered for active individuals who have sustained acute or chronic injuries, excluding those with significant osteoarthritis and malalignment. Two repair methods, the direct approach with suture anchors and the indirect approach with transtibial pullout, have been elucidated. A transtibial technique is predominantly utilized in the most common root repair procedures. This surgical technique entails the placement of sutures into the torn meniscal root, their passage through a tibial tunnel, and the distal securing of the repair. To fix the meniscal root distally, our approach utilizes FiberTape (Arthrex) threads wound around the tibial tubercle, traversing a posterior transverse tunnel. The knots remain buried inside the tunnel, eliminating the requirement for metal buttons or anchors. The secure tension afforded by this repair technique eliminates the loosening of knots and tension, a common problem with metal buttons, and prevents the irritation frequently caused by metal buttons and knotted areas on patients.

Femoral cortical suspension constructs using suture button anchors for anterior cruciate ligament grafts can provide rapid and reliable fixation. The question of Endobutton removal elicits varied opinions. Surgical techniques presently in use often lack direct visualization of the Endobutton(s), making removal problematic; the buttons are fully flipped over, without any soft tissue lying between the Endobutton and the femur. Employing the lateral femoral portal, this technical note illustrates the endoscopic procedure for Endobutton removal. Visualization, a direct outcome of this technique, makes hardware removal easier, thereby capitalizing on the advantages of minimal invasiveness.

Multiligamentous knee injuries frequently include posterior cruciate ligament (PCL) tears, which are commonly caused by forceful impacts. Severe and multiligamentous posterior cruciate ligament (PCL) injuries necessitate surgical intervention as a standard of care. While PCL reconstruction has long been the established approach, the prospect of arthroscopic primary PCL repair has been re-evaluated in recent years, particularly for proximal tears exhibiting adequate tissue integrity. PCL repair techniques currently exhibit two technical shortcomings: the risk of suture damage (abrasion/laceration) during the stitching, and the impossibility of re-establishing the ligament's tension after its fixation using suture anchors or ligament buttons. Using the FiberRing looping ring suture device and the ACL Repair TightRope adjustable loop cortical fixation device, this technical note outlines the arthroscopic primary repair technique for proximal PCL tears. This technique's purpose is twofold: minimally invasive PCL preservation and the avoidance of the limitations seen in other arthroscopic primary repair methods.

Variations in surgical technique for full-thickness rotator cuff repairs are influenced by factors such as the geometry of the tear, the separation of the surrounding soft tissues, the health and quality of the tissues, and the retraction of the rotator cuff. The described technique offers a reproducible approach to addressing tear patterns, showing a possible wider lateral tear extent compared to the relatively limited medial footprint exposure. A single medial anchor used with a knotless lateral-row technique provides compression for small tears; in contrast, moderate to large tears demand two medial row anchors. A modification of the standard knotless double row (SpeedBridge) technique includes two medial anchors, one enhanced with extra fiber tape, and an extra lateral anchor. This configuration creates a triangular repair, thereby increasing the size and bolstering the stability of the lateral row's footprint.

Patients with a variety of ages and activity levels commonly suffer from Achilles tendon ruptures. When treating these injuries, multiple factors demand consideration, and both surgical and non-surgical methods have demonstrated satisfactory results in the published literature. Patient-specific decisions regarding surgical intervention must take into account the patient's age, projected athletic goals, and co-existing medical conditions. An alternative to the conventional open repair of the Achilles tendon is a minimally invasive percutaneous approach, presenting an equivalent option and mitigating the risk of wound complications that are frequently seen with larger incision procedures. MTP-131 mw Many surgeons have exhibited hesitancy towards these techniques, attributed to insufficient visualization, a concern for compromised suture-tendon fixation, and the risk of inadvertently injuring the sural nerve. This Technical Note outlines a technique using intraoperative high-resolution ultrasound for minimally invasive Achilles tendon repair. This technique's minimally invasive approach effectively counteracts the shortcomings of poor visualization frequently associated with percutaneous repair.

Multiple procedures exist for securing the distal biceps tendon. The intramedullary unicortical button fixation method excels in biomechanical strength, minimizing proximal radial bone removal and mitigating the risk of posterior interosseous nerve damage. Implant retention inside the medullary canal presents a significant disadvantage when undertaking revision surgery. This article details a novel method for revision distal biceps repair, initially utilizing intramedullary unicortical buttons, employing the original implants.

Injury to the superior peroneal retinaculum is the most prevalent underlying cause for post-traumatic peroneal tendon subluxation or dislocation. Classic open surgical procedures, while sometimes necessary, often involve extensive dissection of soft tissues, potentially resulting in peritendinous fibrous adhesions, sural nerve damage, reduced joint mobility, recurrent peroneal tendon instability, and tendon irritation. This Technical Note details the endoscopic reconstruction of the superior peroneal retinaculum, employing the Q-FIX MINI suture anchor. Employing an endoscopic approach presents advantages typically associated with minimally invasive surgery, including improved cosmetic appearance, less soft-tissue dissection, less postoperative pain, decreased peritendinous fibrosis, and a lesser perception of tightness at the peroneal tendons. The Q-FIX MINI suture anchor, implanted within a drill guide, minimizes the trapping of nearby soft tissues.

The formation of a meniscal cyst is a prevalent complication arising from complex degenerative meniscal tears, encompassing subtypes like degenerative flaps and horizontal cleavage tears. The gold standard in treating this condition, arthroscopic decompression coupled with partial meniscectomy, nonetheless raises three points of concern. Meniscal cysts are frequently associated with degenerative lesions located within the meniscus. Furthermore, if the lesion proves elusive, a check-valve mechanism becomes crucial, demanding a comprehensive meniscectomy. Accordingly, osteoarthritis occurring after operation is a familiar and well-documented consequence. A meniscal cyst's treatment originating from the inner rim of the meniscus is demonstrably ineffective and roundabout in addressing the pathological site, given that most such cysts are positioned at the perimeter of the meniscus. As a result, this report describes the direct decompression of a substantial lateral meniscal cyst and the repair of the meniscus employing decompression via an intrameniscal approach. MTP-131 mw Meniscal preservation is a reasonable and simple goal achieved by this technique.

Graft fixation points on the greater tuberosity and superior glenoid, critical for superior capsule reconstruction (SCR), are at risk of failing. MTP-131 mw Fixation of the superior glenoid graft is challenging, primarily due to the restricted surgical field, the diminutive graft attachment zone, and the difficulties encountered in the suturing procedure. A surgical technique for managing irreparable rotator cuff tears, called SCR, leverages an acellular dermal matrix allograft and remnant tendon augmentation, in addition to a specific suture management method to avoid suture tangles, as detailed in this note.

In the realm of orthopaedic care, anterior cruciate ligament (ACL) injuries are fairly common, but still, an unacceptably high rate of 24% experiences unsatisfactory results. Unaddressed anterolateral complex (ALC) injuries, a known culprit of residual anterolateral rotatory instability (ALRI), have been shown to increase the incidence of graft failure following isolated anterior cruciate ligament (ACL) reconstruction. We describe in this article a novel approach to ACL and ALL reconstruction, which integrates the anatomical positioning's benefits with intraosseous femoral fixation to provide stable anteroposterior and anterolateral rotations.

The traumatic glenoid avulsion of the glenohumeral ligament (GAGL) is a contributing factor to the development of shoulder instability. GAGL lesions, a rare shoulder ailment, are predominantly recognized in cases of anterior shoulder instability. No current publications support their implication in posterior instability.