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Arthroscopy Techniques
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    • Cover Image - Arthroscopy Techniques, Volume 12, Issue 2
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  • Abernathie, Brenon L1
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  • Technical Note
    Open Access

    Open 4-Compartment Fasciotomy for Chronic Exertional Compartment Syndrome of the Leg

    Arthroscopy Techniques
    Vol. 6Issue 6e2191–e2201Published online: November 20, 2017
    • Amos Z. Dai
    • Michael Zacchilli
    • Neha Jejurikar
    • Hien Pham
    • Laith Jazrawi
    Cited in Scopus: 5
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    Chronic exertional compartment syndrome (CECS) is a significant source of lower extremity pain and morbidity in the athletic population. Although endoscopic techniques have been introduced, open fasciotomy remains the mainstay of surgical treatment because of the paucity of evidence in support of an endoscopic approach. The literature on surgical management of CECS is mixed, and overall success rates are modest at best. Optimizing surgical technique, including prevention of neurovascular injury and wound complications, can make a significant impact on the clinical outcome.
    Open 4-Compartment Fasciotomy for Chronic Exertional Compartment Syndrome of the Leg
  • Technical Note
    Open Access

    Mini-open Incision Sports Hernia Repair: A Surgical Technique for Core Muscle Injury

    Arthroscopy Techniques
    Vol. 6Issue 4e1281–e1284Published online: August 14, 2017
    • Anthony J. Scillia
    • Todd P. Pierce
    • Erica Simone
    • Richard C. Novak
    • Benton A. Emblom
    Cited in Scopus: 6
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    One cause of groin pain in highly active patients may be a core muscle injury, commonly referred to as sports hernia. When patients fail nonoperative management, there are a number of surgical options that may be pursued. Typically, they will involve the direct repair of the rectus abdominis back to the pubis. However, we believe that this repair can be further strengthened by the appropriate lengthening of the adductor longus from the conjoined tendon. Therefore, we present a surgical technique that involves both rectus abdominis repair and adductor longus lengthening in those who show a core muscle injury that is refractory to conservative management.
    Mini-open Incision Sports Hernia Repair: A Surgical Technique for Core Muscle Injury
  • Technical Note
    Open Access

    Video-Assisted Thoracoscopic Surgery for Drainage of Dorsal Paravertebral Abscess

    Arthroscopy Techniques
    Vol. 6Issue 4e1137–e1143Published online: July 31, 2017
    • Raju Vaishya
    • Vipul Vijay
    • Amit K. Agarwal
    Cited in Scopus: 2
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    Tuberculosis of the spine is the second most common extrapulmonary presentation of the disease and is associated with significant morbidity. The drainage of the abscess may be needed in patients who fail to respond to medical treatment and present with a significant or deteriorating neurologic status. The dorsal spine gives a unique opportunity for decompression alone as it is supported by the rib cage, decreasing the chances of collapse. Drainage of the abscess in the dorsal spine usually needs an open thoracotomy.
    Video-Assisted Thoracoscopic Surgery for Drainage of Dorsal Paravertebral Abscess
  • Technical Note
    Open Access

    Endoscopic Fasciotomy of the Superficial and Deep Posterior Compartments of the Leg

    Arthroscopy Techniques
    Vol. 6Issue 3e711–e715Published online: June 5, 2017
    • Tun Hing Lui
    Cited in Scopus: 7
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    Chronic exertional compartment syndrome is a rare cause of lower leg pain incurred during sports activities and typically affects young athletes who need to return to their activity level as quickly as possible. Nonoperative treatments are often unsuccessful and fasciotomy of the involved compartment is the treatment of choice. Endoscopically assisted release of the anterior and deep compartments is proven to be safe and effective. Endoscopically assisted deep posterior compartment release via an incision 1 to 3 cm behind the medial tibial border has high risk of injury to the great saphenous and perforating veins and the saphenous nerve.
    Endoscopic Fasciotomy of the Superficial and Deep Posterior Compartments of the Leg
  • Technical Note
    Open Access

    Mini-Open Posterior Compartment Release for Chronic Exertional Compartment Syndrome of the Leg

    Arthroscopy Techniques
    Vol. 6Issue 3e649–e653Published online: May 29, 2017
    • Kyle P. Lavery
    • Michael Bernazzani
    • Kevin McHale
    • William Rossy
    • Luke Oh
    • George Theodore
    Cited in Scopus: 4
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    Chronic exertional compartment syndrome (CECS) is a well-recognized cause of leg pain in endurance athletes. Surgical fasciotomy for posterior leg CECS historically has inferior clinical results compared with anterior and lateral compartment release. Poor surgical technique with inadequate release may contribute to less reliable outcomes. In this Technical Note with accompanying video, we describe a mini-open approach for posterior CECS of the leg.
    Mini-Open Posterior Compartment Release for Chronic Exertional Compartment Syndrome of the Leg
  • Technical Note
    Open Access

    How to Build Your Simple and Cost-effective Arthroscopic Skills Simulator

    Arthroscopy Techniques
    Vol. 5Issue 5e1039–e1047Published online: September 12, 2016
    • Georgios Arealis
    • James Holton
    • Joana Bento Rodrigues
    • Maria Sagkrioti
    • Martyn Snow
    • Mark Hamlet
    • and others
    Cited in Scopus: 14
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    Acquisition of arthroscopic skills is not always easy and can be time-consuming. Simulation in arthroscopy improves surgical skills and can bridge the gap between reduced surgical exposure and training time and the need to reach a required level of competency. We propose a method to create a simple and cost-effective arthroscopic skills simulator using readily available materials and a low-cost Web camera available from online shops. This arthroscopic simulation device can be used to improve skills of all levels of trainees at home, in a bioskills laboratory, or in the theater.
    How to Build Your Simple and Cost-effective Arthroscopic Skills Simulator
  • Technical Note
    Open Access

    Arthroscopic Correction of a Supracondylar Malunion in a Child

    Arthroscopy Techniques
    Vol. 4Issue 3e215–e221Published online: May 18, 2015
    • Steven M. Koehler
    • Sara Sakamoto
    • Brenon L. Abernathie
    • Michael R. Hausman
    Cited in Scopus: 4
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    Malunions are a well-recognized complication of pediatric supracondylar humeral fractures. Results of corrective osteotomies vary, and complication rates have been reported to be as high as 40%. Considering the high rate of complications for malunion correction, we investigated the feasibility of arthroscopy. We present a technique for arthroscopic supracondylar osteotomy and percutaneous pinning. There are many advantages of an arthroscopic approach to malunion correction, including extension-type deformity correction, safe access to the anterior humerus, and minimal dissection and scarring; any intracapsular contracture can be addressed as well.
    Arthroscopic Correction of a Supracondylar Malunion in a Child
  • Technical Note
    Open Access

    The Spin Move: A Reliable and Cost-Effective Gowning Technique for the 21st Century

    Arthroscopy Techniques
    Vol. 4Issue 2e139–e141Published online: April 1, 2015
    • Derek H. Ochiai
    • Farshad Adib
    Cited in Scopus: 3
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    Operating room efficiency (ORE) and utilization are considered one of the most crucial components of quality improvement in every hospital. We introduced a new gowning technique that could optimize ORE. The Spin Move quickly and efficiently wraps a surgical gown around the surgeon's body. This saves the operative time expended through the traditional gowning techniques. In the Spin Move, while the surgeon is approaching the scrub nurse, he or she uses the left heel as the fulcrum. The torque, which is generated by twisting the right leg around the left leg, helps the surgeon to close the gown as quickly and safely as possible.
    The Spin Move: A Reliable and Cost-Effective Gowning Technique for the 21st Century
  • Technical Note
    Open Access

    Endoscopic Compartment Release for Chronic Exertional Compartment Syndrome

    Arthroscopy Techniques
    Vol. 2Issue 2e187–e190Published online: May 28, 2013
    • Justin R. Knight
    • Marissa Daniels
    • William Robertson
    Cited in Scopus: 29
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    Exertional compartment syndrome of the leg is a condition that can cause chronic debilitating pain in active persons during a variety of aerobic activities. Nonoperative treatments using stretching protocols and activity modifications are often unsuccessful, and thus several operative strategies have been used to treat this condition. A novel technique for endoscopically assisted fasciotomy for chronic exertional compartment syndrome is described. By use of a small laterally based incision and an arthroscope, polydioxanone sutures are passed percutaneously along the anterior and lateral compartments with the Spectrum suture-shuttling device (ConMed Linvatec, Largo, FL).
    Endoscopic Compartment Release for Chronic Exertional Compartment Syndrome
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