The current understanding of the biomechanical role of the meniscus, in conjunction with the increasing efforts to achieve its preservation within the orthopaedic community during treatment of meniscal lesions, has prompted the development of different meniscal repair techniques. The outside-in technique is recommended for anterior horn and middle-segment meniscal tears and has been recognized as a low-cost procedure with a low incidence of complications. Diverse modifications of this technique have been published over the past decade. On the basis of these previous outside-in technique modifications and aiming to simplify and reduce the number of surgical steps, as well as simplify suture and/or instrument manipulation, during this technique, we describe the single–lasso loop outside-in technique for meniscal repair. We believe this modified technique represents a simplified, economic, and highly reproducible procedure option whenever an outside-in technique for meniscal repair is considered.

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Fractures of the scapular spine are relatively uncommon and in most cases healing of the fracture is achieved following conservative treatment. We report a case of a 36 year old male who developed a painful atrophic non-union scapular spine fracture producing secondarily subacromial impingement symptoms and his sustained recovery 9 years after treatment by open reduction, internal fixation and bone grafting.

Case: An 81-year-old woman presented a superior glenohumeral dislocation after a low-energy fall, with a mechanism of axial load while the shoulder was in adduction and extension. After successful closed reduction, the patient presented sudden symptoms of severe vascular injury with a protruding axillary hematoma and hypovolemic shock. Conclusion: Superior shoulder dislocations and vascular injuries are extremely rare among shoulder dislocations, especially after low-energy trauma. Vascular injuries may result in limb compromise and death. We highlight the importance of high clinical suspicion, particularly in superior dislocations, and the importance of prompt management of vascular complications to avoid catastrophic outcomes.