Rotator cuff tendonitis is a very common diagnosis of the shoulder that usually responds to conservative management. However, calcific tendonitis occurs less frequently and often necessitates surgical intervention. The etiology and treatment options for this disorder remain controversial among orthopaedic shoulder specialists. Calcific tendonitis frequently presents within the supraspinatus tendon and rarely appears within the subscapularis tendon. We present a case and accompanying video technique of arthroscopic treatment of subscapularis calcific tendonitis.
Meniscal tears are among the most commonly diagnosed knee injuries and often require surgical intervention. Understanding the types of meniscal tears and treatment options is paramount to caring for the young athlete. Sports medicine and arthroscopic physicians now recognize that meniscal preservation in the young athlete is essential to the longterm health and function of the knee. Although uncommon, the discoid lateral meniscus is more prone to injury because of its increased thickness and lack of blood supply. Because of the abnormal development, the peripheral attachments are frequently absent and instability often persists after a partial meniscectomy. If the instability is unrecognized during the initial treatment, a recurrence of pain and mechanical symptoms is likely and a subsequent subtotal meniscectomy may be the only treatment option. With increased awareness, arthroscopic saucerization accompanied by arthroscopically assisted inside-out meniscal repair is a preferable treatment option with an excellent outcome.
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