Neer type II distal clavicle fractures are inherently unstable. The purpose of this study was to review the outcome of Neer type II distal clavicle fractures arthroscopically treated using a suspensory cortical button technique. Between 2008 and 2012, a total of 17 Neer type IIB fractures were managed operatively at the authors' institution. Functional outcomes were assessed using the pain score, the Disabilities of the Arm, Shoulder and Hand score, the Penn Shoulder Score, and the American Shoulder and Elbow Surgeons score. Radiographic union was also assessed. At a mean of 1 year, the mean pain score was 0.9±1.1, the mean Disabilities of the Arm, Shoulder and Hand score was 10.9±11.1, the mean Penn Shoulder Score was 90.3±7.9, and the mean American Shoulder and Elbow Surgeons score was 90.1±10.1. Radiographic union occurred in 14 patients. An all-arthroscopic surgical fixation of Neer type II distal clavicle fractures using a suspensory cortical button technique can result in a predictable outcome with a low complication rate. [Orthopedics. 2017; 40(6):e1050-e1054.].

There has been an increasing awareness of the importance of the meniscus in maintaining the health and function of the knee. When injured, magnetic resonance imaging (MRI) has become the gold standard to diagnose meniscal tears. The information obtained from the MRI helps determine the need for surgical intervention. To achieve the best patient outcome a surgeon must be able to diagnose a meniscal injury by MRI as well as identify the injury at time of arthroscopy. This article aims to illustrate meniscal pathology utilizing side by side comparison of MRI identified meniscal injuries to its arthroscopic correlate as well as describe treatment options for the injury.

Injury to the distal triceps tendon is uncommon and can be difficult to diagnose, especially when a partial rupture or tear occurs. In situations where an incomplete disruption to the musculotendinous unit occurs, a palpable defect or clear functional loss may not be present. Advanced imaging techniques, such as magnetic resonance imaging or ultrasound, can be used to confirm the diagnosis and define the extent of injury. The treatment of a complete rupture of the distal triceps tendon is repair or reconstruction, whereas the management of a patient with a partial triceps rupture is related to the pain, functional deficit, and expectations of the patient. This article presents 2 patients with chronic, near complete disruptions of the distal triceps tendon. In both patients, surgical reconstruction of the injured tendon was accomplished using ipsilateral palmaris longus autograft. This technique allows the treating surgeon to harvest the graft from the ipsilateral upper extremity. The palmaris autograft is then used to reconstruct the injured portion of the triceps tendon using a Pulvertaft weave technique through the intact triceps tendon and osseous tunnels within the proximal ulna. This technique allows for easy surgical setup and harvest of autograft tendon and provides a structurally sound technique for a tension-free reconstruction of the injured tendon. It also permits early postoperative elbow range of motion, with active elbow extension allowed at 6 weeks. The authors have used this technique successfully in the treatment of chronic partial tears of the distal triceps tendon.

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The modified Hass osteotomy provides children who have symptomatic hip dislocations due to neuromuscular disorders with reproducible pain relief and improves ease of positioning by their caregivers. The complication rate, although high, was comparable with that of similar surgical procedures in this patient population. Concurrent femoral head resection at the time of the proximal femoral osteotomy was not necessary in this group of patients.