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Chronic Osgood-Schlatter disease can cause significant knee pain and can result in severe functional deficits. For large, painful Osgood-Schlatter disease ossicles refractory to conservative management, surgical ossicle excision can provide resolution of symptoms. After diagnostic arthroscopy and intra-articular debridement, our preferred excision technique uses an open incision for direct visualization and removal of intratendinous ossicles, followed by distal patellar tendon repair and subsequent fixation with FiberTape sutures and knotless anchors to the tibial tubercle., (© 2024 The Authors.)

Valgus instability can occur after total knee arthroplasty (TKA) due to traumatic medial collateral ligament (MCL) injury, component malpositioning, or progressive ligamentous laxity. Although revision TKA with exchange of the polyethylene to a varus-valgus-constrained liner can reduce laxity due to MCL insufficiency, isolated liner exchange in the setting of collateral ligament insufficiency may lead to greater strain at the cement-bone or implant-cement interface and possibly a greater rate of aseptic loosening. Anatomic MCL reconstruction can be performed in conjunction with liner exchange to restore stability and reduce strain compared with liner exchange alone. The purpose of this Technical Note is to describe a technique for MCL reconstruction and liner exchange for treatment of valgus instability after TKA., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: A.C.K. reports Editorial Board member for Arthroscopy. A.F.V. reports a relationship with American Academy of Orthopaedic Surgeons that includes: board membership; a relationship with American Orthopaedic Society for Sports Medicine that includes: board membership; a relationship with Arthrex that includes: funding grants; and a relationship with 10.13039/100008894Stryker that includes: consulting or advisory. J.C.R. reports a relationship with American Academy of Orthopaedic Surgeons that includes: board membership; a relationship with Aerobiotix that includes: consulting or advisory; a relationship with DePuy Orthopaedics that includes: consulting or advisory; and a relationship with Zimmer that includes: consulting or advisory. M.T.P. reports a relationship with 10.13039/100009885American Academy of Orthopaedic Surgeons that includes: board membership; a relationship with 10.13039/100011549American Orthopaedic Society for Sports Medicine that includes: board membership; a relationship with 10.13039/100013615American Shoulder and Elbow Surgeons that includes: board membership; a relationship with 10.13039/100007307Arthrex that includes: consulting or advisory and funding grants; a relationship with 10.13039/100008542Arthroscopy Association of North America that includes: board membership; a relationship with Elsevier that includes: consulting or advisory and funding grants; a relationship with International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine that includes: board membership; a relationship with JRF Ortho that includes: consulting or advisory; a relationship with Knee that includes: board membership; a relationship with Orthopedics that includes: board membership; a relationship with San Diego Shoulder Institute that includes: board membership; a relationship with Slack Incorporated that includes: board membership, consulting or advisory, and funding grants; and a relationship with The Society of Military Orthopaedic Surgeons that includes: board membership. R.H.K. reports a relationship with DJO Global that includes: consulting or advisory; a relationship with Innomed that includes: consulting or advisory; and a relationship with International Orthopedic Education Network that includes: board membership. T.R.H. reports a relationship with Arthrex that includes: consulting or advisory and funding grants; and a relationship with NICE Recovery Solutions that includes: equity or stocks. All other authors (C.C.L., R.J.W.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Snapping scapula syndrome (SSS) is a source of pain and discomfort in patients. It is not uncommon for patients who present with SSS to have some degree of scapular dysfunction, especially with the tightness of the pectoralis minor (PM) muscle. In this Technical Note, we demonstrate our preferred technique for arthroscopic scapulothoracic bursectomy and partial scapulectomy with concomitant pectoralis minor release for the treatment of symptomatic SSS and PM tightness. In the treatment of these patients, PM release is beneficial because arthroscopic scapulothoracic bursectomy or partial scapulectomy alone may result in residual scapular dyskinesis., (© 2023 The Authors.)

Anatomic total shoulder arthroplasty (TSA) has become more common as surgical indications have expanded. However, the burden of revision shoulder arthroplasty has inevitably increased as well. Multiple studies have examined the use of reverse total shoulder arthroplasty (rTSA) as a revision option for failed anatomic TSA with a massive irreparable rotator cuff tear. Successful reconstruction of failed TSA with rTSA requires sufficient glenoid bone to place the glenoid segment, enough proximal humeral bone to allow for implantation of the humeral component, and sufficient tension in the soft-tissue envelope to ensure implant stability. In this article, we describe our preferred rTSA revision technique for the treatment of a failed TSA., (© 2022 The Authors.)