Bernard C. Ong

Arthroscopic management of spinoglenoid cysts associated with SLAP lesions and suprascapular neuropathy

Suprascapular neuropathy secondary to cyst compression in the spinoglenoid notch may occur in association with SLAP tears. Arthroscopic techniques may be employed for both cyst excision and repair of labral pathology. We describe 3 cases in which preoperative and postoperative electromyograms and magnetic resonance imaging documented cyst resolution and return of suprascapular nerve function after arthroscopic spinoglenoid cyst excision and labral repair.

Complications in anterior cruciate ligament surgery

There are many potential problems associated with ACL surgery; however, careful attention to detail can prevent problems from occurring or provide corrective options in the event they do occur. Multiple backup options are not only desirable but also essential to a successful outcome. By following these guidelines, ACL surgery can have good long-term results and return the recreational or higher-level athlete to sports participation.

Shoulder injuries in the athlete

Shoulder injuries are common in the athletic population. Injuries can be a result of repetitive overhead use or from direct trauma. Common injury sites include the rotator cuff, glenohumeral joint, acromioclavicular joint, biceps tendon, scapulothoracic articulation, and sternoclavicular joint. The identification, physical exam, and treatment options of these conditions will be discussed.

Imaging of the Elbow in the Overhead Throwing Athlete

Elbow injuries in athletes who perform overhead throwing motions often present diagnostic challenges because of the undue stresses and often chronic, repetitive patterns of injury. Accurate and efficient assessment of the injured elbow is essential to maximize functional recovery and expedite return to play. Radiographic evaluation should be tailored to the specific injury suspected and requires a thorough understanding of normal anatomic relationships as well as familiarity with common injuries affecting these athletes.

Arthroscopic Treatment of Multidirectional Instability: Thermal Technique

Multidirectional instability of the shoulder can be a difficult management problem. It usually presents in adolescents and young adults with hyperlaxity of several joints. Initial management of multidirectional instability is directed at a supervised exercise program consisting of rotator cuff, deltoid, and periscapular strengthening exercises. While conservative therapy is the mainstay of treatment and often successful, a subset of patients fails to improve, and surgical intervention is necessary to effectively restore shoulder stability.