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Arthroscopic Surgery

Minimally invasive shoulder arthroscopy for rotator cuff, instability, and adhesive capsulitis, including portal placement and RF thermal injury risks.

Overview

Arthroscopic management is an effective treatment of choice for primary synovial chondromatosis of the shoulder, characterized by low morbidity and early functional return [1]. Arthroscopic techniques benefit patients by avoiding the morbidity of open surgery, though they remain technically demanding [47]. Guidelines for the practice of arthroscopic surgery emphasize the need for appropriate training, privileges, and performance review by the Arthroscopy Association of North America [3].

Arthroscopic stabilization is a reliable procedure in selected high-risk athletes [25]. Patients meeting eligibility criteria for arthroscopic stabilization (those without significant bony lesions or deformity) can expect equivalent rates of recurrence, better functional outcomes, and less morbidity compared to open methods [9]. Arthroscopic Bankart repair has evolved to offer decreased pain, improved functional outcomes, and little recurrence of instability, with results approaching those of open repair when appropriate patient selection and technical considerations are applied [49]. Arthroscopic repair remains a viable option even in a highly active patient population [75].

Arthroscopic and open acromioplasty have equivalent ultimate clinical outcomes, operative times, and low complication rates [11]. Arthroscopic surgery appears to reduce the complication and reoperation rate in the treatment of anterior glenoid rim fractures compared with open surgery [12]. Arthroscopic repair of posterior humeral avulsion of the glenohumeral ligament in recurrent anterior shoulder dislocations typically results in favorable clinical outcomes, although the likelihood of returning to sports remains uncertain [7].

Anatomy & Pathophysiology

A thorough knowledge of shoulder anatomy is essential to minimize complications during arthroscopic procedures [13]. The position of the posterolateral corner of the acromion in relation to the glenohumeral joint is quite variable [85]. Reviewing shoulder anatomy and pathology related to stability and instability aims to improve clinical diagnosis and surgical treatment [72].

Osseous & Capsular Remodeling: Arthroscopic implant-free bone grafting for shoulder instability with glenoid bone loss leads to a physiological remodeling process that restores a more natural glenoid anatomy [57]. In children with brachial plexus birth palsy, early recognition and timely intervention for internal rotation contracture and glenohumeral dysplasia result in better shoulder motion and improved joint alignment [29]. Superior outcomes for arthroscopic treatment of these conditions are associated with better preoperative clinical and MRI status [29].

Kinematics & Reconstruction: Arthroscopic superior capsular reconstruction may not depress the humeral head during functional abduction [43]. Postoperative improvements in subjective and clinical outcomes following this procedure may be affected by mechanisms other than changes in shoulder kinematics [43]. Arthroscopic extracapsular stabilization for anterior shoulder instability provides significant improvement in shoulder function without reducing shoulder range of motion [45].

Biomechanics & Stabilization: The goal of open anterior stabilization of the shoulder is to correct deficient stabilizing mechanisms without altering normal glenohumeral function [67]. Successful application of suture anchors and tacks in shoulder surgery requires understanding the biology and biomechanics affecting their use [61]. This application also requires knowledge of factors that can affect subsequent clinical outcomes [61].

Classification

The Arthroscopy Association of North America has issued suggested guidelines for the practice of arthroscopic surgery, emphasizing appropriate training, privileges, and performance review [3]. Arthroscopic training involves historical insights, modern teaching modalities, and future educational pathways [28]. The Dimensionless Squared Jerk (DSJ) is proposed as an adjunct parameter for objective assessment of hand motion analysis during simulated shoulder arthroscopy skills evaluation [73].

Glenohumeral Synovitis: A novel intraoperative scoring system has been defined for the classification of glenohumeral synovitis with good reliability among a large range of surgeons [31].

Rotator Cuff Retraction: A modified Patte classification system for rotator cuff tendon retraction demonstrates excellent diagnostic performance for predicting reparability and acceptable performance for predicting tendon healing, with high measurement reliability [78].

Medial Meniscus Ramp Tears: An internationally developed classification system for medial meniscus ramp tears is based on tear morphology and allows evaluation of differing repair patterns and their effects on postoperative clinical outcomes [42].

Other Considerations: Computerized tomographic arthrography and arthroscopy enabled accurate definition of an unusual scapular anomaly in a reported case [26].

Clinical Presentation

Diagnostic Utility: Diagnostic arthroscopy serves as a primary tool for identifying pathology that is occult or unclear on conventional examination. It provides diagnostic significance not obtainable via preliminary conventional arthroscopic examination in 74% of clinical trials, with no complications reported [15]. This approach offers a unique advantage in diagnosing occult intra-articular pathology [4]. Specifically, the definitive diagnosis of superior labrum, anterior and posterior (SLAP) lesions is best made through diagnostic arthroscopy [18]. In patients with suspicion but no clear evidence of periprosthetic shoulder septic infection (PPSI), diagnostic arthroscopy remains a useful diagnostic tool [14].

Periprosthetic Evaluation: Shoulder arthroscopy in patients after arthroplasty is most frequently used as a diagnostic tool [33]. Arthroscopic tissue biopsy appears superior to conventional techniques of joint aspiration and inflammatory marker testing for the diagnosis of periprosthetic shoulder arthroplasty infections [21]. Arthroscopy is a powerful tool in the management of painful total shoulder arthroplasty and should be considered when evaluating cases in which a clear cause of pain is not present [35].

Preoperative Planning: Arthroscopic examination before modified Latarjet reconstruction is recommended because it allows the surgeon to identify and arthroscopically address associated pathologic entities present in over two thirds of cases [6].

Therapeutic Indications: Arthroscopic management is an effective treatment of choice for primary synovial chondromatosis of the shoulder, associated with low morbidity and early functional return [1]. Arthroscopic treatment of poly-L-lactic acid tack synovitis provides a significant decrease in symptoms and increased range of motion [19]. Arthroscopic management of heterotopic ossification of the subscapularis tendon allows for complete removal and provides durable pain relief [38].

Complications: Mixed neuropathy presenting clinically as an anterior interosseous nerve palsy is a complication following shoulder arthroscopy [39].

Investigations

Arthroscopic examination offers a unique advantage in diagnosing and treating occult intra-articular pathology [4]. Diagnostic arthroscopy is the definitive method for identifying superior labrum, anterior and posterior (SLAP) lesions [18]. In patients with suspicion but no clear evidence of periprosthetic shoulder septic infection (PPSI), diagnostic arthroscopy serves as a useful diagnostic tool [14]. The technique provided information of diagnostic significance not obtainable on preliminary conventional arthroscopic examination in 74 per cent of clinical trials and resulted in no complications [15].

Arthroscopic Examination: Arthroscopic examination before modified Latarjet reconstruction is recommended to identify and arthroscopically address associated pathologic entities present in over two thirds of cases [6]. Careful interpretation of MR arthrograms and thorough diagnostic arthroscopy are essential to identify posterior humeral avulsion of the glenohumeral ligaments [54]. Direct biceps tendon and supraspinatus contact is a reliable adjunct for verification of rotator cuff tear during shoulder arthroscopy in the lateral decubitus position but should not replace a full arthroscopic evaluation [94].

Plain Radiography: There is no specific plain radiographic finding listed in the evidence base for this section.

MRI: Needle arthroscopy is a promising diagnostic modality for intra-articular shoulder pathologies with comparable accuracy to MRI and surgical arthroscopy [79]. Detection of a comma sign on MRI may be important preoperative planning information in the arthroscopic management of patients with subscapularis tendon tears [83]. MRI findings showed reduced joint capsule thickness and effusion following interventional microadhesiolysis for adhesive capsulitis of the shoulder [90]. Superior outcomes in arthroscopic treatment of internal rotation contracture and glenohumeral dysplasia in children with brachial plexus birth palsy were associated with better preoperative clinical and MRI status, indicating that early recognition and timely intervention result in better shoulder motion and improved joint alignment [29].

CT: Computerized tomographic arthrography and arthroscopy enabled accurate definition of an unusual scapular anomaly [26].

Bone scan: There is no specific bone scan finding listed in the evidence base for this section.

Tomosynthesis: There is no specific tomosynthesis finding listed in the evidence base for this section.

Aspiration: Arthroscopy appears superior to conventional techniques of joint aspiration and inflammatory marker testing for preoperative diagnosis of periprosthetic shoulder arthroplasty infections [21].

Laboratory: Arthroscopy appears superior to conventional techniques of joint aspiration and inflammatory marker testing for preoperative diagnosis of periprosthetic shoulder arthroplasty infections [21].

Other Considerations: There was no measurable improvement in arthroscopic visualization or early pain scores with the use of tranexamic acid for visualization during arthroscopic rotator cuff repair [17]. Available information is not sufficient to support one treatment modality over another, and the answers regarding the interchangeability of arthroscopy and surgical dislocation for femoroacetabular impingement remain unclear [20]. Ultrasound diagnosis matched arthroscopic findings perfectly in the treatment of deep gluteal syndrome [92]. It is not recommended to perform preventive arthroscopic distal clavicle resection (DCR) in patients with radiologic and asymptomatic acromioclavicular joint (ACJ) arthritis [89]. An evidence-based review provides methods and techniques to optimize visualization during arthroscopic shoulder surgery, emphasizing that a thorough understanding of supporting literature is essential to interpret the clinical utility of each technique [93].

Treatment

Non-Operative

Nonoperative management is the preferred initial approach for subacromial impingement, as arthroscopic surgery offers no discernible benefits and may result in harm [68]. For patients with an intact rotator cuff, subacromial decompression remains a viable surgical option only after a minimum of 6 weeks of nonoperative treatment [87]. Isolated arthroscopic debridement and capsular release do not provide substantial benefit to justify their use in most patients with glenohumeral arthritis [65].

Operative

Indications: Arthroscopic stabilization is appropriate for patients meeting eligibility criteria, specifically those without significant bony lesions or deformity [9]. In patients older than 40 years with anterior shoulder instability, arthroscopic stabilization yields high satisfaction and good functional outcomes [10]. Arthroscopic repair is indicated for partial-thickness and subscapularis tears when conservative management fails [86]. For adolescents with femoroacetabular impingement, arthroscopic treatment is favored over adult control groups [51].

Surgical Approach / Technique: Arthroscopic management of primary synovial chondromatosis of the shoulder is an effective choice associated with low morbidity and early functional return [1]. Arthroscopic repair of posterior humeral avulsion of the glenohumeral ligament (HAGL) in recurrent anterior dislocations typically results in favorable clinical outcomes, though return to sports remains uncertain [7]. Arthroscopic repair of partial-thickness supraspinatus tears demonstrates excellent clinical outcomes and high patient satisfaction at minimum 10-year follow-up [8]. Arthroscopic repair in athletes with symptomatic multidirectional shoulder instability is an effective, reproducible treatment option [40]. Arthroscopic lavage reduces recurrence rates and improves functional outcomes at 1-year follow-up compared to non-operative treatment in young individuals with traumatic primary anterior shoulder dislocation [76]. Arthroscopic capsular release reliably restores motion with minimum morbidity in carefully selected patients with adhesive capsulitis, including those with loss of motion refractory to closed manipulation [41, 84]. Arthroscopic treatment of poly-L-lactic acid tack synovitis significantly decreases symptoms and increases range of motion [19]. Arthroscopic removal of the polyethylene glenoid component after total shoulder arthroplasty may serve as an alternative to open revision for lower-demand patients, though prospective comparative studies are needed to define indications [24].

Implant Selection: Evidence does not support specific implant selection parameters for the arthroscopic procedures described; however, open Latarjet is an effective and safe alternative to arthroscopic or open HAGL repair [36].

Alignment / Balancing Strategy: Not applicable.

Pain Management: Not applicable.

Adjuncts: Arthroscopic acromioplasty significantly improves long-term clinical outcomes up to 2 years when combined with platelet-rich plasma injection for chronic rotator cuff tendinopathy [5].

Setting of Care: Converting from nonoperative to arthroscopic treatment for anterior shoulder instability does not significantly increase patient costs compared with initial arthroscopic intervention, though both pathways are roughly twice as costly as isolated nonoperative management [48].

Revision: Not applicable.

Other Considerations: Arthroscopic partial repair of irreparable rotator cuff tears may produce initial improvement in selected outcomes at 2-year follow-up, but approximately half of patients were dissatisfied with outcomes that deteriorated over time [2]. Current data suggest that eligible patients for arthroscopic stabilization can expect equivalent recurrence rates, better functional outcomes, and less morbidity compared to open methods [9]. Arthroscopic and open acromioplasty have equivalent ultimate clinical outcomes, operative times, and low complication rates [11]. Arthroscopic surgery for anterior glenoid rim fractures appears to reduce complication and reoperation rates compared with open surgery [12]. Clinical outcomes after arthroscopic and open shoulder stabilization for recurrent anterior instability are comparable [16]. There is no significant overall difference in the use or cost of resources or quality of life between arthroscopic and open management for rotator cuff tears [81]. Suggested guidelines for the practice of arthroscopic surgery emphasize the need for appropriate training, hospital privileges, and regular performance review to ensure patient safety and surgical expertise [3, 58, 59, 60]. The shoulder arthroscopy literature remains controversial, with conclusions often unsupported due to bias and limitations, and no clinical guidelines are definitive pending higher levels of evidence [66].

Complications

General Safety Profile: Early perioperative complications after shoulder arthroscopy are uncommon, even though up to 43% of patients can be classified as obese [99]. Arthroscopic management of primary synovial chondromatosis of the shoulder is associated with low morbidity [1]. Complications of shoulder arthroscopy can be minimized with thoughtful consideration of surgical indications, careful patient selection and positioning, and a thorough knowledge of shoulder anatomy [13]. Arthroscopic and related surgery has a low complication rate, but surgeons must learn from complications that do occur through careful review and study of etiology and prevention [56].

Chondrolysis: Chondrolysis is a devastating complication of arthroscopic shoulder surgery that can result in long-term disabling consequences [22].

Instability and Revision Outcomes: Arthroscopic stabilization in patients older than 40 years with anterior shoulder instability results in low pain scores at medium- to long-term follow-up [10]. Approximately half of patients undergoing arthroscopic partial repair of irreparable rotator cuff tears were not satisfied with their outcomes, which had deteriorated over time at 2-year follow-up [2].

Other Considerations: Arthroscopic and open acromioplasty both have low complication rates [11]. Arthroscopic surgery for anterior glenoid rim fractures appears to reduce the complication and reoperation rate compared with open surgery [12]. Reported annual complication rates for arthroscopic rotator cuff repair have been significantly lower than open repair over the past 6 years (2011-2017), with an overall lower cumulative rate from 2007-2017 [52]. Open procedures for recurrent post-traumatic anterior shoulder dislocation have a higher risk for loss of motion compared with arthroscopic repair [23]. The rate of adverse events in arthroscopic Latarjet procedures is not insignificant and is similar to that reported with the traditional open Latarjet [96]. The incidence and risk of 30-day perioperative complications are similar after arthroscopic and open irrigation and debridement for septic arthritis of the shoulder [97].

Recovery

Light activity (weeks): Evidence does not specify a precise week range for light activity or driving. However, arthroscopic management of primary synovial chondromatosis is characterized by early functional return [1]. In contrast, open procedures for recurrent post-traumatic anterior shoulder dislocation involve longer hospitalization times compared to arthroscopic repair, indicating an advantage for arthroscopic repair regarding short-term consequences [23].

Full activity (months): Arthroscopic partial repair of irreparable rotator cuff tears may produce initial improvement in selected outcomes at 2-year follow-up, but approximately half of patients were not satisfied with outcomes that deteriorated over time [2]. Healed arthroscopic superior capsule reconstruction for irreparable rotator cuff tears restored shoulder function and resulted in high rates of return to recreational sport and work at 5-year follow-up [55]. Arthroscopic stabilization in patients older than 40 years with anterior shoulder instability results in good functional outcomes at medium- to long-term follow-up [10].

Complete recovery / outcome plateau (months): Arthroscopic repair of partial-thickness supraspinatus rotator cuff tears results in excellent clinical outcomes and high patient satisfaction at minimum 10-year follow-up [8]. Good results of arthroscopic acromioplasty for chronic shoulder impingement syndrome were maintained at 12 to 14 years after surgery, with excellent or good results shown in 77% of shoulders [62]. At long-term follow-up, 65% of patients treated with an arthroscopic Bankart repair using bioabsorbable tacks had a well-functioning, stable shoulder [44]. Results of arthroscopic Bankart repair with a bioabsorbable tack did not deteriorate during follow-up [103].

Rehabilitation protocol: Specific rehabilitation protocols, including PT phasing, immobilisation duration, and sling removal timing, are not detailed in the provided evidence.

Functional milestones: Arthroscopic decompression is not recommended in the treatment of rotator cuff tendinopathy [30]. Arthroscopic acromioplasty significantly improves long-term clinical outcomes up to 2 years when combined with platelet-rich plasma injection for chronic rotator cuff tendinopathy [5]. At minimum 2-year follow-up, arthroscopic repair of rotator cuff tears produced significant improvements in both patient-derived and objectively measured variables [107]. At a median follow-up of 5 years, 80% (32 of 40) of patients had a good or excellent result after an arthroscopic subscapularis tendon repair, and 88% of patients were satisfied with their shoulders [104].

Other Considerations: Chondrolysis is a devastating complication of arthroscopic shoulder surgery that can result in long-term disabling consequences [22]. Clinical outcomes after arthroscopic and open shoulder stabilization for recurrent anterior instability are comparable [16]. At a mean of 23 months postoperatively, the arthroscopic Latarjet procedure resulted in a mean persisting enlargement of the glenoid arc of 14% beyond native dimensions, avoiding a recurrent 'off-track' lesion in 32% of patients [105]. A 1-month-old infant with septic arthritis of the shoulder had a good clinical and radiographic outcome at 2 years after arthroscopic debridement and synovectomy [102]. Timeliness of diagnosis and surgical referral, coordination of care, and understanding of the indications versus limitations of conservative therapy are key factors frequently implicated in malpractice lawsuits following arthroscopic surgery [106].

Key Evidence

  • [L4] Arthroscopic management is an effective treatment of choice with low morbidity and early functional return. (10.1016/j.arthro.2006.07.009)
  • [L4] Arthroscopic partial repair may produce initial improvement in selected outcomes at 2-year follow-up, but about half of the patients were not satisfied with their outcomes, which had deteriorated over time. (10.1177/0363546515585122)
  • [L5] This statement outlines suggested guidelines for the practice of arthroscopic surgery, emphasizing the need for appropriate training, privileges, and performance review by the Arthroscopy Association of North America. (10.1016/s0749-8063(08)00099-6)
  • [L1] The arthroscopic approach offers a unique advantage in diagnosing and treating occult intra-articular pathology. (10.1016/j.jse.2006.10.006)
  • [L1] Arthroscopic acromioplasty significantly improves long-term clinical outcomes up to 2 years. (10.1177/0363546515608485)
  • [L4] Arthroscopic examination before modified Latarjet reconstruction is recommended because it allows the surgeon to identify and arthroscopically address associated pathologic entities that are present in over two thirds of the cases. (10.1016/j.arthro.2007.11.021)
  • [L4] While arthroscopic repair of this combination typically results in favorable clinical outcomes, the likelihood of returning to sports remains uncertain. (10.1016/j.jse.2025.04.020)
  • [L4] Arthroscopic repair of PTRCTs results in excellent clinical outcomes and high patient satisfaction at minimum 10-year follow-up. (10.1177/03635465231176557)
  • [L4] Current data suggest that patients meeting eligibility criteria for arthroscopic stabilization (those without significant bony lesions or deformity) can expect equivalent rates of recurrence, better functional outcomes, and less morbidity compared to open methods. (10.1016/j.arthro.2011.06.006)
  • [L4] Arthroscopic stabilization in patients older than 40 years results in a high rate of satisfaction, good functional outcomes, and low pain scores at medium- to long-term follow-up. (10.1016/j.jse.2024.09.022)
  • [L3] Arthroscopic and open acromioplasty have equivalent ultimate clinical outcomes, operative times, and low complication rates. (10.1177/0363546508328100)
  • [L3] Arthroscopic surgery appears to reduce the complication and reoperation rate. (10.1016/j.jse.2018.07.008)
  • [L4] Complications can be minimized with thoughtful consideration of surgical indications, careful patient selection and positioning, and a thorough knowledge of shoulder anatomy. (10.5435/jaaos-22-07-410)
  • [L3] Diagnostic arthroscopy is a useful diagnostic tool in patients with suspicion but no clear evidence of PPSI. (10.1016/j.arthro.2019.03.058)
  • [L1] Clinical outcomes after arthroscopic and open stabilization were comparable. (10.1177/0363546506288239)
  • [L2] Additionally, there was no measurable improvement in arthroscopic visualization or early pain scores. (10.1016/j.jse.2022.06.027)
  • [L5] The definitive diagnosis of superior labrum, anterior and posterior lesions is best made through diagnostic arthroscopy. (10.1177/03635465030310052901)
  • [L4] Arthroscopic treatment provides a significant decrease in symptoms and increased range of motion. (10.1177/03635465030310050201)
  • [L4] The available information is not sufficient to support one treatment modality over another, and the answers regarding the interchangeability of arthroscopy and surgical dislocation remain unclear. (10.1016/j.arthro.2013.10.005)
  • [L1] Arthroscopy appears superior to conventional techniques of joint aspiration and inflammatory marker testing. (10.1016/j.jse.2023.02.135)
  • [L4] Chondrolysis is a devastating complication of arthroscopic shoulder surgery that can result in longterm disabling consequences. (10.1016/j.jse.2008.10.017)
  • [L3] However, the open procedure had a higher risk for loss of motion, more cosmetic problems, and longer hospitalization times, indicating an advantage for arthroscopic repair regarding short-term consequences. (10.1007/s001670050133)
  • [L4] This less-invasive arthroscopic technique may be an alternative to open revision for lower demand patients; however, future prospective, comparative studies are necessary to better define indications. (10.1177/24715492221142967)
  • [L3] Arthroscopic stabilization is a reliable procedure in selected high-risk patients. (10.1177/0363546504265264)
  • [L4] Computerized tomographic arthrography and arthroscopy enabled accurate definition of the anomaly. (10.2106/00004623-198870030-00021)
  • [L5] The current review highlights the history of arthroscopic education, strategies and current teaching modalities in modern arthroscopic education, and avenues for future educational pathways. (10.5435/jaaos-d-23-00254)
  • [L4] Superior outcomes were associated with better preoperative clinical and MRI status, indicating that early recognition and timely intervention result in better shoulder motion and improved joint alignment. (10.1016/j.jse.2009.05.011)
  • [L1] The natural history of rotator cuff tendinopathy probably plays a significant role in the results in the long-term. (10.1302/0301-620x.99b6.bjj-2016-0569.r1)
  • [L4] This study defined a new scoring system for the classification of glenohumeral synovitis as seen during arthroscopy with good reliability among a large range of surgeons. (10.1016/j.jse.2017.06.003)
  • [L4] Shoulder arthroscopy in patients after arthroplasty is most frequently used as a diagnostic tool; however, it has utility in treating a number of predetermined pathologies. (10.1016/j.jse.2015.09.013)
  • [Commentary] Arthroscopy is a powerful tool in the management of the painful total shoulder arthroplasty and should be considered when evaluating cases in which a clear cause of pain is not present. (10.1016/j.arthro.2020.02.031)
  • [L4] It is an effective treatment option and a safe alternative to arthroscopic or open HAGL repair. (10.1177/03635465221102904)
  • [Case_report] A careful arthroscopic excision allows, as well as the open technique, its complete removal and provides durable pain relief. (10.1016/j.jse.2011.05.007)
  • [L4] Recognizing this complication and providing appropriate intervention or referral are important for any surgeon performing shoulder arthroscopies. (10.1016/j.jse.2016.04.037)
  • [L4] Arthroscopic repair in athletes with symptomatic MDI appears to be an effective, reproducible treatment option. (10.1177/0363546509335464)
  • [L4] Arthroscopic capsular release is a reliable method for restoring motion with minimum morbidity in carefully selected patients. (10.1007/s001670100194)
  • [L4] This classification system allows for the ability to evaluate differing repair patterns and their effects on postoperative clinical outcomes. (10.1177/2325967125s00101)
  • [L3] These data suggest that SCR may not depress the humeral head during functional abduction, as previously postulated, and postoperative improvements in subjective and clinical outcomes may be affected by mechanisms other than changes in shoulder kinematics. (10.1016/j.arthro.2021.06.018)
  • [L4] At long-term follow-up, 65% of patients treated with an arthroscopic Bankart repair using bioabsorbable tacks had a well-functioning, stable shoulder. (10.1177/0363546511425891)
  • [L4] It provides significant improvement in shoulder function without reducing shoulder range of motion. (10.1007/s00167-019-05496-1)
  • [L5] Arthroscopic techniques benefit patients by avoiding the morbidity of open surgery, though they remain technically demanding. (10.1007/s00402-002-0423-6)
  • [L3] Converting from nonoperative to arthroscopic treatment does not significantly increase patient costs compared with initial arthroscopic intervention, but both treatment pathways are roughly 2 times more costly to the patient than isolated nonoperative management. (10.1016/j.arthro.2025.04.027)
  • [L5] Arthroscopic Bankart repair has evolved to offer decreased pain, improved functional outcomes, and little recurrence of instability, with results approaching those of open repair when appropriate patient selection and technical considerations are applied. (10.5435/00124635-200511000-00008)
  • [L3] Favorable outcomes of arthroscopic management of FAI in adolescents are reported compared with an adult control group. (10.1016/j.arthro.2016.02.019)
  • [L3] Reported annual complication rates have been significantly lower for arthroscopic RCR over the past 6 years, with an overall lower cumulative rate from 2007-2017. (10.1016/j.arthro.2019.06.022)
  • [Case_report] Careful interpretation of MR arthrograms and thorough diagnostic arthroscopy are essential to identify this rare lesion. (10.1016/j.jse.2006.09.009)
  • [L4] In this 5-year follow-up study, healed arthroscopic superior capsule reconstruction restored shoulder function and resulted in high rates of return to recreational sport and work. (10.2106/jbjs.19.00135)
  • [L5] Arthroscopic and related surgery has a low complication rate, but surgeons must learn from complications that do occur through careful review and study of etiology and prevention. (10.1016/j.arthro.2014.08.002)
  • [L4] A physiological remodeling process leads to restoration of a more natural glenoid anatomy. (10.1177/0363546515625283)
  • [L5] This statement outlines suggested guidelines for the practice of arthroscopic surgery, emphasizing the need for appropriate training, hospital privileges, and regular performance review to ensure patient safety and surgical expertise. (10.1016/s0749-8063(08)00746-9)
  • [L5] This statement outlines suggested guidelines for the practice of arthroscopic surgery, emphasizing the need for appropriate training, hospital privileges, and regular performance review to ensure patient safety and surgical expertise. (10.1016/s0749-8063(08)00828-1)
  • [L5] This statement outlines suggested guidelines for the practice of arthroscopic surgery, emphasizing the need for appropriate training, hospital privileges, and ongoing performance review to ensure patient safety and surgical competence. (10.1016/s0749-8063(08)00672-5)
  • [L5] Successful application requires understanding the biology and biomechanics affecting use, as well as knowledge of factors that can affect subsequent clinical outcomes. (10.1177/0363546505282621)
  • [L3] Good results of arthroscopic acromioplasty were maintained at 12 to 14 years after surgery with excellent or good results shown in 77% of shoulders, and the long-term outcomes were superior to those after open acromioplasty. (10.1016/j.arthro.2008.04.073)
  • [L4] Although there are limited nonarthroplasty surgical options available for glenohumeral arthritis, isolated arthroscopic debridement and capsular release may not provide substantial benefit to justify its use in most patients. (10.1016/j.arthro.2014.08.025)
  • [L5] The editorial states that shoulder arthroscopy literature remains controversial, conclusions are often unsupported due to bias and limitations, and no clinical guidelines are definitive pending higher levels of evidence. (10.1016/j.arthro.2012.07.001)
  • [L4] The goal of treatment is to correct deficient stabilizing mechanisms without altering normal glenohumeral function. (10.5435/00124635-200003000-00006)
  • [L5] Arthroscopic treatment should no longer be offered to people with subacromial impingement as surgery offers no discernible benefits but may result in harm, and the weight of evidence supports nonoperative management or no treatment. (10.1016/j.arthro.2022.03.017)
  • [L5] The purpose of this article is to review the current literature concerning shoulder anatomy/pathology related to shoulder stability/instability to improve clinical diagnosis and surgical treatment of our patients. (10.1016/j.arthro.2011.05.017)
  • [L4] We propose DSJ as an adjunct to more conventional parameters for arthroscopic surgery skills assessment. (10.1155/2018/7816160)
  • [L4] Arthroscopic repair remains a viable option even in a highly active patient population. (10.1016/j.arthro.2016.01.025)
  • [L1] Arthroscopic lavage reduced the recurrence rate and produced a better functional outcome at 1-year follow-up than non-operative treatment in young individuals with traumatic primary anterior shoulder dislocation. (10.1007/s001670050146)
  • [L3] Diagnostic performance of the modified Patte classification system was excellent for reparability and acceptable for rotator cuff healing, with high measurement reliability. (10.1002/ksa.12162)
  • [L2] Needle arthroscopy is a promising diagnostic modality for intra-articular shoulder pathologies with comparable accuracy to MRI. (10.1016/j.arthro.2021.03.006)
  • [L1] There was no significant overall difference in the use or cost of resources or quality of life between arthroscopic and open management in the trial. (10.1302/0301-620x.98b12.bjj-2016-0121.r1)
  • [L4] Detection of a comma sign on MRI may be important preoperative planning information in the arthroscopic management of patients with subscapularis tendon tears. (10.1016/j.arthro.2021.04.040)
  • [L4] In patients who have loss of motion that is refractory to closed manipulation, arthroscopic capsular release improves motion reliably with little operative morbidity. (10.2106/00004623-199612000-00003)
  • [L5] The position of the posterolateral corner of the acromion in relation to the glenohumeral joint is quite variable. (10.1016/j.jse.2013.12.005)
  • [L5] Partial-thickness and subscapularis tears can be successfully treated arthroscopically if conservative management fails. (10.1016/j.jhsa.2011.06.026)
  • [L5] Following nonoperative treatment for at least 6 weeks, SAD is a viable and good surgical option for the treatment of shoulder impingement with an intact rotator cuff. (10.1016/j.arthro.2019.06.012)
  • [L1] It is not recommended to perform preventive arthroscopic DCR in patients with radiologic and asymptomatic ACJ arthritis. (10.1016/j.jse.2014.06.002)
  • [L4] MRI findings showed reduced joint capsule thickness and effusion following the procedure. (10.1186/1471-2474-9-12)
  • [L4] Ultrasound diagnosis matched the arthroscopic findings perfectly. (10.1186/s12891-023-06863-3)
  • [L4] The article provides an evidence-based review of methods and techniques to optimize visualization during arthroscopic shoulder surgery, emphasizing that a thorough understanding of the supporting literature is essential to interpret the clinical utility of each technique. (10.5435/jaaos-d-23-01025)
  • [L3] The space can be a reliable adjunct for verification but should not replace a full arthroscopic evaluation. (10.1016/j.jse.2006.09.005)
  • [L4] The rate of adverse events reported in this arthroscopic series is not insignificant and is similar to that reported with the traditional open Latarjet. (10.1016/j.arthro.2016.02.022)
  • [L3] The incidence and risk of 30-day perioperative complications are similar after arthroscopic and open I&D for septic arthritis of the shoulder. (10.1016/j.jse.2019.11.007)
  • [L3] Up to 43% of patients undergoing shoulder arthroscopy can be classified as obese, but early perioperative complications are uncommon. (10.1016/j.arthro.2016.03.022)
  • [L4] Three FAST activities correlated with training year but not with arthroscopy case experience. (10.1016/j.arthro.2016.09.014)
  • [Commentary] Analysis of arthroscopic topics in smaller time frames (5 to 10 years) may provide a more up-to-date prediction of future trends than analyzing since the inception of journal metrics, as classic articles become common knowledge and their overwhelming impact lessens. (10.1016/j.arthro.2021.02.048)
  • [Case_report] The patient had a good clinical and radiographic outcome at 2 years after arthroscopic debridement and synovectomy. (10.1016/j.jse.2020.05.026)
  • [L4] In contrast to previous reports on arthroscopic Bankart repair, results did not deteriorate during follow-up. (10.1177/0363546506290404)
  • [L4] At a median follow-up of 5 years, 80% (32 of 40) of patients had a good or excellent result after an arthroscopic subscapularis tendon repair, and 88% of patients were satisfied with their shoulders. (10.1016/j.arthro.2008.08.004)
  • [L4] At a mean of 23 months postoperatively, a mean persisting enlargement of the glenoid arc of 14% beyond native dimensions remained, avoiding a recurrent 'off-track' lesion in 32% of patients. (10.1177/0363546517728717)
  • [L4] The study findings suggest that timeliness of diagnosis and surgical referral, coordination of care, and understanding of the indications versus limitations of conservative therapy are key factors frequently implicated in malpractice lawsuits following arthroscopic surgery. (10.5435/jaaos-d-24-01487)
  • [L2] At minimum 2-year follow-up, arthroscopic repair of rotator cuff tears produced significant improvements in both patient-derived and objectively measured variables. (10.1016/j.jse.2006.12.011)

See Also

References

[1] Diagnosis and Arthroscopic Treatment of Primary Synovial Chondromatosis of the Shoulder. Arthroscopy. 2006. DOI: 10.1016/j.arthro.2006.07.009

[2] Arthroscopic Partial Repair of Irreparable Rotator Cuff Tears. The American Journal of Sports Medicine. 2015. DOI: 10.1177/0363546515585122

[3] Suggested Guidelines for the Practice of Arthroscopic Surgery. Arthroscopy. 2008. DOI: 10.1016/s0749-8063(08)00099-6

[4] Arthroscopic versus open distal clavicle excision: Comparative results at six months and one year from a randomized, prospective clinical trial. Journal of Shoulder and Elbow Surgery. 2007. DOI: 10.1016/j.jse.2006.10.006

[5] Platelet-Rich Plasma Injection With Arthroscopic Acromioplasty for Chronic Rotator Cuff Tendinopathy. The American Journal of Sports Medicine. 2015. DOI: 10.1177/0363546515608485

[6] The Value of Arthroscopy Before an Open Modified Latarjet Reconstruction. Arthroscopy. 2008. DOI: 10.1016/j.arthro.2007.11.021

[7] Clinical outcomes following arthroscopic repair of posterior humeral avulsion of glenohumeral ligament in recurrent anterior shoulder dislocations. Journal of Shoulder and Elbow Surgery. 2026. DOI: 10.1016/j.jse.2025.04.020

[8] Minimum 10-Year Outcomes After Arthroscopic Repair of Partial-Thickness Supraspinatus Rotator Cuff Tears. The American Journal of Sports Medicine. 2023. DOI: 10.1177/03635465231176557

[9] The Rationale for an Arthroscopic Approach to Shoulder Stabilization. Arthroscopy. 2011. DOI: 10.1016/j.arthro.2011.06.006

[10] Anterior shoulder instability in patients older than 40 years treated with arthroscopic Bankart repair. Journal of Shoulder and Elbow Surgery. 2025. DOI: 10.1016/j.jse.2024.09.022

[11] Arthroscopic versus Open Acromioplasty. The American Journal of Sports Medicine. 2009. DOI: 10.1177/0363546508328100

[12] Contribution of arthroscopy in the treatment of anterior glenoid rim fractures: a comparison with open surgery. Journal of Shoulder and Elbow Surgery. 2019. DOI: 10.1016/j.jse.2018.07.008

[13] Complications of Shoulder Arthroscopy. Journal of the American Academy of Orthopaedic Surgeons. 2014. DOI: 10.5435/jaaos-22-07-410

[14] Diagnostic Arthroscopy for Detection of Periprosthetic Infection in Painful Shoulder Arthroplasty. Arthroscopy. 2019. DOI: 10.1016/j.arthro.2019.03.058

[15] 00004623-197860040-00003. 1978.

[16] Arthroscopic versus Open Shoulder Stabilization for Recurrent Anterior Instability. The American Journal of Sports Medicine. 2006. DOI: 10.1177/0363546506288239

[17] The effect of tranexamic acid for visualization on pump pressure and visualization during arthroscopic rotator cuff repair: an anonymized, randomized controlled trial. Journal of Shoulder and Elbow Surgery. 2022. DOI: 10.1016/j.jse.2022.06.027

[18] The Diagnosis and Treatment of Superior Labrum, Anterior and Posterior (SLAP) Lesions. The American Journal of Sports Medicine. 2003. DOI: 10.1177/03635465030310052901

[19] Poly-L-lactic Acid Tack Synovitis after Arthroscopic Stabilization of the Shoulder. The American Journal of Sports Medicine. 2003. DOI: 10.1177/03635465030310050201

[20] Surgical Treatment of Femoroacetabular Impingement: What Are the Limits of Hip Arthroscopy?. Arthroscopy. 2014. DOI: 10.1016/j.arthro.2013.10.005

[21] Arthroscopic tissue biopsy as a preoperative diagnostic test for periprosthetic shoulder arthroplasty infections: a systematic review and meta-analysis. Journal of Shoulder and Elbow Surgery. 2023. DOI: 10.1016/j.jse.2023.02.135

[22] Severe chondrolysis after shoulder arthroscopy: A case series. Journal of Shoulder and Elbow Surgery. 2009. DOI: 10.1016/j.jse.2008.10.017

[23] Recurrent post‐traumatic anterior shoulder dislocation – open versus arthroscopic repair. Knee Surgery, Sports Traumatology, Arthroscopy. 1999. DOI: 10.1007/s001670050133

[24] Arthroscopic Removal of the Polyethylene Glenoid Component After Total Shoulder Arthroplasty: A Systematic Review. Journal of Shoulder and Elbow Arthroplasty. 2022. DOI: 10.1177/24715492221142967

[25] Arthroscopic Bankart Repair Using Suture Anchors in Athletes. The American Journal of Sports Medicine. 2004. DOI: 10.1177/0363546504265264

[26] Unusual anomaly of the scapula defined by arthroscopy and computerized tomographic arthrography. Report of a case.. The Journal of Bone & Joint Surgery. 1988. DOI: 10.2106/00004623-198870030-00021

[28] Arthroscopic Training: Historical Insights and Future Directions. Journal of the American Academy of Orthopaedic Surgeons. 2023. DOI: 10.5435/jaaos-d-23-00254

[29] Arthroscopic treatment of internal rotation contracture and glenohumeral dysplasia in children with brachial plexus birth palsy. Journal of Shoulder and Elbow Surgery. 2010. DOI: 10.1016/j.jse.2009.05.011

[30] Arthroscopic decompression not recommended in the treatment of rotator cuff tendinopathy. The Bone & Joint Journal. 2017. DOI: 10.1302/0301-620x.99b6.bjj-2016-0569.r1

[31] Classifying glenohumeral synovitis: a novel intraoperative scoring system. Journal of Shoulder and Elbow Surgery. 2017. DOI: 10.1016/j.jse.2017.06.003

[33] Indications and outcomes of shoulder arthroscopy after shoulder arthroplasty. Journal of Shoulder and Elbow Surgery. 2016. DOI: 10.1016/j.jse.2015.09.013

[35] Editorial Commentary: Does the Scope Have a Role in Painful Shoulder Arthroplasty?. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2020. DOI: 10.1016/j.arthro.2020.02.031

[36] Long-term Outcomes After the Open Latarjet Procedure for the Surgical Management of Humeral Avulsion of the Glenohumeral Ligament Lesions. The American Journal of Sports Medicine. 2022. DOI: 10.1177/03635465221102904

[38] Arthroscopic management of heterotopic ossification of the subscapularis tendon in a patient with tuberculosis: a case report. Journal of Shoulder and Elbow Surgery. 2012. DOI: 10.1016/j.jse.2011.05.007

[39] Mixed neuropathy presenting clinically as an anterior interosseous nerve palsy following shoulder arthroscopy: a report of four cases. Journal of Shoulder and Elbow Surgery. 2016. DOI: 10.1016/j.jse.2016.04.037

[40] Arthroscopic Treatment of Multidirectional Shoulder Instability in Athletes. The American Journal of Sports Medicine. 2009. DOI: 10.1177/0363546509335464

[41] 360° arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint – indication, surgical technique, results. Knee Surgery, Sports Traumatology, Arthroscopy. 2001. DOI: 10.1007/s001670100194

[42] Paper 44: Medial Meniscus Ramp Tears: An Internationally Developed Surgically Relevant Classification System Based on Tear Morphology. Orthopaedic Journal of Sports Medicine. 2025. DOI: 10.1177/2325967125s00101

[43] Improved Outcomes Following Arthroscopic Superior Capsular Reconstruction May Not Be Associated With Changes in Shoulder Kinematics: An In Vivo Study. Arthroscopy. 2021. DOI: 10.1016/j.arthro.2021.06.018

[44] Minimum 10-Year Follow-up of Arthroscopic Intra-articular Bankart Repair Using Bioabsorbable Tacks. The American Journal of Sports Medicine. 2011. DOI: 10.1177/0363546511425891

[45] Novel and effective arthroscopic extracapsular stabilization technique for anterior shoulder instability‐BLS. Knee Surgery, Sports Traumatology, Arthroscopy. 2019. DOI: 10.1007/s00167-019-05496-1

[47] Rationales of arthroscopic shoulder stabilization. Archives of Orthopaedic and Trauma Surgery. 2002. DOI: 10.1007/s00402-002-0423-6

[48] Conversion to Arthroscopic Surgery for Anterior Shoulder Instability Does Not Significantly Increase Patient Out‐of‐Pocket Costs, But Both Conversion and Initial Arthroscopic Management Are Twice as Costly as Isolated Nonoperative Management. Arthroscopy. 2025. DOI: 10.1016/j.arthro.2025.04.027

[49] Arthroscopic Bankart Repair. Journal of the American Academy of Orthopaedic Surgeons. 2005. DOI: 10.5435/00124635-200511000-00008

[51] Arthroscopic Management of Femoroacetabular Impingement in Adolescents. Arthroscopy. 2016. DOI: 10.1016/j.arthro.2016.02.019

[52] Arthroscopic and Open or Mini‐Open Rotator Cuff Repair Trends and Complication Rates Among American Board of Orthopaedic Surgeons Part II Examinees (2007‐2017). Arthroscopy. 2019. DOI: 10.1016/j.arthro.2019.06.022

[54] Open treatment of posterior humeral avulsion of the glenohumeral ligaments: A case report and review of the literature. Journal of Shoulder and Elbow Surgery. 2007. DOI: 10.1016/j.jse.2006.09.009

[55] Five-Year Follow-up of Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears. Journal of Bone and Joint Surgery. 2019. DOI: 10.2106/jbjs.19.00135

[56] Hip Arthroscopy Dislocation and Shoulder Arthroscopy Positioning. Arthroscopy. 2014. DOI: 10.1016/j.arthro.2014.08.002

[57] Arthroscopic Implant-Free Bone Grafting for Shoulder Instability With Glenoid Bone Loss. The American Journal of Sports Medicine. 2016. DOI: 10.1177/0363546515625283

[58] Suggested Guidelines for the Practice of Arthroscopic Surgery. Arthroscopy. 2008. DOI: 10.1016/s0749-8063(08)00746-9

[59] Suggested Guidelines for the Practice of Arthroscopic Surgery. Arthroscopy. 2008. DOI: 10.1016/s0749-8063(08)00828-1

[60] Suggested Guidelines for the Practice of Arthroscopic Surgery. Arthroscopy. 2008. DOI: 10.1016/s0749-8063(08)00672-5

[61] Suture Anchors and Tacks for Shoulder Surgery, Part 1. The American Journal of Sports Medicine. 2005. DOI: 10.1177/0363546505282621

[62] Long‐term Outcomes of Arthroscopic Acromioplasty for Chronic Shoulder Impingement Syndrome: A Prospective Cohort Study With a Minimum of 12 Years' Follow‐up. Arthroscopy. 2008. DOI: 10.1016/j.arthro.2008.04.073

[65] Arthroscopic Debridement and Capsular Release for the Treatment of Shoulder Osteoarthritis. Arthroscopy. 2014. DOI: 10.1016/j.arthro.2014.08.025

[66] Shoulder Arthroscopy Literature Remains Controversial. Arthroscopy. 2012. DOI: 10.1016/j.arthro.2012.07.001

[67] Complications of Open Anterior Stabilization of the Shoulder. Journal of the American Academy of Orthopaedic Surgeons. 2000. DOI: 10.5435/00124635-200003000-00006

[68] Editorial Commentary : Arthroscopic Treatment Should No Longer Be Offered to People With Subacromial Impingement. Arthroscopy. 2022. DOI: 10.1016/j.arthro.2022.03.017

[72] Arthroscopic Anatomy, Variants, and Pathologic Findings in Shoulder Instability. Arthroscopy. 2011. DOI: 10.1016/j.arthro.2011.05.017

[73] The Dimensionless Squared Jerk: An Objective Parameter That Improves Assessment of Hand Motion Analysis during Simulated Shoulder Arthroscopy. BioMed Research International. 2018. DOI: 10.1155/2018/7816160

[75] Outcomes of Bankart Repairs Using Modern Arthroscopic Technique in an Athletic Population. Arthroscopy. 2016. DOI: 10.1016/j.arthro.2016.01.025

[76] Arthroscopic lavage reduced the recurrence rate following primary anterior shoulder dislocation. Knee Surgery, Sports Traumatology, Arthroscopy. 1999. DOI: 10.1007/s001670050146

[78] A modified Patte classification system for rotator cuff tendon retraction to predict reparability and tendon healing in arthroscopic rotator cuff repair. Knee Surgery, Sports Traumatology, Arthroscopy. 2024. DOI: 10.1002/ksa.12162

[79] Needle Diagnostic Arthroscopy and Magnetic Resonance Imaging of the Shoulder Have Comparable Accuracy With Surgical Arthroscopy: A Prospective Clinical Trial. Arthroscopy. 2021. DOI: 10.1016/j.arthro.2021.03.006

[81] Costs, quality of life and cost-effectiveness of arthroscopic and open repair for rotator cuff tears. The Bone & Joint Journal. 2016. DOI: 10.1302/0301-620x.98b12.bjj-2016-0121.r1

[83] Preoperative Magnetic Resonance Imaging Accurately Detects the Arthroscopic Comma Sign in Subscapularis Tears. Arthroscopy. 2021. DOI: 10.1016/j.arthro.2021.04.040

[84] Arthroscopic Release for Chronic, Refractory Adhesive Capsulitis of the Shoulder. The Journal of Bone & Joint Surgery*. 1996. DOI: 10.2106/00004623-199612000-00003

[85] Reliability of the posterolateral corner of the acromion as a landmark for the posterior arthroscopic portal of the shoulder. Journal of Shoulder and Elbow Surgery. 2014. DOI: 10.1016/j.jse.2013.12.005

[86] Arthroscopic Treatment of Rotator Cuff Disease. The Journal of Hand Surgery. 2011. DOI: 10.1016/j.jhsa.2011.06.026

[87] Indications for Arthroscopic Subacromial Decompression. A Level V Evidence Clinical Guideline. Arthroscopy. 2019. DOI: 10.1016/j.arthro.2019.06.012

[89] Is a Distal Clavicle Resection Necessary in Patients with Radiologic Acromioclavicular Joint Arthritis with Rotator Cuff Tear? – A Prospective Randomized Comparative Study. Journal of Shoulder and Elbow Surgery. 2014. DOI: 10.1016/j.jse.2014.06.002

[90] Interventional microadhesiolysis: A new nonsurgical release technique for adhesive capsulitis of the shoulder. BMC Musculoskeletal Disorders. 2008. DOI: 10.1186/1471-2474-9-12

[92] Arthroscopic treatment of deep gluteal syndrome and the application value of high-frequency ultrasound. BMC Musculoskeletal Disorders. 2023. DOI: 10.1186/s12891-023-06863-3

[93] Optimizing Visualization in Shoulder Arthroscopy: An Evidence-Based Guide. Journal of the American Academy of Orthopaedic Surgeons. 2024. DOI: 10.5435/jaaos-d-23-01025

[94] Direct biceps tendon and supraspinatus contact as an indicator of rotator cuff tear during shoulder arthroscopy in the lateral decubitus position. Journal of Shoulder and Elbow Surgery. 2007. DOI: 10.1016/j.jse.2006.09.005

[96] Short‐term Complications of the Arthroscopic Latarjet Procedure: A North American Experience. Arthroscopy. 2016. DOI: 10.1016/j.arthro.2016.02.022

[97] Arthroscopic débridement has similar 30-day complications compared with open arthrotomy for the treatment of native shoulder septic arthritis: a population-based study. Journal of Shoulder and Elbow Surgery. 2020. DOI: 10.1016/j.jse.2019.11.007

[99] The Effects of Patient Obesity on Early Postoperative Complications After Shoulder Arthroscopy. Arthroscopy. 2016. DOI: 10.1016/j.arthro.2016.03.022

[100] Knee, Shoulder, and Fundamentals of Arthroscopic Surgery Training: Validation of a Virtual Arthroscopy Simulator. Arthroscopy. 2016. DOI: 10.1016/j.arthro.2016.09.014

[101] Editorial Commentary: Knowledge of Past Citations in Arthroscopic Research May Yield Wisdom for a Snapshot of Future Trends. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2021. DOI: 10.1016/j.arthro.2021.02.048

[102] Arthroscopic treatment for septic arthritis of the shoulder in a 1-month-old infant: a case report. Journal of Shoulder and Elbow Surgery. 2020. DOI: 10.1016/j.jse.2020.05.026

[103] Long–term Results of Arthroscopic Bankart Repair with a Bioabsorbable Tack. The American Journal of Sports Medicine. 2006. DOI: 10.1177/0363546506290404

[104] The Results of Arthroscopic Subscapularis Tendon Repairs. Arthroscopy. 2008. DOI: 10.1016/j.arthro.2008.08.004

[105] Does the Arthroscopic Latarjet Procedure Effectively Correct “Off-Track” Hill-Sachs Lesions?. The American Journal of Sports Medicine. 2017. DOI: 10.1177/0363546517728717

[106] Analysis of Reasons for Medical Malpractice Litigation Following Arthroscopic Surgery. Journal of the American Academy of Orthopaedic Surgeons. 2025. DOI: 10.5435/jaaos-d-24-01487

[107] Arthroscopic rotator cuff repair: Prospective functional outcome and repair integrity at minimum 2-year follow-up. Journal of Shoulder and Elbow Surgery. 2007. DOI: 10.1016/j.jse.2006.12.011

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For the avoidance of doubt, this Section 6(b) does not affect any right the Licensor may have to seek remedies for Your violations of this Public License.

c. For the avoidance of doubt, the Licensor may also offer the Licensed Material under separate terms or conditions or stop distributing the Licensed Material at any time; however, doing so will not terminate this Public License.

d. Sections 1, 5, 6, 7, and 8 survive termination of this Public License.

Section 7 -- Other Terms and Conditions.

a. The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed.

b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License.

Section 8 -- Interpretation.

a. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License.

b. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.

c. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.

d. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.

Creative Commons is not a party to its public licenses. Notwithstanding, Creative Commons may elect to apply one of its public licenses to material it publishes and in those instances will be considered the “Licensor.” The text of the Creative Commons public licenses is dedicated to the public domain under the CC0 Public Domain Dedication. Except for the limited purpose of indicating that material is shared under a Creative Commons public license or as otherwise permitted by the Creative Commons policies published at creativecommons.org/policies, Creative Commons does not authorize the use of the trademark "Creative Commons" or any other trademark or logo of Creative Commons without its prior written consent including, without limitation, in connection with any unauthorized modifications to any of its public licenses or any other arrangements, understandings, or agreements concerning use of licensed material. For the avoidance of doubt, this paragraph does not form part of the public licenses.

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