Introduction: Osteochondromas are the most common benign lesions of the bone. They usually affect flat bones such as the scapula. Case Report: We report a case of a left-handed 22-year-old male with no previous medical history, who came to the orthopedic outpatient clinic complaining of pain in the right shoulder, snapping, poor cosmetic look, and limited range of motion. Magnetic resonance imaging revealed an osteochondroma of the scapula. The tumor was surgically excised using a muscle splitting technique in line with the muscle fibers. Histopathological evaluation of the excised tumor confirmed the diagnosis of an osteochondroma. Conclusion: Surgical excision of the osteochondroma using muscle splitting in line with the muscle fibers gave good results in terms of patient satisfaction and cosmetic appearance. Delayed diagnosis and management may increase the risk of symptoms such as snapping or winging of the scapula. Keywords: Osteochondroma, snapping, winging, benign lesions, scapula, pain.

Arthroscopic partial meniscectomy represents a challenge due to view obstruction by the tight posterior joint line. We are describing a new technique to overcome this obstacle using "the pulling suture technique" which is a simple, reproducible, and safe way to perform partial meniscectomy. After a twisting knee injury, a 30-year-old man was complaining of left knee pain and locking. An irreparable complex bucket handle medial meniscus tear was found during diagnostic knee arthroscopy and partial meniscectomy was performed using the pulling suture technique. After visualizing medial knee compartment, a vicryl suture was introduce and looped around the torn fragment then secured by a sliding locking knot. The suture was pulled, and the torn fragment was placed under tension throughout the procedure to facilitate exposure and debridement of the tear. Then, the free fragment was extracted in one piece. Arthroscopic partial meniscectomy of the bucket-handle tears is a commonly performed procedure. Due to view obstruction, cutting of the posterior part of the tear is a challenging step. Any attempts of blind resection without proper visualization can lead to articular cartilage damage or insufficient debridement. In contrast to most described techniques to overcome this problem, the pulling suture technique doesn't require any accessory portals or additional equipments. Using "the pulling suture technique" improves resection by allowing a better view of both ends of the tear and securing the resected part by the suture, which facilitates its removal as a one unit.

Background: Anatomic variations of the popliteal artery are critical to recognize during preoperative planning to avoid complications. The aberrant anterior tibial artery (AATA) arises higher than the usual site of the anterior tibial artery, and it passes between the posterior tibial cortex and anterior to the popliteus muscle. Purpose: To assess AATA prevalence, magnetic resonance imaging (MRI) landmarks, intraoperative vascular injuries, and surgeon acknowledgment of the AATA presence. Study Design: Cross-sectional study; Level of evidence, 3. Methods: This study was conducted in 2 stages. During the first stage, 787 knee MRIs were reviewed to detect the AATA prevalence. In the second stage, 10 board-certified knee and sports surgeons were invited to comment on 10 knee MRIs, 5 of which showed AATA variation. This assessment was performed 3 times: (1) at baseline; (2) immediately after an instructional orientation session; (3) 2 weeks after the orientation session. Results: The prevalence of the AATA was found to be 2.03%. MRI measurements revealed that the AATA was, on average, 5.69 mm from the tibial attachment of the posterior cruciate ligament (PCL) and 9.89 mm from the posterior horn of the lateral meniscus. The anatomic variation of the AATA was most consistently visualized at the level of the tibial attachment of the PCL in 81.25% of cases. Before instructional orientation, observer surgeons failed to identify the presence or absence of the AATA on all MRI images. However, after the orientation, all observers accurately identified the AATA in both positive and negative cases immediately and after 2 weeks, achieving 100% intraobserver reproducibility. Conclusion: Popliteal artery anatomic variations may often be overlooked in preoperative planning; a detailed understanding of these variations is crucial to prevent unfortunate intraoperative complications. None of the surgeons detected the AATA on the first encounter. This highlights the importance of education in improving the detection and diagnosis of the AATA.

The Relationship of Poor Posture While Using Electronic Devices and Periscapular Shoulder Pain - Article abstract #950269