One of the most common causes of shoulder pain is impingement syndrome, several structural changes of acromion, coracoid process, coracohumeral ligament and acroimclavicular joint could cause it; however a rare extrinsic benign tumor such as osteochondromas could also lead to shoulder impingement which could be treated successfully by arthroscopy. We presented a successful arthroscopic resection of distal clavicle osteochondroma causing shoulder impingement in a 56-year-old male patient which was not responding to conservative management. Shoulder impingement could be caused by a very rare pathology such as osteochondromas. Sever shoulder pain and decrease of shoulder range of motion are common patient symptoms. Plain x-rays and MRI might be enough radiological investigation to reach up a diagnosis. Arthroscopic resection of such lesions considered as safe and effective management approach with low complication rates and recurrence rates.

The gelatinous fluid within a ganglion is rich in hyaluronic acid and other mucopolysaccharides, and the lesion itself is surrounded by a dense network of collagen fibres and fibrocytes. By restoring knee stability, the procedure aims to enhance the patient’s quality of life. Historically, individuals who underwent anterior cruciate ligament (ACL) surgery were able to resume their prior level of athletic involvement in 75%–90% of cases. ACL ganglion cysts are associated with serious clinical symptoms. Some people’s discomfort and stiffness from immobility due to large ganglia prohibit them from fully extending. Such individuals should have an arthroscopy or a computed tomography (CT) scan to decompress the ganglion, which offers immediate relief. ACL surgeries are becoming more and more common, and ganglion cysts may be present in individuals who have pain at the extremes of both flexion and extension has a clinical history. Radiologists must be conversant with these therapies and the adverse effects that go with them. While arthroscopic treatment offers quick discomfort alleviation without compromising ligament integrity, when it comes to radiological diagnostics, nothing beats magnetic resonance imaging (MRI). With an MRI, any other relevant intraarticular abnormalities may be ruled out. Safe CT scan-guided suction was used to successfully cure this patient’s ACL ganglion cyst symptoms.

Background/Objectives: Anterior cruciate ligament (ACL) injuries are common in sports; they can be seen with an arthroscope in more than half of instances of acute traumatic hemarthrosis and are frequently associated with meniscal tears. By reducing soft tissue injury and enabling faster recovery while attaining comparable long-term outcomes, the switch from open surgery to arthroscopic ACL repair (ACLR) has transformed treatment. However, maintaining efficient intra-articular visualization is essential for both patient safety and surgical precision. Methods: Using the PRISMA guidelines, a comprehensive systematic search was conducted across major medical databases, including PubMed, Web of Science, and ScienceDirect. The search strategy incorporated key terms such as epinephrine, irrigation fluid, and ACL reconstruction to identify relevant studies. The study focused on English-language clinical studies within the last 10 years that clearly assessed the safety and efficacy of epinephrine-added irrigation in ACL repair. The study design, patient demographics, specific outcomes (visualization, operation time, hemodynamics), and statistical findings were all carefully retrieved. The results were combined to determine the intervention’s safety profile and clinical value. Results: The pooled analysis demonstrated that the intervention group significantly decreased operating time (SMD = −0.51, 95% CI: −0.90 to −0.12, p = 0.01; I² = 24%). However, postoperative knee function showed no statistically significant difference between groups (OR = 1.80, 95% CI: 0.61 to 5.30, p = 0.29; I² = 0%). Postoperative pain levels also did not differ significantly between groups (SMD = −0.27, 95% CI: −0.63 to 0.09, p = 0.14; I² = 0%). Heterogeneity was low across all analyses (I² = 0–24%). Conclusions: Low-dose epinephrine in irrigation fluid significantly reduces operative time during arthroscopic ACL reconstruction, suggesting improved surgical efficiency. However, it does not significantly improve postoperative knee function or reduce pain compared to control irrigation. The intervention appears to be a reasonable alternative to tourniquets without major systemic cardiovascular effects. Nevertheless, preclinical data indicate potential chondrotoxicity. Therefore, while epinephrine can be considered to improve operating efficiency and reduce tourniquet-related problems, surgeons should weigh its use cautiously, especially in younger patients or those with susceptible cartilage.

Objective: This study described anchor-number preferences among orthopedic surgeons performing arthroscopic Bankart repair in Saudi Arabia and explored unadjusted associations with surgeon- and practice-related characteristics. Methods: A cross-sectional electronic survey used purposive recruitment across five Saudi regions. Descriptive analyses included 71 respondents. Because ‘Both’ represented case-dependent use rather than a discrete anchor count, these three responses were reported descriptively and excluded from inferential comparisons; exact analyses compared 1–2 anchors (n = 18) with 3–4 anchors (n = 50). Fisher–Freeman–Halton exact tests, Cramér’s V, and bootstrap 95% confidence intervals were reported. Results: Fifty surgeons (70.4%; 95% CI: 59.0–79.8%) reported usually using 3–4 anchors. In exploratory unadjusted analyses, anchor-number preference was associated with annual Bankart-repair volume (exact p = 0.021; Cramér’s V = 0.371, 95% CI: 0.194–0.548) and hypothetical future preference when cost and other factors were not considered (exact p = 0.044; Cramér’s V = 0.298, 95% CI: 0.068–0.529). Other assessed associations were nonsignificant. Tear size and extent was the most frequently reported consideration (95.8%). Conclusions: Most respondents preferred 3–4 anchors, and tear size/extent was the most frequently reported consideration. The observed associations were exploratory and unadjusted and did not establish independent determinants, cost effects on actual practice, superior stabilization, or guideline recommendations.

Bifurcation of the femur is a rare congenital orthopedic anomaly that is usually accompanied by tibial agenesis. Femoral bifurcation has been a part of the Gollop-Wolfgang complex criteria, which also include the tibia and fibula deformities with or without other variant abnormalities. Approximately 200 cases have been reported worldwide. This article presents a case of isolated bilateral distal femur bifurcation in a three-and-a-half-year-old girl who presented with abnormal gait and bilateral knee contractures. Extensive studies were performed to aid an appropriate diagnosis and treatment plan, including clinical history, physical examination, laboratory, and other investigations. After multiple consultations from different specialties, a gradual deformity correction was suggested as a treatment of choice. To our knowledge, there is a paucity of reported cases in the medical literature. Further research and case reporting are essential to better define the pathogenesis, prognosis, and treatment of such conditions.

Background: To assess whether sham procedures offer comparable outcomes in pain relief, function, quality of life, and adverse events. Methods: The literature search was conducted across the PubMed, Scopus, and Cochrane Library databases (2014-2024). Eligible studies included randomized controlled trials and observational studies comparing sham and actual orthopedic surgeries. Data was extracted and pooled using Review Manager 5.1.4, with standardized mean difference (SMD) as the effect size metric. A random-effects model accounted for heterogeneity. Risk of bias was assessed using the Cochrane tool. Results: Seven studies were included. The meta-analysis showed a statistically significant difference favoring real surgery for pain outcomes (SMD = -0.73; 95% CI: -1.23 to -0.22; p = 0.005), with high heterogeneity (I² = 89%). Functional outcomes (185 participants across 3 studies) showed no significant difference (SMD = -0.07; 95% CI: -1.04 to 0.89; p = 0.88; I² = 90%). For quality of life (342 participants across 5 studies), the difference was also non-significant (SMD = -0.09; 95% CI: -0.47 to 0.30; p = 0.66; I² = 77%). Adverse events (298 participants, 3 studies) showed a trend toward increased events in the surgery group (SMD = 3.66; 95% CI: -0.38 to 7.69; p = 0.08; I² = 99%). Conclusion: Sham surgeries produced outcomes similar to real procedures in function, quality of life, and adverse events. However, real surgery provided greater pain relief. These findings suggest that while placebo effects play a role in patient improvement, some orthopedic surgeries still offer meaningful benefits, especially for pain.