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Manipulation under anaesthesia and arthroscopic capsular release are costly and invasive treatments for frozen shoulder, but their effectiveness remains uncertain. We compared these two surgical interventions with early structured physiotherapy plus steroid injection.

We present an arthroscopic fixation technique for a rare lesion of the rotator cuff. The lesion involves nondisplaced intratendinous avulsion of the supraspinatus footprint with an intact bridge of the supraspinatus tendon on the articular and bursal sides. The surgical technique involves the use of arthroscopic transfragment fixation with a single double-loaded suture anchor which was placed within the avulsed fragment bed. At 3 months from surgery, radiographic healing of the fracture was noted, with full recovery of daily activities and almost complete active range of motion confirmed with improvement of the Oxford Shoulder Score. This technique allows optimal reconstruction of normal footprint anatomy and creates a waterproof reduction of the fragment, protecting the fracture site from synovial fluid.

Arthroscopic sub-acromial decompression (decompressing the sub-acromial space by removing bone spurs and soft tissue arthroscopically) is a common surgery for subacromial shoulder pain, but its effectiveness is uncertain. We did a study to assess its effectiveness and to investigate the mechanism for surgical decompression.

Nonunion of the surgical neck of the proximal humerus can produce significant pain and disability, as well as a surgical challenge. No “gold standard” treatment has been identified. We describe a technique using a nonvascular fibular intramedullary graft in combination with a locking plate. This technique is contraindicated where avascular necrosis, infection, and major shortening (6 cm) have been identified. Five patients with established humeral nonunion underwent fixation and nonvascularized intramedullary fibular grafting. A nonvascularized autologous fibular graft allows stable fixation, bony realignment, and the correction of small focal defects. This technique provides a cost-effective and reliable solution to this challenging condition.