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Being a team physician is a unique opportunity afforded to orthopedic surgeons or medical doctors who have undergone appropriate subspecialty training and certification. Requirements include specialized skill and expertise in diagnosing and treating various medical and musculoskeletal conditions in the acute sideline setting in addition to the standard clinical setting, and furthermore requires, excellent communication and the ability to coordinate care among a curated care team. Those strongly desiring to be a team physician should seek employment in a position that supports this pathway by way of team contracts, although other opportunities may exist on a volunteer basis., (Copyright © 2024 Elsevier Inc. All rights reserved.)

The purpose of this articler is to discuss methods by which to successfully build a busy clinical sports medicine practice. The authors aim to provide pearls to help facilitate building a successful and busy practice as well as pitfalls to minimize the risk of failure. Topics discussed include how to build patient referral sources, online marketing, sports team coverage, and cultivating relationships with partners and providers within the community., Competing Interests: Disclosure The authors have nothing to disclose., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Posterior shoulder dislocations often are associated with an impression fracture involving the anterior humeral head known as a reverse Hill-Sachs lesion. These injuries can result in significant bone defects that require surgical management to prevent them from engaging the posterior glenoid. We present a modified arthroscopic, knotless McLaughlin procedure (tenodesis of the subscapularis tendon into the bone defect) for the treatment of small-to medium-sized, engaging Hill-Sachs lesions. The knotless fashion aims to eliminate potential problems associated with knot tying, such as knot migration, knot impingement, and chondral abrasion., (© 2019 by the Arthroscopy Association of North America. Published by Elsevier.)

Combined posterior cruciate ligament (PCL) and medial collateral ligament (MCL) injuries represent a complex pathology that requires a thorough clinical and radiographic examination to diagnose and identify all injured structures. Anatomic reconstruction of the injured ligaments is recommended, including double-bundle PCL reconstruction and superficial MCL augmentation. In the setting of this complex reconstruction, several technical aspects require consideration and preoperative planning, including the risk of femoral tunnel convergence on the medial aspect of the femoral condyle. This article details our technique for combined anatomic double-bundle PCL reconstruction and superficial MCL augmentation to avoid tunnel convergence. Level I (knee); level II (PCL)., (© 2019 Published by Elsevier on behalf of the Arthroscopy Association of North America.)

Anterolateral rotational instability may persist after anterior cruciate ligament (ACL) reconstruction for a variety of reasons including damage to lateral or posterolateral structures, injury to the meniscus, disruption of anterolateral soft tissue structures, or increased tibial slope. In the setting of revision or primary ACL reconstruction with persistent anterolateral laxity, despite repair or reconstruction of other injured structures or in the setting of increased tibial slope, a lateral extra-articular tenodesis procedure can be used to augment an ACL reconstruction to aid in restoring anterolateral rotational stability and to upload the ACL reconstruction graft. This article details our technique for performing a modified Lemaire lateral extra-articular tenodesis using iliotibial band autograft as an adjunct to ACL reconstruction., (© 2019 by the Arthroscopy Association of North America. Published by Elsevier.)