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Biomedical subjects

Mark Drakos

Publications and source records attributed to Mark Drakos.

3 recordsLinked to original sources

The arthroscopic active compression test.

Pathology of the biceps tendon is often a factor in the pathogenesis of shoulder pain. However, diagnosis and management of such pathology remains controversial. Multiple tests have been described to identify pathology related to the biceps tendon and biceps anchor. The active compression test is one such test that has been used clinically to identify patients with superior labral/biceps anchor pathology. An arthroscopic version of this test is described to identify biceps pathology intraoperatively and to aid the surgeon in making diagnostic and treatment decisions.

Arthroscopy↗

Arthroscopic transfer of the long head biceps to the conjoint tendon.

Pathology of the biceps tendon is often a factor in the etiology of shoulder pain. However, diagnosis and treatment of such pathology remains controversial. When conservative management fails to relieve symptoms, surgical options include tenotomy or tenodesis. Tenotomy has provided excellent results with regard to local pain relief, but a potential cosmetic deformity and occasional painful cramping are common in younger patients. Tenodesis has also had high failure rates resulting from persistent local pain. We have used an all-arthroscopic technique for transfer of the long-head biceps to the conjoint tendon instead of traditional tenodesis. We believe that this transfer more closely recreates the normal axis of the biceps muscle and may offer improved results over conventional tenodesis.

Arthroscopy↗

The joint jack: report of a new technique essential for elbow arthroscopy.

Visualization and access are of fundamental importance in arthroscopy, including arthroscopy of the elbow. A new technique not previously described in the literature improves both of these factors for key areas within the elbow that would otherwise be inaccessible. This technique employs the application of gentle leverage to pry apart the surfaces of the ulnohumeral articulation when viewing and working posteriorly to improve visualization and access to the ulnohumeral and radiocapitellar articular spaces. We believe this technique is essential for full arthroscopic viewing of the intra-articular regions of the ulnohumeral and radiocapitellar joints.

Adult↗