Spontaneous healing potential of osteochondritis dissecans in early lesions, especially in patients with open capitellar growth plates, appears high, and nonoperative treatment is appropriate. Conversely, healing potential is extremely low in advanced osteochondritis dissecans lesions. Surgical intervention is recommended to achieve lesion healing in advanced cases.

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Case: A 49-year-old man presented with apprehension of a repeat dislocation after a left shoulder dislocation, which was accompanied by pain and restricted active range of motion of the shoulder. We performed an arthroscopic Bankart repair as well as an arthroscopic superior capsular reconstruction (ASCR) with fascia lata for the irreparable massive rotator cuff tear. Two years postoperatively, there was no shoulder pain or repeat dislocation; the range of motion had improved. Conclusion: We regard ASCR in combination with a Bankart repair as a useful treatment for recurrent shoulder dislocation that is accompanied by an irreparable massive rotator cuff tear.

Sudden cardiac death in a young athlete is a tragic event, and emerging data suggest that the leading finding associated with sudden cardiac death in athletes is autopsy-negative sudden unexplained death [1]. Sleep disordered breathing (SDB) can be arrhythmogenic and lead to sudden cardiac death [2, 3]. While obstructive sleep apnoea is generally prevalent in obese, inactive and/or aged subjects [4], little is known about its incidence in young athletes and highly active young people. Consequently, the impact of SDB on cardiovascular health of young athletes has not been fully elucidated. Athletes who participate in collision sports such as rugby and American football tend to exhibit risk factors for SDB such as large neck circumference and higher body mass index [5]. In this context, we investigated the prevalence and significance of SDB in young competitive athletes with a view to advancing the research conducted on athlete health.