“The difference between the impossible and the possible lies in a man’s determination.” – Tommy Lasorda

The always expanding nature of orthopaedics and sports medicine continues to bring new things to our practice. As 2020 has progressed the push for less invasive technologies has continued to grow. Outpatient surgeries such as shoulder and knee replacement, cartilage resurfacing, and tibial osteotomies are becoming more common as patients go home a few hours after their surgeries. The less invasive technology of hip arthroscopic repair of tendon and labral problems continues to show good outcomes and a quicker return to sports. In office ‘nano’ arthroscopy, in which a needle-sized scope can be introduced with local anesthetic, is emerging as a new diagnostic and treatment option. Digital applications (Apps) such as custom ACL decision guides (see MOONKNEE.org) allows clinicians and patients to match graft choice to their particular situation and provides a risk calculator. Overall, options for patients to stay active has never been better.