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Sports Medicine and Arthroscopy Review Mar 2016
Topics: Arthroscopes; Endoscopy; Humans; Periodicals as Topic
PubMed: 26752770
DOI: 10.1097/JSA.0000000000000103 -
Foot and Ankle Clinics Mar 2015Arthroscopic ankle arthrodesis is a good option for the treatment of end-stage ankle arthritis. The surgical technique involving the use of a standard 4.5-mm arthroscope... (Review)
Review
Arthroscopic ankle arthrodesis is a good option for the treatment of end-stage ankle arthritis. The surgical technique involving the use of a standard 4.5-mm arthroscope is described. Standard anteromedial and anterolateral portals are used. Joint surfaces except the lateral gutter are prepared to point bleeding with motorized burr, abraider, and curettes. Rigid fixation is achieved with cannulated screws. The postoperative regime includes 12 weeks protection, staged from non-weight bearing through partial to full weight bearing. Advantages compared with the open procedure include shorter hospital stay and shorter time to union with similar or better union rates.
Topics: Ankle Joint; Arthritis; Arthrodesis; Arthroscopy; Contraindications; Humans; Postoperative Care; Radiography; Treatment Outcome
PubMed: 25726484
DOI: 10.1016/j.fcl.2014.10.008 -
Foot & Ankle International Apr 2015Surgical strategy regarding chronic lateral ankle instability is undergoing an evolution from traditional open procedures to minimally invasive and arthroscopic... (Review)
Review
UNLABELLED
Surgical strategy regarding chronic lateral ankle instability is undergoing an evolution from traditional open procedures to minimally invasive and arthroscopic techniques. The development of arthroscopic techniques for the ankle mirrors the processes witnessed for the shoulder and knee over the last 30 years. The arthroscopic Brostrom is a novel technique that allows the surgeon to use an arthroscope to perform a lateral ankle ligament reconstruction that was previously thought possible only through open surgical technique. Indications and contraindications for the arthroscopic technique are essentially the same as those for an open Brostrom type of procedure. The arthroscopic Brostrom procedure is easy to remember and relatively simple to perform for the surgeon who has mastered basic ankle arthroscopy. The authors' results discussed in this article reveal that the arthroscopic Brostrom is a safe and effective procedure with outcomes at least equal to published results for traditional open techniques.
LEVEL OF EVIDENCE
Level V, expert opinion.
Topics: Ankle Injuries; Arthroscopy; Female; Humans; Joint Instability; Lateral Ligament, Ankle; Male; Pain Measurement; Postoperative Care; Prognosis; Radiography; Range of Motion, Articular; Recovery of Function; Risk Assessment; Suture Anchors
PubMed: 25743426
DOI: 10.1177/1071100715576107 -
International Journal of Rheumatic... Oct 2021Conditions prompting physicians and surgeons first adapting endoscopes to peer into joints were mainly the sort of synovial conditions that would concern today's... (Review)
Review
Conditions prompting physicians and surgeons first adapting endoscopes to peer into joints were mainly the sort of synovial conditions that would concern today's rheumatologists. Rheumatologists were among the pre-World War II pioneers developing and documenting arthroscopy. The post-War father of modern arthroscopy, Watanabe, found rheumatologists among his early students, who took back the technique to their home countries, teaching orthopedists and rheumatologists alike. Rheumatologists described and analyzed the intra-articular features of their common diseases in the '60s and '70s. A groundswell of interest from academic rheumatologists in adapting arthroscopy grew considerably in the '90s with development of "needle scopes" that could be used in an office setting. Rheumatologists helped conduct the very trials the findings of which reduced demand for their arthroscopic services by questioning the efficacy of arthroscopic debridement in osteoarthritis (OA) and also developing biological compounds that greatly reduced the call for any resective intervention in inflammatory arthropathies. The arthroscope has proven an excellent tool for viewing and sampling synovium and continues to serve this purpose at several international research centers. While cartilage is now imaged mainly by magnetic resonance imaging, some OA features - such as a high prevalence of visible calcinosis - beg further arthroscopy-directed investigation. A new generation of "needle scopes" with far superior optics awaits future investigators, should they develop interest.
Topics: Arthroscopes; Arthroscopy; Diffusion of Innovation; Forecasting; History, 20th Century; History, 21st Century; Humans; Joint Diseases; Practice Patterns, Physicians'; Rheumatologists
PubMed: 34323382
DOI: 10.1111/1756-185X.14184 -
Hand Clinics Nov 2017After reviewing this article, readers should have a comprehensive understanding of the indications for diagnostic arthroscopy, technical considerations in performing a... (Review)
Review
After reviewing this article, readers should have a comprehensive understanding of the indications for diagnostic arthroscopy, technical considerations in performing a systematic evaluation of the wrist, and limitations of this technique.
Topics: Arthroscopes; Arthroscopy; Cartilage, Articular; Humans; Ligaments, Articular; Wrist Injuries; Wrist Joint
PubMed: 28991570
DOI: 10.1016/j.hcl.2017.06.004 -
Arthroscopy : the Journal of... Sep 2016Shoulder arthroscopic and related surgeons may require expertise in use of the 70° arthroscope, biologic patch augmentation, repair of massive rotator cuff tears, the...
Shoulder arthroscopic and related surgeons may require expertise in use of the 70° arthroscope, biologic patch augmentation, repair of massive rotator cuff tears, the Latarjet procedure and related glenoid bone augmentation, and reverse total shoulder arthroplasty.
Topics: Arthroscopy; Humans; Joint Instability; Shoulder Joint
PubMed: 27594323
DOI: 10.1016/j.arthro.2016.06.036 -
Sports Medicine and Arthroscopy Review Dec 2017Since its introduction in 1979, the practice of and indications for wrist arthroscopy in the diagnosis and treatment of pathologic conditions in the wrist continues to... (Review)
Review
Since its introduction in 1979, the practice of and indications for wrist arthroscopy in the diagnosis and treatment of pathologic conditions in the wrist continues to grow. Magnetic resonance imaging (MRI) is another commonly used tool to noninvasively examine the anatomy and pathology of the wrist joint. Here, we review the normal wrist anatomy as seen arthroscopically and through MRI. We then examine the various common pathologic entities and define both the arthroscopic findings and correlated MRI findings in each of these states.
Topics: Arthroscopy; Humans; Magnetic Resonance Imaging; Wrist; Wrist Joint
PubMed: 29095398
DOI: 10.1097/JSA.0000000000000172 -
Arthroscopy : the Journal of... Aug 2022Three goals are at the top of our minds when achieving optimal outcomes for the arthroscopic treatment of femoroacetabular impingement syndrome in the primary setting:...
Three goals are at the top of our minds when achieving optimal outcomes for the arthroscopic treatment of femoroacetabular impingement syndrome in the primary setting: (1) accurate bony correction, (2) labral function restoration-typically with labral repair-and (3) comprehensive capsular management-which involves capsular preservation and closure. Notwithstanding, additional intra-articular concomitant conditions require our attention as well. Central acetabular impingement is characterized by the presence of central acetabular osteophytes at the cotyloid fossa. It has been proposed that central acetabular osteophytes lead to lateralization of the femoral head with relative femoroacetabular incongruency that increases contact force and mechanical cartilage abrasion.
Topics: Acetabulum; Arthroscopes; Arthroscopy; Femoracetabular Impingement; Hip Joint; Humans; Osteophyte; Treatment Outcome
PubMed: 35940741
DOI: 10.1016/j.arthro.2022.03.020 -
Foot and Ankle Clinics Dec 2018Over the last 10 years, significant advances have been made and successful techniques have now been developed that effectively treat ankle instability via the... (Review)
Review
Over the last 10 years, significant advances have been made and successful techniques have now been developed that effectively treat ankle instability via the arthroscope.Currently arthroscopic lateral ligament repair techniques can be grouped into "arthroscopic-assisted techniques," "all-arthroscopic techniques," and "all-inside techniques." Recent studies have proven these arthroscopic techniques to be a simple, safe, and biomechanically equivalent, stable alternative to open Brostrom Gould lateral ligament reconstruction.
Topics: Ankle Injuries; Ankle Joint; Arthroscopy; Chronic Disease; Humans; Joint Instability
PubMed: 30414652
DOI: 10.1016/j.fcl.2018.07.003 -
Journal of Clinical Orthopaedics and... 2019Acromioclavicular joint injury is common in young individuals who suffer direct trauma to the shoulder. Treatment of acromioclavicular dislocation is controversial with... (Review)
Review
Acromioclavicular joint injury is common in young individuals who suffer direct trauma to the shoulder. Treatment of acromioclavicular dislocation is controversial with regards to the indication of operative management, timing of surgery, whether to perform open or arthroscopic surgery, method of stabilisation (rigid or non-rigid) and type of graft used for repair or reconstruction. Current evidence supports conservative management for Rockwood types I and II, while types IV, V and VI benefit from surgery. The optimal management of type III injuries in high demand patients remains contentious. Surgical options include acromioclavicular fixation, coracoclavicular fixation and coracoclavicular ligament reconstruction. Few studies with a low level of evidence suggest arthroscopic techniques and anatomical ligament reconstruction have better outcomes when compared to older techniques of rigid coracoclavicular fixation. The aim of this article is to look at the current evidence and address these controversial issues.
PubMed: 31061573
DOI: 10.1016/j.jcot.2019.03.020