212 results on '"Arthroscopic resection"'
Search Results
2. Rotator Cuff Calcifications
- Author
-
Astore, Ignacio, Brandariz, Rodrigo Nicolás, Maignon, Gaston, Slullitel, Pablo, editor, Rossi, Luciano, editor, and Camino-Willhuber, Gastón, editor
- Published
- 2024
- Full Text
- View/download PDF
3. Arthroscopic Acromioclavicular Joint Resection
- Author
-
Housset, Victor, Nourissat, Geoffroy, and Lui, Tun Hing, editor
- Published
- 2023
- Full Text
- View/download PDF
4. An update on tarsal coalitions.
- Author
-
Galea Wismayer, Martina and Brown, Rick
- Subjects
HEEL bone abnormalities ,FOOT bones ,FOOT abnormalities ,ADRENOCORTICAL hormones ,PHYSICAL therapy ,ANALGESICS ,THERAPEUTIC immobilization ,BONE abnormalities ,PAIN management ,ADOLESCENCE - Abstract
Tarsal coalitions are anomalous connections between two or more bones in the hindfoot or midfoot secondary to embryonic failure of segmentation and differentiation of the mesenchyme. Calcaneonavicular and talocalcaneal coalitions are the most common. Although it is a congenital deformity, presentation is usually in adolescence which coincides with ossification of the coalition. Patients typically present with diffuse foot pain, calf muscle pain, recurrent ankle ligament sprains and a rigid hindfoot valgus deformity. Initial management is non-operative and may involve activity reduction, a trial of immobilization in a walking boot or cast, physiotherapy, corticosteroid injections and regular analgesia. Close to a third of patients experience symptom relief but the remaining patients with persistent symptoms will require operative intervention. Patients without degenerative joint disease undergo resection of the coalition. It is now established that an associated severe hindfoot valgus foot should be addressed at this stage to prevent inevitable future joint degeneration. The indications for joint fusion remain unclear and the tendency is to postpone this when possible until a later age. In recent years, arthroscopic resection of talocalcaneal coalitions has gained popularity, despite being technically demanding. It gives good visualization of the coalition, better postoperative pain relief and quicker improvement of the hindfoot stiffness. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
5. Midterm Outcomes of Talocalcaneal Coalition Arthroscopic Resection in Adults.
- Author
-
Wang, Anhong, Chen, Linxin, Pi, Yanbin, Zhao, Feng, Xie, Xing, Jiao, Chen, Hu, Yuelin, Jiang, Dong, and Guo, Qinwei
- Abstract
Background: Arthroscopic resection of the talocalcaneal coalition (TCC) has been reported to be associated with good short-term outcomes. However, the midterm outcomes of this approach remain uncertain. Methods: We performed a retrospective study of patients who underwent arthroscopic resection for symptomatic TCC. The patients were divided into 2 groups (group P, patients with isolated posterior facet coalition; and group MP, patients with both middle and posterior facet coalition). The preoperative and postoperative visual analog scale (VAS) scores for pain and American Orthopaedic Foot & Ankle Society (AOFAS) scale scores were calculated. The postoperative AOFAS and VAS scores between the 2 groups were analyzed. Patient satisfaction was also assessed. Results: Thirty-two patients were included in this study. The mean age at the time of surgery was 26.0±8.5 years, and the mean follow-up period was 56.9±18.0 months. Thirteen (41%) patients were in group P, whereas 19 (59%) patients were in group MP. Postoperative VAS and AOFAS scores improved more significantly than preoperative scores. At the final follow-up, excellent and good subjective outcomes were attained in 26 patients (81%), fair and poor outcomes in 6 patients (19%). There were no statistical differences in the postoperative AOFAS (91.0±7.0 vs 85.8±10.8, P =.532) and VAS score (2.1±1.7 vs 4.0±2.6, P =.537) between patients with the ratio of coalition/posterior facet more than or less than 50%. There were no statistical differences in postoperative VAS score (1.8±1.3 vs 2.6±2.2, P =.236) and AOFAS score (92.5±5.6 vs 89.2±8.7, P =.297) between group P (n=13) and group MP (n=19), either. Three patients (9.4%) had complications, including these notable findings: 1 patient complained of restricted dorsal flexion, 1 with computed tomography–proven coalition recurrence, and 1 with partial tibial nerve injury. Conclusion: We found that TCC arthroscopic resection was generally associated with reasonable outcomes at midterm follow-up. Level of Evidence: Level IV, case series. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
6. Arthroscopic marginal resection of a lipoma under the supraspinatus muscle: a case report
- Author
-
Takumi Nakamura, MD, Hideyuki Shirasawa, MD, PhD, Noboru Matsumura, MD, PhD, Shunichi Kawasakiya, MD, Takeshi Ikegami, MD, PhD, and Hideaki Yoshida, MD, PhD
- Subjects
Lipoma ,supraspinatus muscle ,arthroscopic resection ,suprascapular nerve ,supraspinatus fossa ,suprascapular nerve release ,Surgery ,RD1-811 - Published
- 2021
- Full Text
- View/download PDF
7. Arthroscopic Resection of Wrist Ganglia
- Author
-
Mathoulin, C., Garret, J., Gras, M., Mesquida, V., Randelli, Pietro, editor, Dejour, David, editor, van Dijk, C. Niek, editor, Denti, Matteo, editor, and Seil, Romain, editor
- Published
- 2016
- Full Text
- View/download PDF
8. Intra-articular Localized Haemangioma of the Knee Mimicking Localized Pigmented Villonodular Synovitis: A Case Report
- Author
-
Goki-Kamei GK, Norimasa-Matsubara NM, Teruyasu-Tanaka TT, Koji-Natsu KN, and Toshihiro-Sugioka TS
- Subjects
synovial haemangioma ,pigmented villonodular synovitis ,arthroscopic resection ,Orthopedic surgery ,RD701-811 - Abstract
Intra-articular synovial haemangioma of the knee is a benign tumour. However, diagnostic delay leads to degenerative changes in the cartilage and osteoarthritis due to recurrent haemarthrosis. Therefore, treatment should be performed immediately. We report the case of a localized synovial haemangioma arising from the medial plica in a 38-year old female presenting with pain and restricted range of motion in the right knee joint. Initially, we diagnosed this case as a localized pigmented villonodular synovitis (LPVS) based on MRI and arthroscopic findings and performed only arthroscopic en bloc excision of the mass and synovectomy around the mass for diagnostic confirmation. Fortunately, there was no difference in the treatment approaches for LPVS and localized haemangioma and the synovial haemangioma had not recurred at the 3-month postoperative follow-up with MRI. The patient’s clinical symptoms resolved and had not relapsed two years after surgery.
- Published
- 2017
- Full Text
- View/download PDF
9. Arthroscopic resection of femoral neck osteochondroma: Report of a pediatric case of metachondromatosis
- Author
-
Takashi Saisu, Norzakiah Mansor, Makoto Kamegaya, Yasuhiro Oikawa, and Jun Kakizaki
- Subjects
Osteochondroma ,medicine.medical_specialty ,medicine.anatomical_structure ,business.industry ,Arthroscopic resection ,Medicine ,Orthopedics and Sports Medicine ,Surgery ,business ,medicine.disease ,Metachondromatosis ,Femoral neck - Published
- 2022
10. Open versus arthroscopic acromioclavicular joint resection: a systematic review and meta-analysis.
- Author
-
Hohmann, Erik, Tetsworth, Kevin, and Glatt, Vaida
- Subjects
- *
ACROMIOCLAVICULAR joint , *META-analysis , *CLAVICLE injuries , *PATIENT selection , *GERMAN literature , *CLAVICLE , *CLAVICLE surgery , *ORTHOPEDIC surgery , *JOINT diseases , *ARTHROSCOPY , *SYSTEMATIC reviews - Abstract
Introduction: The purpose of this study was to perform a meta-analysis comparing open and arthroscopic surgical techniques for distal clavicle resection.Methods: A systematic review of Medline, Embase, Scopus, and Google Scholar identified relevant publications in the English and German literature between 1997 and 2017. All included studies were levels I-IV, describing both treatments, with a minimum of 12 month follow-up, had at least one validated outcome score and documented patient recruitment, study design, demographic details, and surgical technique. Studies were excluded if they were only abstracts or conference proceedings, involved revision procedures, or the loss to follow-up exceeded 20%. Publication bias and risk of bias were assessed using the Cochrane Collaboration tools, and heterogeneity was assessed using the I2 statistic.Results: Four studies (n = 319 patients) met the criteria for inclusion. The pooled estimate for clinical outcomes (Constant, ASES) demonstrated no significant differences (SMD 0.323, I2 = 0%, p = 0.065) between open and arthroscopic resection, although the analysis favored open resection. The pooled estimate for clinical outcomes (SST) also demonstrated no significant differences (SMD 0.744, I2 = 49.82%, p = 0.144) between open and arthroscopic resection, but the analysis again favored open resection. The pooled estimate for VAS assessment of pain demonstrated no differences (SMD 0.217, I2 = 58.96%; p = 0.404) between open and arthroscopic resection.Conclusion: The results of this study suggest that similar functional and clinical outcomes can be achieved with either open or arthroscopic distal clavicle resection. The observed trend that open resection may have a more favorable outcome warrants further investigation.Level Of Evidence: Level 3; systematic review and meta-analysis. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
11. Diagnosis and treatment of hindfoot osteoid osteoma: A therapeutic method for each case.
- Author
-
Mellado-Romero, M.A., Vilá-Rico, J., Gallego-Herrero, C., Sánchez-Herraéz, S., Casas-Ramos, P., Santos-Sánchez, J.A., and Ramos-Pascua, L.R.
- Abstract
Copyright of Revista Española de Cirugía Ortopédica y Traumatologia (English Edition) is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
12. Arthroscopic resection of recurrent wrist ganglions – A retrospective study of 17 patients
- Author
-
Ching-Hou Ma, I-Ming Jou, Yuan-Kun Tu, Kuan-Po Chen, and Chin-Hsien Wu
- Subjects
Wrist Joint ,medicine.medical_specialty ,Visual analogue scale ,medicine.medical_treatment ,Wrist ,Arthroscopy ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Orthopedics and Sports Medicine ,Prospective Studies ,Prospective cohort study ,Reduction (orthopedic surgery) ,Retrospective Studies ,Ganglion Cysts ,030222 orthopedics ,business.industry ,Retrospective cohort study ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Arthroscopic resection ,Residual pain ,Female ,Complication ,business ,030217 neurology & neurosurgery - Abstract
Background Arthroscopic resection has become a favorable alternative for wrist ganglions. However, for recurrent wrist ganglions, arthroscopic resection is relatively contraindicated. The purpose of this study was to evaluate the clinical outcomes of arthroscopic resection for recurrent wrist ganglions and to identify their safety and efficacy. Methods From June 2011 to February 2017, 17 patients with recurrent wrist ganglion were treated with arthroscopic resection. We evaluated the visual analog scale, modified Mayo wrist score, and Disabilities of Arm, Shoulder and Hand Outcome Measure preoperatively and at the final follow-up. Patients were questioned for pain reduction, pain during pushups, and any difficulty in returning to work. Recurrence and complications were also assessed at each follow-up visit. Results We enrolled 17 patients and median follow-up was 58 months. The reduction in pain was significant. Only 2 of the 17 patients had residual pain after arthroscopic resection. One female patient showed recurrences 3 years later. Although 2 cases of stiffness were noted after the operation, no significant complication was present 3 months postoperatively. Most patients had good recovery and could resume work; however, 2 patients reported fair recovery. Conclusion The results of this study confirmed that arthroscopic excision could be an effective and safe treatment for recurrent ganglions; therefore, should not be contraindicated for treating recurrent wrist ganglions. Nevertheless, further prospective studies with larger patient numbers are needed to establish a stronger evidence for arthroscopic resection of recurrent wrist ganglions.
- Published
- 2022
13. Comparison of the intraoperative efficacy of the powered rasp and conventional burr in arthroscopic resection of anterior ankle osteophytes
- Author
-
Jung Woo Choi, Woon Young Kim, Gi Won Choi, Young Hwan Park, and Hak Jun Kim
- Subjects
030222 orthopedics ,medicine.diagnostic_test ,business.industry ,Rasp ,Arthroscopy ,Osteophyte ,030229 sport sciences ,Resection ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Arthroscopic resection ,medicine ,Humans ,Orthopedics and Sports Medicine ,Level iii ,Ankle ,Nuclear medicine ,business ,Ankle Joint ,Retrospective Studies - Abstract
Background The efficacy of the powered rasp, a new reciprocating motion device for arthroscopic resection of osteophytes, has not been verified. The aim of this study was to compare the intraoperative efficacy of the powered rasp in arthroscopic resection of anterior ankle osteophytes to that of the conventional burr. Methods A total of 49 consecutive patients who underwent arthroscopic resection of anterior ankle osteophytes (26 patients with the conventional burr and 23 patients with the powered rasp) were retrospectively reviewed. The preoperative volume of each osteophyte was measured using computerized tomography scan and three-dimensional software. The resection time was measured by review of the individual arthroscopy video, and the estimated resection rate was calculated as the volume of osteophytes/resection time. Results The preoperative volume of osteophytes was not different between the two groups (847.8 ± 685.3 mm3 in the conventional burr and 913.3 ± 605.8 mm3 in the powered rasp, p = 0.726). The resection time was 442.4 ± 216.6 s (seconds) in the conventional burr and 386.4 ± 186.3 s in the powered rasp, and the estimated resection rate was 1.8 ± 1.0 mm3/s with the conventional burr and 2.4 ± 1.3 mm3/s with the powered rasp. These measurements were not significantly different between the two groups (p = 0.340 and 0.083, respectively). Conclusion The intraoperative efficacy of the powered rasp did not show superiority to that of the conventional burr in arthroscopic resection of anterior ankle osteophytes. Level of evidence Level III, retrospective comparative study.
- Published
- 2021
14. Arthroscopic Resection of Too-Long Anterior Process (TLAP) of the Calcaneus, Anterior Subtalar Synovectomy, Debridement of the Sinus Tarsi, and Posterior Subtalar Adhesiolysis Via Anterolateral Subtalar and Dorsolateral Midtarsal Portals
- Author
-
Tun Hing Lui, Xiaohua Pan, and Chi Kit Chan
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Heel ,Debridement ,business.industry ,medicine.medical_treatment ,fungi ,food and beverages ,Synovectomy ,medicine.disease ,Surgery ,body regions ,medicine.anatomical_structure ,Subtalar joint ,Arthroscopic resection ,medicine ,Technical Note ,Orthopedics and Sports Medicine ,Calcaneus ,business ,Process (anatomy) ,human activities ,Arthrofibrosis - Abstract
Lateral heel pain can have numerous causes and many of them are intra-articular pathologies of the anterior and posterior subtalar joint. Frequently, there is not a single pathology that account for the lateral heel pain and combination of different pathologies can occur. Symptomatic too-long anterior process of the calcaneus, sinus tarsi syndrome, and subtalar arthrofibrosis can be precipitated by repeated sprain. Cases recalcitrant to conservative treatment are indicated for surgery. The purpose of this Technical Note is to report a 2-portal arthroscopic approach to address these pathologies., Technique Video Video 1 Arthroscopic resection of too-long anterior process (TLAP) of the calcaneus, anterior subtalar synovectomy, debridement of the sinus tarsi, and posterior subtalar adhesiolysis of the left foot via anterolateral subtalar and dorsolateral midtarsal portals. The patient is in the lateral position. The anterolateral subtalar portal is the viewing portal and dorsolateral midtarsal portal is the working portal. Anterior subtalar synovectomy is performed. The anterior subtalar joint is traced distally to the TLAP lesion, which is then resected with an arthroscopic acromionizer. The arthroscope is switched to the dorsolateral midtarsal portal and the sinus tarsi is debrided with the arthroscopic shaver via the anterolateral midtarsal portal. The fibrotic posterior subtalar capsule is then resected followed by synovectomy. The fibrous tissue of the lateral and anterior recesses of the posterior subtalar joint is resected. The fibrous tissue between the articular surfaces is loosened with an arthroscopic probe and then resected with the shaver. Finally, the fibrous tissue of the posterior gutter is resected.
- Published
- 2021
15. Arthroscopic marginal resection of a lipoma under the supraspinatus muscle: a case report
- Author
-
Shunichi Kawasakiya, Hideyuki Shirasawa, Hideaki Yoshida, Takeshi Ikegami, Noboru Matsumura, and Takumi Nakamura
- Subjects
medicine.medical_specialty ,Supraspinatus muscle ,RD1-811 ,business.industry ,Suprascapular nerve ,Lipoma ,supraspinatus muscle ,arthroscopic resection ,Marginal resection ,medicine.disease ,suprascapular nerve ,Surgery ,supraspinatus fossa ,suprascapular nerve release ,Arthroscopic resection ,Medicine ,business - Published
- 2021
16. Functional outcome of open acromioclavicular joint stabilization for instability following distal clavicle resection.
- Author
-
Baxter, Jonathan A., Phadnis, Joideep, Robinson, Paul M., and Funk, Lennard
- Subjects
CLAVICLE surgery ,JOINT hypermobility ,ORTHOPEDIC surgery ,QUESTIONNAIRES ,SURGICAL complications ,PAIN management ,ACROMIOCLAVICULAR joint ,TREATMENT effectiveness ,SURGERY - Published
- 2018
- Full Text
- View/download PDF
17. RESULTADOS DO TRATAMENTO DA PREGA SINOVIAL (PLICA) PATOLÓGICA DO JOELHO
- Author
-
CAMANHO, GILBERTO LUIS, GOBBI, RICCARDO GOMES, and ANDRADE, MARTA HALASZ DE
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Physical Therapy, Sports Therapy and Rehabilitation ,Treatment results ,Sinovite ,Muscle hypertrophy ,03 medical and health sciences ,0302 clinical medicine ,Synovitis ,medicine ,Knee ,Orthopedics and Sports Medicine ,Plica syndrome ,Pathological ,Orthopedic surgery ,030222 orthopedics ,Rehabilitation ,business.industry ,Pregas Sinoviais ,030229 sport sciences ,medicine.disease ,Synovial Folds ,Surgery ,Conservative treatment ,Joelho ,Arthroscopic resection ,Medicine ,Original Article ,business ,RD701-811 - Abstract
Objective: The synovial fold is an intra-articular structure found in more than 50% of the knees, which can cause symptoms similar to meniscal injuries. These symptoms are mostly related to hypertrophy of the synovial fold resulting from inadequate physical activity. Conservative treatment with readjustment of sports activity and muscle rebalancing solves most cases. Rare cases require surgical treatment, which is indicated due to the persistence of instability, blockage and pain. We present our experience in the treatment of this pathology. Methods: 58 patients (70 knees), with 62 knees treated conservatively and 8 treated surgically exclusively for the pathological synovial fold. Results: Description of the series and treatment results are reported. Conclusion: The non-surgical treatment of the pathological synovial fold of the knee provided good results within 60 days of rehabilitation program in almost 90% of the patients. Arthroscopic resection of the synovial fold is a surgery that has a longer and laborious rehabilitation period, despite good results in most cases. Level of Evidence IV, Case series. RESUMO Objetivo: A prega sinovial é uma estrutura intra-articular encontrada em mais de 50% dos joelhos, que pode provocar sintomas semelhantes aos da lesão meniscal. Esses sintomas estão relacionados, na maioria dos casos, à hipertrofia da prega sinovial decorrente de atividade física inadequada. O tratamento conservador com a readequação da atividade esportiva e reequilíbrio muscular resolve a maioria dos casos. Raros casos demandam tratamento cirúrgico, que é indicado pela persistência de falseios, bloqueios e dor. Apresentamos nossa experiência no tratamento dessa patologia. Métodos: 58 pacientes (70 joelhos), com 62 joelhos tratados conservadoramente e 8 tratados cirurgicamente exclusivamente para a prega sinovial patológica. Resultados: São apresentados descrição da série e resultados do tratamento. Conclusão: O tratamento não cirúrgico da prega sinovial patológica do joelho propiciou bons resultados com 60 dias de programa de reabilitação em quase 90% dos pacientes. A ressecção artroscópica da prega sinovial é uma cirurgia que tem um período de reabilitação mais longo e trabalhoso, apesar do bom resultado na maioria dos casos. Nível de Evidência IV, Série de casos.
- Published
- 2021
18. Endoscopy for Excision of Haglund’s Deformity and Retrocalcaneal Bursitis
- Author
-
Lundeen, Richard O., Guhl, James F., editor, Boynton, Melbourne D., editor, and Parisien, J. Serge, editor
- Published
- 2004
- Full Text
- View/download PDF
19. Acromioclavicular Resection: Direct 'Superior' Approach
- Author
-
Miller, Suzanne L., Stein, Ken Shubin, Flatow, Evan L., Tibone, James E., Savoie, Felix H., III, and Shaffer, Benjamin S.
- Published
- 2003
- Full Text
- View/download PDF
20. Arthroscopic resection arthroplasty for septic hip with osteonecrosis of the femoral head in patients with multiple comorbidities: A report of two cases
- Author
-
Jung-Taek Kim, Hyun Young Kim, Pil Whan Yoon, Kekatpure Aditya, Ho Yeon Kim, Jae In Park, and Chul-Ho Kim
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Arthroplasty ,Surgery ,Femoral head ,medicine.anatomical_structure ,Septic hip ,Arthroscopic resection ,medicine ,Orthopedics and Sports Medicine ,In patient ,business - Published
- 2021
21. ARTHROSCOPIC RESECTION OF SYNOVIAL CYST OF THE WRIST: CASE REPORT
- Author
-
A. A. Brytsko, V. I. Stalbouskaya, V. S. Anosov, and I. I. Bahdanovich
- Subjects
medicine.medical_specialty ,business.industry ,lcsh:R ,synovial cyst ,lcsh:Medicine ,Wrist ,Surgery ,medicine.anatomical_structure ,wrist ganglion ,Arthroscopic resection ,wrist ,medicine ,Synovial cyst ,hand ,business - Abstract
Synovial cysts are the most common condition in hand surgeon practice. Open surgical resection was a traditional method of treatment but it is associated with numerous complications. We describe our first patient follow up after arthroscopic wrist ganglion resection.
- Published
- 2020
22. Arthroscopic Dorsal Wrist Ganglion Resection
- Author
-
Guiboux, Jean-Paul, Osterman, A. Lee, Raphael, James S., and Chow, James C. Y., editor
- Published
- 2001
- Full Text
- View/download PDF
23. Arthroscopic removal of a solitary osteochondroma interfering with the podotrochlear apparatus in a foal
- Author
-
Jessica P. Johnson, Sarah M. Puchalski, Machiel P Ysebaert, Ghazanfar Abbas, Masa Oikawa, Rodney King, Paulo Henrique Cavalcante, and Florent David
- Subjects
Solitary Osteochondroma ,medicine.medical_specialty ,General Veterinary ,medicine.diagnostic_test ,biology ,040301 veterinary sciences ,business.industry ,Radiography ,Arthroscopy ,Case Report ,04 agricultural and veterinary sciences ,Complete resection ,Surgery ,0403 veterinary science ,03 medical and health sciences ,Diaphysis ,0302 clinical medicine ,medicine.anatomical_structure ,Foal ,Lameness ,030220 oncology & carcinogenesis ,biology.animal ,Arthroscopic resection ,medicine ,business - Abstract
Objective To report the diagnostics, surgical treatment, and outcome of a juvenile foal with solitary osteochondroma (SO) interfering with the podotrochlear apparatus. Study design Case report ANIMAL: One 36-day-old Arabian colt. Methods Clinical, radiographic, ultrasonographic, computed tomographic, and histopathologic examinations were required to characterize and treat an SO located at the palmar aspect of the diaphysis of the second phalanx of the left forelimb. This SO caused severe distal interphalangeal joint (DIPJ) inflammation, marked interference with the podotrochlear apparatus, and associated lameness. Results Despite the small size of the foal's foot, complete resection of the SO was possible via palmar DIPJ arthroscopy by using motorized equipment. Full resolution of the lameness was achieved within 3 months of surgery. Conclusion Atypical SO located on the palmar aspect of the second phalanx can cause marked nonseptic inflammation of the DIPJ and interference with the podotrochlear apparatus and should be considered among the differential diagnoses for severe lameness in juvenile foals. Arthroscopic resection of the SO led to an excellent outcome.
- Published
- 2020
24. Post-operative outcomes of arthroscopic tarsal coalition resection: A systematic review
- Author
-
Karim Wahed, Khalid Malik-Tabassum, Barry Rose, Lucy Maling, and Christopher To
- Subjects
030222 orthopedics ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Arthroscopy ,MEDLINE ,030229 sport sciences ,Cochrane Library ,Tarsal coalition ,medicine.disease ,Article ,Resection ,Surgery ,body regions ,03 medical and health sciences ,0302 clinical medicine ,Arthroscopic resection ,Medicine ,Orthopedics and Sports Medicine ,Post operative ,Tibial nerve ,business - Abstract
Background Arthroscopic resection of tarsal coalitions is a relatively new technique. This systematic review aimed to investigate the post-operative complications and functional outcomes in arthroscopic resection of tarsal coalitions. Methods PubMed, Medline, Embase and Cochrane library were searched for studies that reported outcomes in arthroscopic resection of tarsal coalitions. Results 8 studies met the inclusion criteria. Post-operative outcomes were reported in 103 cases. The overall complication rate was 13.6%. Tibial nerve injury was reported in 1 patient. All included studies demonstrated post-operative improvement in functional outcomes. Conclusion Arthroscopic resection is a feasible and effective treatment method for symptomatic tarsal coalitions.
- Published
- 2020
25. Arthroscopic resection of symptomatic medial synovial fold of the posterior cruciate ligament in bilateral knees
- Author
-
Yongun Cho, Jin Hwan Ahn, Ingyu Lee, and Jae Wook Lee
- Subjects
medicine.medical_specialty ,medicine.anatomical_structure ,medicine.diagnostic_test ,business.industry ,Posterior cruciate ligament ,Arthroscopy ,Arthroscopic resection ,medicine ,General Medicine ,business ,Surgery - Published
- 2020
26. A 10-Year Follow-up on Arthroscopic Medial Plica Syndrome Treatments with Special Reference to Related Cartilage Injuries
- Author
-
Bartosz Lewandowski, Jacek Kruczyński, Dawid Szwedowski, Szymon Gryckiewicz, Lukasz Paczesny, Radoslaw Kentzer, and Jan Zabrzyński
- Subjects
medicine.medical_specialty ,Biomedical Engineering ,Physical Therapy, Sports Therapy and Rehabilitation ,Arthroscopy ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Immunology and Allergy ,Prospective Studies ,Plica syndrome ,Clinical Research papers ,030222 orthopedics ,Synovitis ,medicine.diagnostic_test ,10 year follow up ,Synovial plica ,business.industry ,Cartilage ,Patella ,030229 sport sciences ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Arthroscopic resection ,business ,Follow-Up Studies - Abstract
Objective The aim of this study was to evaluate the factors that can affect long-term results of arthroscopic resection of medial synovial plica of the knee. Design A total of 52 knees in 50 consecutive patients with medial plica syndrome (MPS) were enrolled to prospective study. Preoperatively the age, gender, level of activity, symptoms’ duration, Lysholm knee scoring scale (LKSS), Q angle, range of motion (ROM), and quadriceps output torque (QOT) were recorded. The plica was then arthroscopically excised while plica morphological type and cartilage lesions (International Cartilage Repair Society [ICRS] classification) were registered. The postoperative evaluation was done after 1 month, 3 months, 6 months, 3 years, and 10 years. The final assessment after 10 years covered LKSS, ROM, QOT, and was enriched with functional tests: the single leg squat test (SLS), the modified Ober test (MO), and the manual palpation of the vastus medialis obliquus (VMO). Results The mean LKSS increased from 52 (15-85, SD 16.479) preoperative to 80 (48-100, SD 15.711) at final follow-up examination. A significant negative correlation was found between LKSS and the patients’ age. Cartilage lesions higher than ICRS 1 significantly decreased the final LKSS. Results were significantly better in the subgroups with normal outcome of functional tests. Conclusions Clinical results of arthroscopic plica resection are better in patients without coexisting cartilage lesions. Poor neuromuscular control may contribute to abnormal patella tracking, leading to both medial plica irritation and further cartilage deterioration.
- Published
- 2019
27. Arthroscopic Resection of Symptomatic Bennett Lesions
- Author
-
Kelly M. Rogers, Alexander M. Vo, and Kevin F. Bonner
- Subjects
Orthopedic surgery ,musculoskeletal diseases ,Arthrotomy ,030222 orthopedics ,medicine.medical_specialty ,Ossification ,business.industry ,medicine.medical_treatment ,030229 sport sciences ,musculoskeletal system ,medicine.disease ,Surgery ,Overhead throwing ,03 medical and health sciences ,0302 clinical medicine ,Arthroscopic resection ,Technical Note ,medicine ,Orthopedics and Sports Medicine ,Heterotopic ossification ,medicine.symptom ,business ,Exostosis ,RD701-811 - Abstract
Bennett lesions, also known as “thrower's exostosis” of the shoulder, involve ossification of the posteroinferior glenoid and are not uncommon in overhead throwing athletes. The literature surrounding the optimal operative management of the symptomatic Bennett lesion is limited. The purpose of this article is to describe the arthroscopic surgical technique for the visualization and excision of the symptomatic extra-articular pathologic ossification involving the posteroinferior glenoid. Because many surgeons may not be familiar with this problem or procedure, we present a straightforward method that allows for identification and excision of the exostosis through an arthroscopic posterior arthrotomy.
- Published
- 2019
28. Arthroscopic Femoral Osteochondroplasty With Capsular Plication for Osteochondroma of the Femoral Neck
- Author
-
Shane J. Nho, Kyle N. Kunze, Edward C. Beck, Thomas D. Alter, and Kelechi R. Okoroha
- Subjects
Orthopedic surgery ,musculoskeletal diseases ,Osteochondroma ,030222 orthopedics ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,030229 sport sciences ,medicine.disease ,Surgery ,Resection ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Arthroscopic resection ,Technical Note ,medicine ,Capsulotomy ,Orthopedics and Sports Medicine ,Hip arthroscopy ,business ,RD701-811 ,Femoral neck - Abstract
Osteochondromas of the femoral neck are a rare but challenging problem because of their distal location, which is difficult to access arthroscopically. Traditional methods of osteochondroma resection used invasive open approaches to manage these lesions. More recently, advances in hip arthroscopy have allowed expanded treatment of extra-articular hip conditions with a minimally invasive approach. Reports have described the use of hip arthroscopy for osteochondroma removal; however, surgical techniques for the procedure have yet to be described. We describe a technique for arthroscopic resection of a femoral neck osteochondroma using an extended capsulotomy and osteochondroplasty with subsequent capsular plication. This technique uses contemporary hip arthroscopic techniques and constitutes a safe and effective approach to addressing this rare intra-articular pathology of the hip.
- Published
- 2019
29. Resection of Volar Ganglia
- Author
-
Mathoulin, Christophe and Geissler, William B., editor
- Published
- 2005
- Full Text
- View/download PDF
30. Arthroscopic Resection Arthroplasty for Scapholunate Advanced Collapse (SLAC Wrist)
- Author
-
Tyson Cobb and Jessica Cobb
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Scapholunate advanced collapse ,business.industry ,medicine.medical_treatment ,SLAC Wrist ,Osteoarthritis ,Wrist ,medicine.disease ,Arthroplasty ,Proximal row carpectomy ,Nonoperative treatment ,Surgery ,body regions ,medicine.anatomical_structure ,Arthroscopic resection ,medicine ,business - Abstract
Scapholunate dissociation when left untreated commonly leads to the most common type of degenerative arthritis of the wrist known as scapholunate advanced collapse (SLAC). When nonoperative treatment fails, surgical intervention is indicated. SLAC wrist is commonly treated with either a four-corner fusion with scaphoid excision or proximal row carpectomy. Arthroscopic options for SLAC wrist have been becoming more common. The purpose of this chapter is to describe our technique of arthroscopic resection arthroplasty for SLAC wrist.
- Published
- 2021
31. Arthroscopic Radial Head Resection Using the 'Radial Head Portal'
- Author
-
Deepak N. Bhatia
- Subjects
medicine.medical_specialty ,business.industry ,Arthroscopic resection ,medicine ,Radial head ,Elbow arthroscopy ,business ,Resection ,Surgery - Abstract
Arthroscopic radial head resection is a minimally invasive alternative to open excision in acute fractures and chronic pathology of the radiocapitellar joint. Access to the entire radial head via standard portals is difficult and the “radial head portal” devised by the author provides safe access for rapid resection and removal of large fragments. This chapter describes the arthroscopic resection technique in acute comminuted radial head fractures and in chronic radiocapitellar pathology.
- Published
- 2021
32. Arthroscopic Excision of an Intra-Articular Osteochondroma of the Knee
- Author
-
Vasileios T Chouliaras, Ilias Sotiriadis, and Dimitrios A Flevas
- Subjects
Osteochondroma ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Arthroscopy ,General Engineering ,knee ,Physical examination ,arthroscopic resection ,Knee Joint ,medicine.disease ,Benign tumor ,Surgery ,Orthopedics ,Intra articular ,benign tumor ,ostechondroma ,Arthroscopic resection ,medicine ,Plain radiographs ,business ,arthroscopy - Abstract
Osteochondroma is the most common benign tumor of the growing bone that commonly involves the knee joint region. Hereby we present a case of an arthroscopic resection of a symptomatic intra-articular osteochondroma of the knee. A 32-year-old woman presented with diffuse and persistent pain of her right knee followed by discomfort for over three months. She did not report any history of injury or any other medical problem. Physical examination and imaging, with plain radiographs and MRI, revealed a bony mass arising from the supero-lateral aspect of her right distal femur without a stalk. This bone tumor, an osteochondroma, was arthroscopically resected and the diagnosis was confirmed by the histologic examination. The arthroscopic resection of this benign tumor led to complete relief of the symptoms of the patient and her return to daily and athletic activities in one month postoperatively. No recurrence of symptoms occurred during the seven-year follow-up period. Arthroscopic resection of a symptomatic osteochondroma is less painful, more cosmetically accepted, and can result in a quicker recovery than the traditional approach with an open incision.
- Published
- 2021
33. Functional evaluation of patients undergoing endoscopic calcaneoplasty for Haglund deformity
- Author
-
Isabela Ferreira Perucci, Carlos Daniel Candido de Castro Filho, Mário Sérgio Paulillo de Cillo, Hallan Douglas Bertelli, Bruno Arvatti Michelin, and Rodrigo Guimarães Huyer
- Subjects
Orthopedic surgery ,Functional evaluation ,medicine.medical_specialty ,medicine.diagnostic_test ,Bursitis ,business.industry ,Arthroscopy ,Endoscopy ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Haglund deformity ,Arthroscopic resection ,medicine ,Medicine ,Calcaneus/surgery ,Ankle ,business ,Exostoses ,Foot (unit) ,RD701-811 - Abstract
Objective: To analyze the functional outcomes of patients undergoing endoscopic calcaneoplasty for the treatment of Haglund deformity. Methods: This study consists of a case series of patients undergoing endoscopic calcaneoplasty. The American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, was used to evaluate patients before and 12 months after the procedure, providing preoperative and postoperative scores. Results: Nineteen patients were evaluated for a total of 24 endoscopic calcaneoplasties. The American Orthopaedic Foot and Ankle Society scale provided a mean preoperative score of 31.4 and a mean postoperative score of 93.3, which shows a significantly increased score after surgery. The mean patient age was 52 years, and the youngest patient was 25 years old and the oldest patient was 73 years old. However, no significant relationship was found between age and change in the American Orthopaedic Foot and Ankle Society score. No complications were observed in the immediate or late postoperative periods. Conclusion: Arthroscopic resection is efficient in the treatment of Haglund deformity given the significant improvement in the American Orthopaedic Foot and Ankle Society score observed after the procedure. Also, no postoperative complications were seen in patients who underwent endoscopic calcaneoplasty. Level of Evidence: IV; Therapeutic Studies; Case series.
- Published
- 2021
34. Arthroscopic resection as a rapid recovery treatment for Os acetabuli in soccer players who had undergone hip arthroscopy: a case series with 1-year follow-up
- Author
-
Jorge Salvador, David Barastegui, Ramón Cugat, Patricia Laiz, Roberto Seijas, and Alfred Ferré-Aniorte
- Subjects
medicine.medical_specialty ,Osteoplasty ,Population ,Femoral head ,Arthroscopy ,Soccer ,Femoracetabular Impingement ,Medicine ,Humans ,Orthopedics and Sports Medicine ,education ,Femoroacetabular impingement ,Retrospective Studies ,Labrum ,education.field_of_study ,Sleep Apnea, Obstructive ,business.industry ,General Medicine ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Treatment Outcome ,Orthopedic surgery ,Arthroscopic resection ,Hip Joint ,Hip arthroscopy ,business ,Follow-Up Studies - Abstract
Os acetabuli (OSA) is defined as a radiopaque structure located around the acetabular rim highly related to Femoroacetabular Impingement (FAI). Its treatment depends on the perspective of post-surgical joint instability. Ossicle resection is recommended if the femoral head is covered enough by the labrum. Previous research has described the results of this technique in general population. The aim of this study is to describe the outcomes and the time and rate of return to play (RTP) after hip arthroscopy and OSA removal in soccer players.This study is a retrospective analysis of a prospective database containing all the consecutive soccer players who had undergone hip arthroscopy between 2018 and 2019. The subjects diagnosed with OSA and a center-edge angle (CEA) 25 ° were included in the analysis. All the patients were treated with arthroscopic removal of the OSA and femoral osteoplasty. Hip function was assessed using the Modified Harris Hip Score (MHHS) before and at 3 and 12 months after surgery. Rate of RTP and competitive level at RTP were assessed at a 1-year follow-up.Between 2018 and 2019, 90 soccer players were treated with hip arthroscopy in our facilities. Six of them (6.6%) were diagnosed with OSA. Mean (SD) MHHS values were 69.7 (12.1) before the surgery, 89.7 (6.7) at 3 months post-surgery and 95.7 (5.1) at 12 months post-surgery. All the subjects reported significant improvements in their MHHS scores at 3 and 12 months post-surgery compared with pre-surgery levels (p 0.01). Non-significant differences were found between 3 and 12 months post-surgery (p 0.05). All the subjects (100%) returned to previous competitive levels.After surgery, all the soccer players returned to previous competitive level. Preoperative MHHS improved significantly at 3 months maintained for up to 12 months.
- Published
- 2021
35. Diagnosis and treatment of hindfoot osteoid osteoma: A therapeutic method for each case
- Author
-
Jesús Vilá-Rico, P. Casas-Ramos, C. Gallego-Herrero, L.R. Ramos-Pascua, J.A. Santos-Sánchez, María Ángela Mellado-Romero, and S. Sánchez-Herraéz
- Subjects
Osteoid osteoma ,030222 orthopedics ,medicine.medical_specialty ,Radiofrequency ablation ,Osteoid ,business.industry ,030229 sport sciences ,Neurovascular bundle ,medicine.disease ,Imaging data ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,law ,Arthroscopic resection ,medicine ,Orthopedics and Sports Medicine ,Surgery ,Radiology ,Calcaneus ,business ,Pathological - Abstract
Objectives (1) to set a reminder of the diagnostic approach to osteoid osteomas (OOs) of the foot; (2) to define the indications of treatment for hindfoot OOs. Material and method 5 OOs were checked (3 cases located in the talus and two cases in calcaneus). The diagnosis was established by clinical and imaging data. In all cases, a calcified nidus was identified on CT, perilesional bone oedema on MRI and focal scintigraphic uptake. Two cases were treated with radiofrequency ablation (RFA) and 3 cases with surgical resections: two open surgeries and one arthroscopic surgery. Clinical and oncological outcomes were evaluated at the end of the follow-up. Results No complications were reported. The clinical outcome was excellent in all cases. One patient was initially treated with open surgery and then subsequently with RFA due to failure of the procedure. There were no recurrences after an average follow-up time of 4 years and 8 months (range, 1–12 years). Discussion Hindfoot OOs are uncommon and their diagnosis is based on clinical data in conjunction with characteristic imaging findings. Their treatment choices depend on the location of the nidus and relationships with nearby anatomical structures. Conclusions The diagnosis of an OO of the hindfoot can be ensured when the epidemiological, clinical and imaging data are compatible with this pathological entity. RFA is indicated for intracortical or cancellous cases in which the nidus is more than 1 cm off the skin and significant neurovascular structures. For all other cases an open surgical resection or arthroscopic resection would be the first choice.
- Published
- 2019
36. Arthroscopic resection of wrist ganglia: About 30 cases
- Author
-
Christian Fontaine, G. Strouk, M. Limousin, Eric Abehsera, and Guillaume Nedellec
- Subjects
030222 orthopedics ,medicine.medical_specialty ,Activities of daily living ,medicine.diagnostic_test ,business.industry ,Arthroscopy ,030229 sport sciences ,Wrist ,medicine.disease ,Article ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,medicine.anatomical_structure ,Complex regional pain syndrome ,Arthroscopic resection ,Medicine ,Orthopedics and Sports Medicine ,Observational study ,business ,Complication - Abstract
Introduction The synovial wrist ganglion is a particularly common pathology of which the first "complication" is recidivism. The main objective of our study was to determine the rate of recurrence of this pathology in a series of arthroscopic patients. The secondary objective was to assess patient satisfaction well after the operation. Material and methods Our study was observational and retrospective and involved 30 patients (17 dorsal and 13 palmar cases) aged 41 years on average. The patients underwent an arthroscopic procedure for a palmar or dorsal ganglion of the wrist between March 2007 and April 2013. The data were collected by re-reading the files and conducting telephone interviews. Each patient answered a questionnaire about the operation, after-treatment, and their satisfaction well after the surgery. At the end of the interview, we calculated the Patient Rated Wrist Evaluation (PRWE) score. Results The mean follow-up was 4.6 years. A recurrence was noted in 4 (13%) cases, at an average delay of 9 months (6 months–1 year). There were only 2 patients (6.7%) that experienced the complication of complex regional pain syndrome type 1. Twenty-eight (93%) patients experienced improvement in postoperative pain. For 27 (90%) patients, firm-handed activities could be practised without limitation. The average time to resumption of activities of daily living was 27.1 days (1–240 days), resumption of firm-handed activities was 56 days (15–360 days), and return to work was 47.5 days (1–360 days). The mean PRWE score was 6.9/50 (0–34) for pain and 1.38/50 (0–8) for function. Conclusion The 13% recurrence rate is on the average of what is observed in the literature. Later satisfaction with the intervention is very good, and complications remain rare.Studies tend to show a lower rate of complications and recurrence following arthroscopic treatment, but to date, no randomized comparative series between the two methods has yet revealed any significant difference in these two points. A study of this type on a large scale could make it possible to highlight one of these treatment approaches.
- Published
- 2019
37. Audit of Clinical and Functional Outcomes of Arthroscopic Resection of Wrist Ganglions.
- Author
-
Chung, Sze-Ryn and Tay, Shian Chao
- Subjects
- *
ARTHROSCOPY , *SURGICAL excision , *WRIST radiography , *WRIST diseases , *HEALTH outcome assessment , *RETROSPECTIVE studies , *ULTRASONIC imaging , *SURGICAL complications , *DIAGNOSIS - Abstract
Background: The purpose of this study is to audit the clinical and functional outcomes of arthroscopic ganglionectomy (AG) in our centre. Methods: A retrospective study was conducted on all 29 patients who underwent AG from 2007 to 2012 with a mean clinic and telephone follow-up duration of 6 months and 32 months respectively. Results: A total of 29 patients (17 women and 12 men) with a mean age of 38 years underwent AG. 15 patients (52%) had associated pain with the lump, 24 out of 29 patients (83%) had preoperative ultrasound to confirm the diagnosis. All patients had preoperative wrist radiographs that showed no chronic carpal instability and bony pathology. 26 out of 29 patients (90%) had dorsal wrist ganglions and 3 patients (10%) had volar wrist ganglions. 15 out of 24 ganglions (62.5%) were multiloculated. Mean ganglion size clinically and through wrist ultrasound was 2.5 cm and 1.8 cm respectively. During arthroscopy, ganglion stalk was identified in 14 patients (48%). Average operating time was 69.5 minutes. Intraoperatively, 24 out of 29 patients (83%) had wrist synovitis and 26 patients (90%) had associated carpal ligament laxity. 97% of cases were successfully resected arthroscopically. Recurrence rate was 10% (3 cases). There was no significant difference between preoperative and postoperative range of motion of wrists - the mean wrist flexion ranged from 63 to 59 degrees pre and postoperatively, and the mean wrist extension ranged from 66 to 64 degrees pre and postoperatively. Overall grip strength improved from 27 kg to 32 kg (), and there was also a significant improvement in pain scores pre and post-operatively from visual analogue scale (VAS) score of 0.8 to 0.3 (). No major intra or post-operative complications occurred. All patients were satisfied in terms of cosmesis. Conclusions: AG is a safe and reliable alternative to open resection of wrist ganglions. In addition, it can be used as a diagnostic and therapeutic tool for other wrist conditions. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
38. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion
- Author
-
Akihiro Kanamori, Masashi Yamazaki, Koshiro Shimasaki, and Tomokazu Yoshioka
- Subjects
musculoskeletal diseases ,Orthopedic surgery ,medicine.medical_specialty ,medicine.diagnostic_test ,biology ,business.industry ,Anterior cruciate ligament ,Anterior knee pain ,Case Report ,Magnetic resonance imaging ,Limited knee flexion ,General Medicine ,biology.organism_classification ,musculoskeletal system ,Surgery ,Mucoid degeneration ,Valgus ,medicine.anatomical_structure ,Arthroscopic resection ,medicine ,Range of motion ,business ,human activities ,RD701-811 - Abstract
Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. We report a rare case of a patient diagnosed with bilateral mucoid degeneration of the ACL with AKP and no limited joint range of motion (ROM). A 59-year-old man with spontaneous right AKP was admitted to our hospital. He first underwent arthroscopic resection of the thickened medial plica protruding far into the medial patellofemoral joint (PFJ) but felt little effectiveness thereafter. He then had an arthroscopic release of the lateral patellar retinaculum because of valgus knee and patellar instability, which resulted in only temporary improvement. Then, the AKP relapsed, this time with limitations in the ROM. Magnetic resonance imaging (MRI0 showed a diffuse, thickened ACL with a high inhomogeneous intensity in the T2-weighted and proton density weighted images and which looked similar to a celery stalk. Based on the patient’s history and MRI findings, we suspected mucoid degeneration of the ACL and subsequently performed arthroscopic excision. At the same time, AKP appeared on the other side. Since the MRI demonstrated a similar celery stalk image as before, the same operation was performed on this side, as well. Finally, AKP and the limitation of the ROM were relieved approximately one month after surgery. Due to the patient only suffering from AKP with a preserved ROM, it took about 14 months to diagnose this disease. It should, therefore, always be considered in cases of AKP alone.
- Published
- 2021
39. Acromioclavicular joint acceleration-deceleration injury as a cause of persistent shoulder pain: Outcome after arthroscopic resection.
- Author
-
Atoun, Ehud, Bano, Artan-Athanasios, Van Tongel, Alexander, Narvani, Ali, Sforza, Giuseppe, and Levy, Ofer
- Subjects
- *
INJURY complications , *ACROMIOCLAVICULAR joint , *ARTHROSCOPY , *MAGNETIC resonance imaging , *HEALTH outcome assessment , *SHOULDER pain , *WHIPLASH injuries , *TREATMENT effectiveness , *RETROSPECTIVE studies , *EVALUATION , *WOUNDS & injuries - Abstract
Background: Shoulder pain in general and acromioclavicular joint (ACJ) pain specifically is common after acceleration‑deceleration injury following road traffic accident (RTA). The outcome of surgical treatment in this condition is not described in the literature. The aim of the present study was to report the outcome of arthroscopic resection of the ACJ in these cases. Materials and Methods: Nine patients with localized ACJ pain, resistant to nonoperative treatment were referred on an average 18 months after the injury. There were 3 male and 6 females. The right shoulder was involved in seven patients and the left in two. The average age was 38.9 years (range 29‑46 years). All presented with normal X‑rays but with torn acromioclavicular joint disc and effusion on magnetic resonance imaging (MRI). Arthroscopic ACJ excision arthroplasty was performed in all patients. Results: At a mean followup of 18 month, all patients had marked improvement. The Constant score improved from 36 to 81, the pain score from 3/15 to 10/15 and the patient satisfaction improved from 3.5/10 to 9.3/10. Conclusion: Arthroscopic ACJ excision arthroplasty, gives good outcomes in patients not responding to conservative management in ACJ acceleration‑deceleration injury. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
40. Technique for Arthroscopic Resection of the Distal Clavicle in Patients with Symptomatic Acromioclavicular Joint Osteoarthritis: A Retrospective Study
- Author
-
So Minokawa, Tomohiko Minamikawa, and Yozo Shibata
- Subjects
medicine.medical_specialty ,medicine.anatomical_structure ,Distal clavicle ,business.industry ,Arthroscopic resection ,medicine ,Acromioclavicular joint ,Retrospective cohort study ,In patient ,Osteoarthritis ,medicine.disease ,business ,Surgery - Abstract
Background: Arthroscopic resection of the distal clavicle has the potential risk of inadequate resection that may be associated with residual postoperative pain. We propose a new arthroscopic technique to excise the distal clavicle precisely and reproducibly without causing impingement or instability of the acromioclavicular (AC) joint. The purpose of this study was to evaluate the clinical and radiological results of arthroscopic distal clavicle resection in patients with symptomatic AC joint osteoarthritis.Methods: We retrospectively evaluated 26 patients (mean age, 55.3 ± 16.0 years) who underwent arthroscopic distal clavicle resection between April 2010 and September 2017 with a minimum 1-year follow-up (mean follow-up, 25.3 ± 11.1 months). Nine of these patients also underwent rotator cuff repair. Clinical evaluations performed preoperatively and at final follow-up included subjective pain scores according to a visual analogue scale (VAS), range-of-motion examinations, UCLA scores, and Shoulder-36 scores. Shoulder muscle strengths were measured with a handheld dynamometer. The amount of distal clavicle resection was measured on plain radiographs. Results: No patients had AC joint tenderness. There were significant differences between the preoperative and postoperative VAS, UCLA, and Shoulder-36 scores (P < 0.05). Muscle strengths were measured preoperatively and at final follow-up in 14 patients. Elevation and internal rotation strengths were significantly greater postoperatively, but there was no significant difference in external rotation strength. The mean amount of distal clavicle resection was 14.1 ± 2.1 mm. The mean coracoclavicular distance was 8.4 ± 1.6 mm preoperatively and 8.6 ± 1.8 mm at final follow-up, with no significant difference. Conclusions: Our arthroscopic technique of distal clavicle resection for AC joint osteoarthritis resulted in successful clinical outcomes at final follow-up. Bone resection was performed according to the amount planned, as confirmed on postoperative radiographs. The technique allows resection of the distal clavicle with accurate shape and amount as planned preoperatively with no postoperative instability of the AC joint.
- Published
- 2020
41. Arthroscopic resection of a loose body in the inextensible metacarpophalangeal joint of the middle finger complicated with osteoarthritis: A case report
- Author
-
Akihiro Sudo, Masaya Tsujii, Takeshi Uemura, and Tetsuya Hattori
- Subjects
musculoskeletal diseases ,medicine.medical_treatment ,Case Report ,Osteoarthritis ,030230 surgery ,Middle finger ,loose body ,03 medical and health sciences ,0302 clinical medicine ,finger ,Medicine ,arthroscopy ,Orthodontics ,lcsh:R5-920 ,030222 orthopedics ,medicine.diagnostic_test ,business.industry ,Arthroscopy ,General Medicine ,Metacarpophalangeal joint ,Traction (orthopedics) ,medicine.disease ,Sagittal plane ,osteoarthritis ,medicine.anatomical_structure ,Loose body ,Arthroscopic resection ,lcsh:Medicine (General) ,business - Abstract
Arthroscopic surgery is a standard technique for removal of loose bodies in large joints. By contrast, there were a few reports of arthroscopic surgery for loose bodies in small joints. We herein report a case of a 70-year-old woman with an inextensible metacarpophalangeal joint in the right middle finger due to an intra-articular loose body that developed after osteoarthritis. Surgery proceeded under vertical traction using traction tower. Two portals were developed at dorsal aspect on the metacarpophalangeal joints. The loose body was removed under arthroscopy with a small incision of both skin and sagittal band, thereby resolving clinical symptoms, including pain and limitations to metacarpophalangeal joint motion.
- Published
- 2020
42. Arthroscopic Resection of Wrist Scaphotrapeziotrapezoidal (STT) Joint Ganglia
- Author
-
Ho Lam Chai, Pak Cheong Ho, Wai Ping Fiona Yu, and Cabello Álvaro Pérez
- Subjects
musculoskeletal diseases ,030222 orthopedics ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Arthroscopy ,030230 surgery ,Wrist ,Resection ,Surgery ,Ganglion ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Arthroscopic resection ,medicine ,Orthopedics and Sports Medicine ,Local anesthesia ,Wrist ganglion ,business - Abstract
Background Volar wrist ganglion is the second most common wrist mass and accounts for 20% of all cases. Surgery is the gold standard for persistent and symptomatic ganglia. Arthroscopic resection has gained popularity in the past two decades. Application of this technique to ganglia in less accessible locations, such as the scaphotrapeziotrapezoidal (STT) joint, however, remains controversial. Case Description To date, no literature has described using the STT -ulnar (STT-u) and STT -radial (STT-r) joint portals for ganglionic resection. Literature Review In this report, two cases of arthroscopic ganglionic resection utilizing the STT-u and STT-r joint portals at our institution were described. Clinical Relevance Arthroscopic resection of STT joint ganglion under portal site local anesthesia is a technically feasible, safe, and effective approach. There was no recurrence observed for both cases at 50 months of follow-up.
- Published
- 2020
43. An investigation of the anatomy of the infrapatellar fat pad and its possible involvement in anterior pain syndrome: a cadaveric study
- Author
-
D. Ceri Davies and Jack Leese
- Subjects
0301 basic medicine ,Male ,Knee Joint ,Meniscus (anatomy) ,anterior knee pain ,ARTHROSCOPIC RESECTION ,0302 clinical medicine ,0903 Biomedical Engineering ,Range of Motion, Articular ,Aged, 80 and over ,Infrapatellar fat pad ,JOINT ,Anatomy ,Patella ,Middle Aged ,musculoskeletal system ,Anatomy & Morphology ,medicine.anatomical_structure ,ADIPOSE-TISSUE ,Adipose Tissue ,Ligament ,Female ,Medial meniscus ,Life Sciences & Biomedicine ,MRI ,musculoskeletal diseases ,Histology ,PATELLOFEMORAL PAIN ,Pain ,03 medical and health sciences ,CARTILAGE ,medicine ,Cadaver ,Humans ,Molecular Biology ,Ecology, Evolution, Behavior and Systematics ,Aged ,INFLAMMATORY CYTOKINES ,Lateral meniscus ,Science & Technology ,NITRIC-OXIDE ,business.industry ,Cell Biology ,Original Articles ,osteoarthritis ,030104 developmental biology ,1116 Medical Physiology ,Quadriceps tendon ,KNEE PAIN ,infrapatellar fat pad ,business ,human activities ,030217 neurology & neurosurgery ,Developmental Biology - Abstract
The infrapatellar fat pad (IFP) is an extrasynovial, intracapsular, adipose body occupying the space in the knee joint between the inferior border of the patella, the femoral condyles, tibial plateau and patellar tendon. Little is known about the anatomy and normal function of the IFP, but it has been suggested to play a role in the aetiology of Anterior knee pain syndrome, including that associated with osteoarthritis. Forty-three knees from 11 male and 15 female embalmed cadavers (mean age 84 years; range 55-97 years) were investigated. The cadavers were donated and the study performed in compliance with the provisions of the UK Human Tissue Act (2004). The quadriceps tendon and the medial and lateral patellar retinacula were dissected from the patella, which was then reflected antero-distally. The IFP was carefully excised and details of its morphology and attachments to components of the knee joint were recorded, together with the presence of articular surface pathology on the patella and femoral condyles. The principal novel findings of the current study were that 81% of IFPs were attached to the superior border of the patella by supero-medial extensions and 65% were attached by supero-lateral extensions; the supero-medial extensions were larger than the supero-lateral extensions. The superior extensions of the IFP were always attached anteriorly to the patellar retinacula and in four individuals the extensions formed a full loop around the superior border of the patella. The volume of IFPs with attachments to the superior border of the patella was significantly greater (p = .007) than those without, and the IFP was attached to the medial meniscus in significantly (p = .009) more knees with IFP attachment to the superior border of the patella than those without. All IFPs were attached to the medial anterior horn of the meniscus and the medial Kaplan's ligament. Ninety-seven per cent were attached to the lateral anterior horn of the meniscus and 97% to the lateral Kaplan's ligament. The length of IFP attachment to the lateral meniscus was significantly longer (p = .004) than that to the medial meniscus. Ninety-seven per cent of IFPs were attached to the superior portion of the patellar tendon with the mean tendon attachment being 60%. Ninety-one per cent of IFPs were attached to the inferior border of the patella. Significantly fewer knees with patellar (p = .001) and femoral (p = .002) articular surface osteophytes exhibited superior IFP extensions and these extensions were significantly shorter in knees with patellar (p = .000) and femoral (p = .006) osteophytes, compared with those without. The IFP was attached to the medial meniscus in significantly fewer knees with femoral (p = .050) and patellar (p = .023) osteophytes than those without. All IFPs not attached to the anterior horn of the lateral menisci, medial Kaplan's ligament, superior patella or inferior border of the patella, were in knees with articular surface osteophytes. This relationship between IFP morphology and knee joint pathology suggests a functional role for the IFP that requires further investigation.
- Published
- 2020
44. Knee Iliotibial Band Friction Syndrome After Total Knee Arthroplasty
- Author
-
Hortensia De la Corte-Rodriguez, Carlos A. Encinas-Ullán, and E. Carlos Rodríguez-Merchán
- Subjects
medicine.medical_specialty ,Nonsteroidal ,business.industry ,Total knee arthroplasty ,Pain relief ,musculoskeletal system ,Nonsurgical treatment ,Surgery ,chemistry.chemical_compound ,chemistry ,Arthroscopic resection ,medicine ,In patient ,Surgical treatment ,business ,human activities - Abstract
This chapter analyzes the similarities and differences between knee iliotibial band friction syndrome (ITBFS) in patients after total knee arthroplasty (TKA) and in runners. Although ITBFS etiopathogenesis is different in runners than in patients who have had TKA, the management is basically the same: treatment should begin with relative rest, physical medicine and rehabilitation, oral nonsteroidal anti-inflammatory drugs, and local corticosteroid injections. For patients who do not respond to at least 3 months of the aforementioned nonsurgical treatment, surgical treatment is recommended. There are several surgical options: Z-lengthening of the iliotibial band, surgical release of the iliotibial band, multiple puncture of the iliotibial band, and arthroscopic resection of the lateral synovial recess. In most patients, all of the above surgical alternatives lead to a satisfactory outcome: runners can return to their previous sporting activity, and patients with TKA can achieve significant or total pain relief.
- Published
- 2020
45. Arthroscopic excision of wrist ganglions: does trans-cystic or cystic-sparing portal technique affect clinical outcomes?
- Author
-
Yuan-Kun Tu, Chin-Hsien Wu, Feng-Chen Kao, Yen-Chun Chiu, Shang-Won Yu, and Ching-Hou Ma
- Subjects
medicine.medical_specialty ,Visual analogue scale ,medicine.medical_treatment ,Wrist ,Arthroscopy ,03 medical and health sciences ,0302 clinical medicine ,Dash ,medicine ,Humans ,Orthopedics and Sports Medicine ,Ganglionectomy ,Retrospective Studies ,Vas score ,Ganglion Cysts ,030222 orthopedics ,business.industry ,030229 sport sciences ,General Medicine ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Orthopedic surgery ,Arthroscopic resection ,Complication ,business - Abstract
The preliminary results of arthroscopic wrist ganglionectomy were contradictory. The approach used for the arthroscopic excision of wrist ganglions may play an important role. We analyzed two surgical approaches for arthroscopic excision of wrist ganglions. Between April 2009 and October 2014, 49 patients with wrist ganglions who underwent arthroscopic excision in our institute were retrospectively classified into two treatment groups, namely the trans-cystic portal technique (TCP) and cyst-sparing portal technique (CSP). The visual analog scale (VAS), Mayo wrist scores, and disabilities of the arm, shoulder, and hand (DASH) scores were measured for clinical assessment. Recurrence, residual pain, and complications were evaluated at follow-up. No significant differences were found between the groups in terms of demographic data, and preoperative clinical assessment, as well as with regard to postoperative VAS score (p = 0.898), Mayo wrist score (p = 0.526), DASH score (p = 0.870), recurrence (p = 0.491), residual pain (p = 0.690), and complications (p = 0.352). Recurrence was found in 2 of the 47 patients and they were both in the CSP group. At the final follow-up, residual pain was found in four patients in the TCP group and three in the CSP group. For performing arthroscopic resection of wrist ganglions, both techniques are safe regarding the complication rates. In recurrence rate, no significant difference was found between the two groups, but no recurrence was observed when the TCP technique was used.
- Published
- 2018
46. Bipartite Talus: Arthroscopic Resection – Case Report
- Author
-
Adilson Sanches de Oliveira Junior, Guilherme Honda Saito, Marcelo Pires Prado, and Alberto Abussamra Moreira Mendes
- Subjects
030222 orthopedics ,03 medical and health sciences ,medicine.medical_specialty ,0302 clinical medicine ,business.industry ,Arthroscopic resection ,medicine ,Bipartite graph ,Orthopedics and Sports Medicine ,Surgery ,030229 sport sciences ,business - Published
- 2018
47. Functional outcome of open acromioclavicular joint stabilization for instability following distal clavicle resection
- Author
-
Paul M. Robinson, Joideep Phadnis, Lennard Funk, and Jonathan A. Baxter
- Subjects
030222 orthopedics ,medicine.medical_specialty ,Distal clavicle ,business.industry ,030229 sport sciences ,Return to work ,Article ,Resection ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Arthroscopic resection ,Medicine ,Acromioclavicular joint ,Orthopedics and Sports Medicine ,Quick dash ,business - Abstract
Background Acromioclavicular joint instability following distal clavicle resection can result in considerable pain and dysfunction. Method We present a review of 13 patients who underwent ACJ stabilization following one or more distal clavicle resection procedures. Results The mean Quick DASH and CM scores were 26(0–57) and 73(46–100) respectively. All but one patient reported an improvement in the pain component of their CM score and in the work component of the Quick DASH score. Discussion Open ACJ stabilization to treat instability following distal clavicle resection resulted in improved functional scores, pain scores and facilitated return to work in most patients. Level of evidence IV.
- Published
- 2018
48. Localized Pigmented Villonodular Synovitis of the Posterior Knee Compartment with Popliteal Vessel Compression: A Case Report of Arthroscopic Resection Using Only Anterior Knee Portals
- Author
-
Jack C. Daoud, Dany Aouad, Georges El Rassi, and Youssef G. Hassan
- Subjects
musculoskeletal diseases ,030222 orthopedics ,medicine.medical_specialty ,business.industry ,Case Report ,General Medicine ,Knee Joint ,Hyperplasia ,medicine.disease ,Surgery ,Lesion ,lcsh:RD701-811 ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,lcsh:Orthopedic surgery ,Pigmented villonodular synovitis ,030220 oncology & carcinogenesis ,Joint capsule ,Arthroscopic resection ,Medicine ,Presentation (obstetrics) ,medicine.symptom ,business ,Compartment (pharmacokinetics) - Abstract
Background. Pigmented villonodular synovitis is a rare pathology causing hyperplasia of the synovium. It mostly affects young populations and most commonly the knee joint. It rarely affects the posterior compartment of the knee as the case presented in this study. Open surgery is usually used to treat this condition; however, in our case it was excised arthroscopically despite the anatomical challenges of the posterior knee compartment. Case Presentation. This case presents a female patient with a complaint of posterior-region pain of her left knee post direct trauma post fall. This was directly followed by knee joint blockage for 1-week duration before presentation to the hospital. On MRI, she was found to have a multiloculated hemosiderin-containing structure of synovial origin within the femoral notch, extending beyond the joint capsule displacing the popliteal vessels. The patient underwent arthroscopic resection of the lesion, which was found to be pigmented villonodular synovitis on anatomopathological examination. On 6-month follow-up, the patient showed good clinical evolution with the absence of symptoms and back-to-normal daily activities. Conclusion. This is a rare case of PVNS affecting the posterior knee joint compartment of a middle-aged woman, which was successfully excised arthroscopically, with no residual affected tissue or recurrence on 6-month follow-up.
- Published
- 2018
49. Knee joint changes in the early postoperative period after arthroscopic resection of menisci under the influence of different treatment methods
- Author
-
V.N. Vasilyev
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,business.industry ,hemosynovitis ,Treatment method ,Knee Joint ,Surgery ,knee joint ,lcsh:RD701-811 ,lcsh:Orthopedic surgery ,arthroscopic operation ,hemosynovial fluid ,Arthroscopic resection ,medicine ,Orthopedics and Sports Medicine ,business ,management - Abstract
Introduction The rate of effusion or hemarthrosis after arthroscopic operation is in the range of 0.16 – 15.7 %. Changes in the operated joint are reflected in the composition and properties of the synovium. So, the study of hemo-synovial fluid will assess the severity of pathological changes and the effectiveness of treatment. Purpose The aim of the research was to study the changes in the hemo-synovial fluid of the operated knee joint and evaluate the effectiveness of treatments applied to hemosynovitis. Materials and methods The study included 79 males between the age of 18 and 60 years. At each puncture after full evacuation, the cavity was treated by the author's method in 38 patients of group 1 (patents on invention of Russia № 2457833 and № 2460545), which consisted in the lavage of the joint cavity with an isotonic sodium hydrocarbonate solution cooled down to +5 °С until the fluid was clear followed by intraarticular introduction of 3.0 ml of the mixture consisting of solutions for injections of 5 % ascorbic acid, 5 % unithiol and 0.5 % novocain, taken in equal volumes 1:1:1. At each puncture after full evacuation in 41 patients of group 2, intraarticular introduction of 3.0 ml of 0.5 % novocain solution for injections was performed. The efficiency was studied with magnetic resonance imaging in 24 men (12 subjects from each group) on 3rd and 7th days after arthroscopy. The pH, relative density, level of lipid hydroperoxide, concentration of common SH-groups and cytosis were defined in the hemo-synovial fluid. Results It was revealed that inflammatory changes develop in the operated knee joint after arthroscopic resection of the meniscus. Discussion The treatment technique proposed for knee joint hemosynovitis reduces faster the severity of the inflammatory reaction, lipid peroxidation and increases concentration of thiol antioxidants.
- Published
- 2018
50. The acromial morphology and its implication in impingement syndrome: An anatomical study
- Author
-
Praisy Joy, Manisha B Sinha, and Human Prasad Sinha
- Subjects
0301 basic medicine ,Orthodontics ,education.field_of_study ,Result type ,business.industry ,Population ,Indian population ,Impingement syndrome ,medicine.disease ,Pathology and Forensic Medicine ,Resection ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Scapula ,Arthroscopic resection ,Medicine ,030212 general & internal medicine ,030101 anatomy & morphology ,Acromion ,Anatomy ,business ,education - Abstract
Introduction Resection of acromion in case of impingement syndrome is a controversial issue. It is associated with the risk of instability of humeral head. The aim of our study was to determine the morphometry of acromion so that the decision for arthroscopic resection becomes easier in these cases. The morphometry of acromion was also correlated with other parameters of scapula. Material and methods The study was conducted in sixty one intact dry adult scapulae of unknown sex. Various parametric and nonparametric data from scapulae were taken. Result Type I (flat), Type II (curved) and Type III (hooked) were found in 24.59%, 49.18% and 26.22% scapulae respectively. The average scapular length and breadth were 135.96 ± 11.96 mm and 98.8 ± 7.56 mm respectively. Mean value of length, breath, and thickness of acromian were 41.23 mm, 22.12 mm and 7.01 mm respectively. The thickness of acromion was less than 8 mm in 86.67% of scapulae. In 13.33% cases the thickness was >8 mm. A statistically significant positive correlation was also found between the length of acromion and the length and breadth of scapula. Discussion Our study may suggest that in Indian population, 13.33% population is at risk of impingement syndrome according to the thickness of acromion. In addition, angles of acromion tilt and acromion slope are larger in Indian scapulae as compare to that of other countries. This knowledge would be useful for orthopaedic surgeons and radiologists.
- Published
- 2018
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.