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Recent Advances in Arthroscopic Surgery最新文献

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Diagnosis and Treatment of the Meso-Acromion of the Shoulder 肩中肩峰的诊断与治疗
Recent Advances in Arthroscopic Surgery Pub Date : 2018-10-10 DOI: 10.5772/INTECHOPEN.76267
W. Stetson, S. Morgan, Brian Chung, Nicole J. Hung, Genevieve R Mazza, A. McIntyre
{"title":"Diagnosis and Treatment of the Meso-Acromion of the Shoulder","authors":"W. Stetson, S. Morgan, Brian Chung, Nicole J. Hung, Genevieve R Mazza, A. McIntyre","doi":"10.5772/INTECHOPEN.76267","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76267","url":null,"abstract":"The failed fusion between two acromial apophyses, called an os acromiale, is often asymp- tomatic and found incidentally during evaluation for unrelated shoulder pathology. Though this is frequently not the primary pain source, a mobile os acromiale fragment can cause inflammation at the pseudarthrosis site, rotator cuff impingement, or AC joint arthritis. Varying operative techniques exist with good to satisfactory results for symptomatic patients. Several operative techniques have been described including open excision, open reduction-internal fixation (ORIF), arthroscopic acromioplasty or subacromial decompres- sion, and arthroscopic excision. Open excision of a meso-acromion can lead to persistent pain and deltoid weakness and atrophy. The management of a meso-acromial fragment with ORIF can also result in persistent pain and deltoid weakness and atrophy with nonunion of the fragments. Arthroscopic excision of the meso-acromion is described as a viable alternative for surgical candidates.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122453522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Office-Based Small Bore Needle Arthroscopy of the Knee 基于办公室的小口径膝关节关节镜检查
Recent Advances in Arthroscopic Surgery Pub Date : 2018-10-10 DOI: 10.5772/INTECHOPEN.76757
Kyle E. Williams, K. Scott, Donald L. Dulle, A. Chhabra
{"title":"Office-Based Small Bore Needle Arthroscopy of the Knee","authors":"Kyle E. Williams, K. Scott, Donald L. Dulle, A. Chhabra","doi":"10.5772/INTECHOPEN.76757","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76757","url":null,"abstract":"Advanced imaging, such as MRI, can sometimes provide inconclusive results with knee pathology, leaving both patients and providers with a diagnostic challenge. In-office arthroscopy is a newer, low-risk, diagnostic procedure that allows the physician to use a small bore needle arthroscope to view the intra-articular anatomy of the joint. The patient and provider are provided with immediate results of the pathology found. This pre- vents having to undergo repeat imaging, which can be a costly, time-consuming, and inconclusive process. Ideal indications are patients who are claustrophobic, have previ- ously undergone meniscal or chondral surgery, or whose MRI results are inconclusive. This chapter will review the background, indications, technique, and risks of this novel procedure.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131341015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hip Arthroscopy Made Simple, Easy, and Elegant. A Novel Variant of the Outside-In Technique 使髋关节镜检查变得简单、容易和优雅。一种由外而内技术的新变体
Recent Advances in Arthroscopic Surgery Pub Date : 2018-10-10 DOI: 10.5772/INTECHOPEN.77047
A. Salas, J. O'Donnell, J. Macek
{"title":"Hip Arthroscopy Made Simple, Easy, and Elegant. A Novel Variant of the Outside-In Technique","authors":"A. Salas, J. O'Donnell, J. Macek","doi":"10.5772/INTECHOPEN.77047","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.77047","url":null,"abstract":"Hip Arthroscopy (HA) is considered to be a demanding surgery with a steep and slow learning curve. Adequate HA instrumentation is required to perform a reproducible surgery. The technique most commonly used to access the hip is through the central compartment or from the “Inside-Out” with continuous distraction and specialized access equipment. Newer techniques start from the peripheral compartment called “Outside-In” techniques, these techniques have a safer access with a more controlled environment avoiding iatrogenic scuffing of the acetabulum, labrum or femoral head. The purpose of this surgical and novel variant technique from the “Outside-In” which we call simple, easy, and elegant is an excellent choice and can be part of the armament for young surgeons who are initiating in hip arthroscopy and preservation, our technique has been very reproducible and reliable with good to excellent results with very few complications.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116218119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Subscapularis Tendon Tears: Classification, Diagnosis and Repair 肩胛下肌肌腱撕裂:分类、诊断和修复
Recent Advances in Arthroscopic Surgery Pub Date : 2018-10-10 DOI: 10.5772/INTECHOPEN.77349
L. Baverel
{"title":"Subscapularis Tendon Tears: Classification, Diagnosis and Repair","authors":"L. Baverel","doi":"10.5772/INTECHOPEN.77349","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.77349","url":null,"abstract":"Rotator cuff tears include a panel of tendon lesions, and superior cuff tears are often comb- ined with subscapularis lesions that are more difficult to repair. We propose in this chapter to describe the Lafosse subscapularis tears classification and to describe the arthroscopic repair that can be performed easily with a needle as shuttle. The advantages of these surgical techniques are simplicity, safety and quickness. The procedure is performed under general anaesthesia with the patient in beach chair position. A classic arthroscopic posterior portal is used to perform glenohumeral exploration, and cuff tendons are analysed. Once subscap- ularis tear is confirmed, the tendon must be released after repair with anterolateral portal. Then, a triple-loaded anchor is positioned at the edge of the bicipital groove to perform both biceps tenodesis and subscapularis repair. repair, the concept of “ à la carte ” surgery is applicable, meaning that surgeon may repair all tendon torn in the same procedure to restore anatomy. The clinical outcomes of recent studies confirm that successful arthroscopic repair of the tendon can lead to an improvement in shoulder function and strength, as well as a reduction in pain. We recommend arthroscopic single or double-row repair using spinal needle as shuttle, after biceps tenotomy or tenodesis.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128511748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Successful Knee Arthroscopy: Techniques 成功的膝关节镜检查:技术
Recent Advances in Arthroscopic Surgery Pub Date : 2018-10-10 DOI: 10.5772/INTECHOPEN.79268
C. Ang
{"title":"Successful Knee Arthroscopy: Techniques","authors":"C. Ang","doi":"10.5772/INTECHOPEN.79268","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.79268","url":null,"abstract":"Knee arthroscopy is one of the most common arthroscopic procedures required of an orthopedic surgeon. A successful case hinges primarily on adequate pre-operative planning, proper intra-operative set-up and thoughtful portal placement. This chapter will discuss in detail the necessary ingredients of a smooth and successful knee arthroscopy case. Advanced techniques to deal with intra-operative difficulties will be presented. Though uncommon, complications arising from knee arthroscopy will be presented and their management techniques described. Common procedures will be discussed, including simple knee arthroscopic debridement, arthroscopic cartilage reconstruction, anterior cruciate ligament reconstruction, and meniscus repair. Surgical steps for a safe and smooth case will be presented.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134109296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Arthroscopic Technique to Treat Articular Cartilage Lesions in the Patellofemoral Joint 关节镜技术治疗髌股关节软骨病变
Recent Advances in Arthroscopic Surgery Pub Date : 2018-10-10 DOI: 10.5772/INTECHOPEN.76617
A. Olivos-Meza, Antonio Madrazo-Ibarra, Clemente Ibarra-Ponce de León
{"title":"Arthroscopic Technique to Treat Articular Cartilage Lesions in the Patellofemoral Joint","authors":"A. Olivos-Meza, Antonio Madrazo-Ibarra, Clemente Ibarra-Ponce de León","doi":"10.5772/INTECHOPEN.76617","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76617","url":null,"abstract":"Cartilage lesions are frequent in routine knee arthroscopy (63%). Among these injuries, 11–23% are located in patella and 6–15% in the trochlea. Treatment of cartilage lesions in patellofemoral joint (PFJ) represents a challenge because of its complex access, high axial loading, and shearing forces. These factors explain the 7% of good results in the PFJ versus 90% in femoral condyles for autologous chondrocyte implantation (ACI). Microfracture (MF) as the first line of treatment has revealed limited hyaline-like cartilage formation in comparison to ACI. This fibrocartilage deteriorates with the time resulting in inferior biomechanical properties. Important issues that enhance the results of cartilage repair procedures in PFJ are associated with the restoration of the joint bal- ance as unloading/realigning techniques. In the literature, there is no description of any convenient arthroscopic technique for ACI. The reported techniques usually require to set up the patient in prone position to perform the arthroscopy making it difficult to treat associated knee malalignment or instability. Others are open techniques with more risk of morbidities, pain, and complications and longer recovery time. In this chapter, we will describe a novel all-arthroscopic technique to treat cartilage lesions in the patella that permits the correction and treatment of associated lesions in the same patient position. PFJ recommended Satisfactory results are reported in the treatment of isolated cartilage lesions in the patella with ACI (65%); however, when ACI was combined with unloading tibial tubercle osteotomy (AMZ), better results are found (85%) Clinically both microfracture and autologous chondrocyte implantation improve significantly over time after treatment. However, studies have demonstrated that quantitative assessment with T2-mapping in ACI is more similar to native cartilage than microfracture after 12 months.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124433065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Anatomic Single-Bundle ACL Reconstruction with Remnant Augmentation Technique 残肢增强技术的解剖单束ACL重建
Recent Advances in Arthroscopic Surgery Pub Date : 2018-10-10 DOI: 10.5772/INTECHOPEN.76577
Adinun Apivatgaroon
{"title":"Anatomic Single-Bundle ACL Reconstruction with Remnant Augmentation Technique","authors":"Adinun Apivatgaroon","doi":"10.5772/INTECHOPEN.76577","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76577","url":null,"abstract":"Anterior cruciate ligament (ACL) injury is the common ligamentous injury of the knees. An ACL reconstruction is the procedure that has been proven to improve knee stability and functional outcomes and may prevent the osteoarthritic changes and subsequent meniscal injuries. The ACL reconstruction techniques have been developed in various ways. Anatomical single-bundle ACL reconstruction with remnant augmentation tech- nique is the optimal reconstruction procedure. It may improve the clinical outcomes of biological healing, preserve the proprioceptive function, and has shown less tibial tunnel widening postoperatively. This chapter presents the step-by-step technique of an anatomical single-bundle ACL reconstruction, indication and contraindication for surgery, the preferred graft choice, fixation methods, pearls and pitfalls of the procedure, and postoperative rehabilitation. The review of literatures about the remnant preserving ACL reconstruction is also discussed in this chapter.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127943286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Single-Bundle Anterior Cruciate Ligament Reconstruction 单束前交叉韧带重建
Recent Advances in Arthroscopic Surgery Pub Date : 2018-10-10 DOI: 10.5772/INTECHOPEN.77338
K. Khatri, D. Goyal, D. Bansal
{"title":"Single-Bundle Anterior Cruciate Ligament Reconstruction","authors":"K. Khatri, D. Goyal, D. Bansal","doi":"10.5772/INTECHOPEN.77338","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.77338","url":null,"abstract":"Anterior cruciate ligament (ACL) reconstruction is one of the most common procedures performed in orthopedics. The research has focused extensively on surgical technique factors like tunnel position, graft choices, fixation methods, and rehabilitation protocols following surgery. The advantages and disadvantages of each graft option shall help in deciding the correct graft in an individual case. A thorough understanding of anatomy and biomechanics of normal ACL has improved the understanding of complexities of knee joint stabilization over the preceding decades. The chapter shall discuss in detail about the anatomy, biomechanics, and surgical techniques along with postoperative rehabilitation protocol in current perspective.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133392933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Neurological Complications of Elbow Arthroscopy 肘关节镜的神经系统并发症
Recent Advances in Arthroscopic Surgery Pub Date : 2018-03-29 DOI: 10.5772/INTECHOPEN.75594
W. Stetson, K. Vogeli, Brian Chung, Nicole J. Hung, S. Morgan, M. Stevanovic
{"title":"Neurological Complications of Elbow Arthroscopy","authors":"W. Stetson, K. Vogeli, Brian Chung, Nicole J. Hung, S. Morgan, M. Stevanovic","doi":"10.5772/INTECHOPEN.75594","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.75594","url":null,"abstract":"Elbow arthroscopy is an increasingly common procedure performed in orthopedic surgery. However, due to the presence of several major neurovascular structures in close proximity to the operative portals, it can have potentially devastating complications. The largest series of elbow arthroscopies to date described a 2.5% rate of post-operative neurological injury. All of these injuries were transient nerve injuries resolved without intervention. A recent report of major nerve injuries after elbow arthroscopy demonstrated that these injuries are likely under-reported in literature. A review of our records from 1998 to 2014 revealed six patients who had undergone elbow arthroscopy and developed neurological injury post-operatively. While complications after elbow arthroscopy are rare, the most common per- manent nerve palsy post-operatively is the posterior interosseous nerve (PIN) followed by the ulnar nerve. Because of the surrounding neurovascular structures, familiarity with the normal elbow anatomy and portals will decrease the risk of damage to important structures. The purpose of this chapter is to review important steps in performing elbow arthroscopy with an emphasis on avoiding neurovascular injury. With a sound understanding of the important bony anatomic landmarks, sensory nerves, and neurovascular structures, elbow arthroscopy can provide both diagnostic and therapeutic intervention with little morbidity.","PeriodicalId":338616,"journal":{"name":"Recent Advances in Arthroscopic Surgery","volume":"293 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127409642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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