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Arthroscopy portals

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https://www.readbyqxmd.com/read/29457483/sensitivity-of-the-saline-load-test-for-traumatic-arthrotomy-of-the-ankle-with-ankle-arthroscopy-simulation
#1
Daniel D Bohl, Rachel M Frank, Simon Lee, Kamran S Hamid, George B Holmes, Johnny Lin, Simon Lee
BACKGROUND: The saline load test has been used to evaluate for traumatic arthrotomy in orthopaedics. The purpose of this study was to determine the volume of saline required to detect traumatic arthrotomy of the ankle. METHODS: Forty-two patients undergoing elective ankle arthroscopy were prospectively enrolled. For each patient, a standard 4-mm anteromedial portal was established. Next, an 18-gauge needle was inserted at the site of the anterolateral portal. Sterile saline was slowly injected through the needle until saline extravasated from the anteromedial portal...
February 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29396689/-arthroscopic-suprapectoral-tenodesis-of-the-long-head-of-the-biceps-tendon
#2
B Finke, W Petersen
OBJECTIVE: The aim of a tenotomy of the long biceps tendon is to remedy a painful pathology in the proximal region of the tendon. Tenodesis of the tendon can restore the motor and cosmetic function of the biceps brachii muscle. INDICATIONS: Partial rupture or tendopathy of the long biceps tendon, injuries of the anchor of the long biceps tendon (SLAP lesions; SLAP: superior labrum anterior posterior), lesions of the pulley system. CONTRAINDICATIONS: Infections or tumors, loss of the long head biceps tendon from the intertubercular groove...
February 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29395807/the-distal-margin-of-the-lateral-malleolus-visible-under-ankle-arthroscopy-articular-tip-from-the-anteromedial-portal-is-separate-from-the-atfl-attachment-site-of-the-fibula-a-cadaver-study
#3
Atsushi Teramoto, Hiroaki Shoji, Yuzuru Sakakibara, Tomoyuki Suzuki, Kota Watanabe, Toshihiko Yamashita
PURPOSE: The purpose of this study was to evaluate the relationship between the lateral malleolus view under ankle arthroscopy and the anterior talofibular ligament (ATFL) attachment site. METHODS: Seven normal ankles from Thiel-embalmed cadavers were investigated. Ankle arthroscopy was performed using a 2.7 mm-diameter, 30-degree, oblique-viewing endoscope. An antero-medial portal (AM), a medial midline portal (MML), and an antero-central portal (AC) were created in order, and the ankle arthroscope was inserted...
January 22, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29361412/prevalence-of-propionibacterium-acnes-in-the-glenohumeral-compared-with-the-subacromial-space-in-primary-shoulder-arthroscopies
#4
Thilo Patzer, Sabine Petersdorf, Ruediger Krauspe, Pablo Emilio Verde, Birgit Henrich, Martin Hufeland
HYPOTHESIS: We hypothesized that the prevalence of Propionibacterium acnes in patients undergoing primary shoulder arthroscopy is equal in the glenohumeral space compared with the subacromial space. METHODS: Patients aged 18 years or older with shoulder arthroscopies were included. The exclusion criteria were prior shoulder operations, complete rotator cuff tears, systemic inflammatory diseases, tumors, shoulder injections within 6 months of surgery, and antibiotic therapy within 14 days preoperatively...
January 18, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29354467/posterior-double-cannular-sliding-technique-for-resection-of-posterior-septum-of-the-knee-joint
#5
Nam Yong Choi, Hyung Kook Cheong, Hyun Seok Song, Chan Woong Moon
We introduce the posterior double cannular sliding technique, which is an easy, fast, safe, and reproducible method for posterior septum resection of the knee joint. Several posterior compartment procedures have been developed. Procedures with anterior-posterior approaches (transnotch approach) and posterior-posterior approaches have become possible for arthroscopic total synovectomy and loose body removal. For resection of the posterior septum with posterior-posterior approaches, several authors have used various methods...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354436/horizontal-cleavage-meniscus-tear-treated-with-all-inside-circumferential-compression-stitches
#6
Jarret M Woodmass, Joshua D Johnson, Isabella T Wu, Daniel B F Saris, Michael J Stuart, Aaron J Krych
Horizontal cleavage meniscus tears are a common orthopedic injury often treated with partial or total meniscectomy versus repair. This Technical Note presents a technique for all-inside repair with uniform compression of the superior and inferior leaflets by placement of multiple circumferential compression stitches using an all-inside self-retrieving suture passing device. The currently described technique provides several advantages for all-inside repair of a horizontal cleavage tear: (1) eliminates the need for a posterior incision, (2) minimizes the risk of neurovascular injury, (3) uses standard arthroscopy portals (or small modifications), and (4) requires only a single suture deployment with a self-retrieving device for each circumferential compression stitch...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354435/inside-out-repair-of-meniscal-ramp-lesions
#7
Nicholas N DePhillipo, Mark E Cinque, Nicholas I Kennedy, Jorge Chahla, Andrew G Geeslin, Gilbert Moatshe, Lars Engebretsen, Robert F LaPrade
Meniscal ramp lesions have been reported to be present in 9% to 17% of patients undergoing anterior cruciate ligament reconstruction. Detection at the time of arthroscopy can be accomplished based upon clinical suspicion and careful evaluation without the use of an accessory posteromedial portal. Options for surgical treatment include arthroscopic repair using an all-inside or inside-out technique. The purpose of this Technical Note is to detail our arthroscopic inside-out repair technique for meniscal ramp lesions...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354415/anterolateral-arthroscopic-posterior-subtalar-arthrodesis-the-surgical-technique
#8
Alessio Bernasconi, Claude Guillard, François Lintz
The effectiveness of subtalar arthrodesis has been well documented in treating degenerative subtalar joint disease. The arthroscopic subtalar approach for arthrodesis has also been proved to give excellent results in terms of bone fusion rates and reduction of wound-related pain and complications. To date, the main concerns about arthroscopy have regarded incision-related neurologic complications such as lesions of the tibial, fibular, and sural nerves. In this context, we present a 2-portal lateral (anterior and middle) approach to arthroscopic subtalar arthrodesis, recently documented in the literature, that provides similar excellent access to the joint with a lower risk of nerve damage...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29349034/arthroscopic-microfracture-of-hip-chondral-lesions
#9
H Atil Atilla, T David Luo, Allston J Stubbs
Microfracture of hip chondral lesions has been performed for more than a decade with modified treatment principles and techniques from knee arthroscopy. This note and accompanying video review the pertinent techniques, pearls, and pitfalls of the microfracture procedure in the treatment of hip chondral lesions. After debridement of damaged chondral tissue, the size of the lesion is approximated to determine the number of microfracture holes to create. The working portal may be adjusted based on the site of the lesion...
December 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29349029/puncture-capsulotomy-during-hip-arthroscopy-for-femoroacetabular-impingement-preserving-anatomy-and-biomechanics
#10
William K Conaway, Scott D Martin
We describe an arthroscopic technique for the treatment of labral pathology and femoroacetabular impingement that provides excellent access to the central and peripheral compartments while preserving the biomechanically crucial components of hip joint stability. The hip capsule and the ligaments within it have been shown to be integral to hip biomechanical stability. Other popular techniques such as interportal and T-capsulotomy inherently damage the capsuloligamentous complex of the hip and can be associated with postoperative gross instability, micro-instability, heterotopic ossification, and seroma...
December 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29198359/editorial-commentary-osteochondral-lesions-of-the-talus-are-we-going-the-wrong-way
#11
EDITORIAL
Richard D Ferkel
Recalcitrant osteochondral lesions of the talus present a difficult problem to the treating surgeon. Anterior and posterior approaches have been studied to facilitate treatment access. Current research highlights the accessibility of an osteochondral lesion to treatment from an anterior or posterior approach and shows the importance of foot position and noninvasive distraction to facilitate treatment. Moreover, it is important to consider that using both anterior and posterior portals, most osteochondral lesions can be well treated with a patient in the supine position...
December 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29102013/editorial-commentary-beware-the-radial-nerve-more-elbow-arthroscopy-portals-more-options
#12
EDITORIAL
Larry D Field
Elbow arthroscopy is a challenging procedure due, in part, to the technical demands of portal placement as a consequence of the close proximity of the neurovascular structures. The radial nerve and its branches are especially at risk during lateral elbow arthroscopic portal placement. Two newly described (proximal) anterolateral elbow arthroscopy portals may be safer than the distal anterolateral portal location with regard to proximity to the radial nerve. These portals provide a new angle of approach, compared with the traditional and more posterior (but still safely proximal) anterolateral portals...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29081860/arthroscopic-lateral-ligament-repair-through-two-portals-in-chronic-ankle-instability
#13
Jorge Pablo Batista, Jorge Javier Del Vecchio, Luciano Patthauer, Manuel Ocampo
OBJECTIVES: Injury to the lateral ligament complex of the ankle is one of the most common sports-related injury. Usually lateral ankle evolves with excellent clinical recovery with non surgical treatment, however, near about 30% develop a lateral chronic instability sequela. Several open and arthroscopic surgical techniques have been described to treat this medical condition. MATERIAL AND METHODS: Of the 22 patients who were treated; 18 males and 4 females, and aged from 17-42 years (mean 28 years)...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29046931/hip-arthroscopy-learning-curve-a-prospective-single-surgeon-study
#14
Jakub Kautzner, Petr Zeman, Andrej Stančák, Vojtěch Havlas
PURPOSE: Arthroscopy of the hip joint is considered a demanding procedure with long learning curve. There are only a few studies that concentrate on this topic. This prospective clinical study evaluates the learning curve of the hip arthroscopy based on clinical outcomes, surgical time, and complication rate. MATERIALS: In this study, we first evaluated 150 hip arthroscopy procedures performed by a single surgeon. The patient group consisted of 86 females and 64 males with mean age 37 years (range 16-69)...
October 18, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29044711/the-surgical-anatomy-of-the-sural-nerve-an-ultrasound-study
#15
Patrick Popieluszko, Ewa Mizia, Brandon Michael Henry, PrzemysŁaw A PĘkala, Beatrice Sanna, Joyeeta Roy, Marios Loukas, Krzysztof A Tomaszewski
The aim of this study was (a) to examine the anatomy of the sural nerve (SN) in a sample of ______ patients and (b) to analyze the incidence of different origins of the SN, and the distance of the SN from planned arthroscopic portals. An ultrasound (USG) examination of the SN was performed bilaterally on thirty healthy patients with no history of surgery or trauma of the lower limb. The SNs were classified into six main types of pattern, with an additional category for new and unclassified types. Each of Types 1 and 3 had two subdivisions...
October 17, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/29028436/pain-management-after-hip-arthroscopy-systematic-review-of-randomized-controlled-trials-and-cohort-studies
#16
Jason J Shin, Chris L McCrum, Craig S Mauro, Dharmesh Vyas
BACKGROUND: Hip arthroscopy is often associated with significant postoperative pain and opioid-associated side effects. Effective pain management after hip arthroscopy improves patient recovery and satisfaction and decreases opioid-related complications. PURPOSE: To collect, examine, and provide a comprehensive review of the available evidence from randomized controlled trials and comparative studies on pain control after hip arthroscopy. STUDY DESIGN: Systematic review...
October 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28991571/wrist-arthroscopy-under-portal-site-local-anesthesia-without-tourniquet-and-sedation
#17
REVIEW
Siu-Cheong Jeffrey Justin Koo, Pak-Cheong Ho
We had developed the technique of portal site local anaesthesia (PSLA) for wrist arthroscopy. Two percent lidocaine with 1:200,000 epinephrine is injected through a 25G needle to various portal sites. The radiocarpal joint is then distended with saline injection and portal is created with transverse superficial skin incision followed by dilation with curved hemostat. The patient is neither sedated, nor under general or regional anaesthesia. Tourniquet is not routinely used. PSLA can achieve satisfactory comfort level in 88% of our 111 patients without any complication...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28990676/arthroscopic-approach-and-anatomy-of-the-stifle-joint-in-the-rabbit
#18
Sarah Torrey Peters, Markus Wilke, Tanja Schmid
OBJECTIVE: To describe a technique and normal findings for arthroscopy of the stifle in rabbits. STUDY DESIGN: Cadaver study. ANIMALS: Twenty cadaveric stifles from New Zealand White rabbits were examined. METHODS: The arthroscope was placed through a medial portal, and instrument portals were created on the lateral aspect of the joint. The same portals were used for examination of the entire joint and palpation of structures with a probe...
October 9, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28979591/outcome-of-scapulothoracic-arthroscopy-for-painful-snapping-scapula
#19
Saif Ul Islam, Muhammad Naghman Choudhry, Sobia Akbar, Mohammad Waseem
INTRODUCTION: Patients with scapulothoracic syndrome present with pain in the scapulothoracic area aggravated by overhead and repetitive shoulder movements. The aim of our study was to assess the outcome of scapulothoracic arthroscopic treatment in patients with painful snapping scapula in our institution. METHODS: Fourteen patients underwent scapulothoracic arthroscopic treatment for painful snapping scapula. Pre-operatively, all these patients had a trial of conservative treatment modalities for at least 6 months...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28970996/ultrasound-assisted-posteromedial-portal-placement-of-the-elbow-joint-to-prevent-ulnar-nerve-injury
#20
Hiroshi Ohuchi, Rolando Junior L Torres, Kotaro Shinga, Ken Ichikawa, Yuki Kato, Soichi Hattori, Shin Yamada
Direct posterior and posterolateral portals are the standard portals used in posterior elbow arthroscopy. A posteromedial portal in the elbow is not recommended because of its proximity to the ulnar nerve. However, iatrogenic injuries to the ulnar nerve have been reported after elbow arthroscopy using the standard posterior portals, especially in posteromedial elbow joint pathologies. We present a surgical technique applicable to posteromedial elbow pathology by using ultrasound-assisted posteromedial portal placement of the elbow joint...
August 2017: Arthroscopy Techniques
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