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Arthroscopy portals

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https://www.readbyqxmd.com/read/28081575/what-arthroscopic-skills-need-to-be-trained-before-continuing-safe-training-in-the-operating-room
#1
Gabrielle Tuijthof, Federico Cabitza, Vincenza Ragone, Riccardo Compagnoni, Pietro Randelli
The purpose of this study was to generate consensus among experienced surgeons on "what skills a resident should possess before continuing safe training in the operating room (OR)." An online survey of 65 questions was developed and distributed to surgeons in the European community. A total of 216 responded. The survey included 15 questions regarding generic and specific skills; 16 on patient and tissue manipulation, 11 on knowledge of pathology and 6 on inspection of e-anatomical structures; 5 methods to prepare residents; and 12 on specific skills exercises...
January 12, 2017: Journal of Knee Surgery
https://www.readbyqxmd.com/read/28075623/identifying-hidden-zones-of-the-far-posterior-cartilage-of-the-femoral-condyles-not-visible-during-knee-arthroscopy
#2
Mark J Sando, Sean S Rajaee, Joseph P Liu, Michael Banffy, Orr Limpisvasti, John V Crues
OBJECTIVE: The purpose of this study was to compare standard knee arthroscopic and MRI findings and measurements for visualization of the femoral condyle articular cartilage. The hypothesis was that certain posterior cartilage defects identified with MRI may not be accessible with routine arthroscopy. MATERIALS AND METHODS: Six cadaveric knees were examined by routine arthroscopy through standard inferomedial and inferolateral portals. Suture anchors were inserted into the femoral condyles at 30°, 60°, 90°, and 120° of flexion as markers of the cartilage surface at the most posterior aspect of the condyle that could be accessed at each degree of flexion...
January 11, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28066735/arthroscopic-approach-and-anatomy-of-the-hip
#3
Alessandro Aprato, Matteo Giachino, Alessandro Masse
BACKGROUND: Hip arthroscopy has gained popularity among the orthopedic community and a precise assessment of indications, techniques and results is constantly brought on. METHODS: In this chapter the principal standard entry portals for central and peripheral compartment are discussed. The description starts from the superficial landmarks for portals placement and continues with the deep layers. For each entry point an illustration of the main structures encountered is provided and the principal structures at risk for different portals are accurately examined...
July 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28052415/arthroscopic-approach-and-intra-articular-anatomy-of-the-dorsal-and-plantar-synovial-compartments-of-the-bovine-tarsocrural-joint
#4
Hélène Lardé, Sylvain Nichols, Marie Babkine, André Desrochers
OBJECTIVE: To determine arthroscopic approaches to the dorsal and plantar synovial compartments of the tarsocrural joint in adult cattle, and to describe the arthroscopic intra-articular anatomy from each approach. STUDY DESIGN: Ex vivo study. ANIMALS: Fresh adult bovine cadavers (n = 7). METHODS: Two tarsocrural joint were injected with latex to determine arthroscopic portal locations and arthroscopy of the tarsocrural joint of 12 tarsi was performed...
January 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28049595/is-the-arthroscopic-transillumination-test-effective-in-localizing-the-superficial-peroneal-nerve
#5
Thos Harnroongroj, Bavornrit Chuckpaiwong
PURPOSE: To evaluate the transillumination test in showing the position of the superficial peroneal nerve (SPN) to quantify the effectiveness of this test. METHODS: Prospectively, we selected 53 ankle arthroscopy patients (71 patients were excluded because of the invisible SPN). Demographic data including gender, weight, height, and body mass index were recorded. The intraoperative transillumination test was performed during portal establishment and recorded as positive if the SPN was visible via transillumination...
December 31, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28003068/a-prospective-randomized-controlled-trial-comparing-the-efficacy-of-fascia-iliaca-compartment-block-versus-local-anesthetic-infiltration-after-hip-arthroscopic-surgery
#6
Malgorzata Garner, Zeiad Alsheemeri, Anand Sardesai, Vikas Khanduja
PURPOSE: To compare the efficacy of fascia iliaca compartment block (FICB) with local anesthetic infiltration (LAI) of the arthroscopy portals for pain control after hip arthroscopy. METHODS: A prospective single-blinded randomized controlled trial that involved patients who underwent hip arthroscopy was performed. Participants were randomized to receiving either FICB or LAI of the portal tracts with local anesthetic. Supplemental analgesia was also used in both groups on an on-demand basis...
January 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27993463/testing-the-construct-validity-of-a-virtual-reality-hip-arthroscopy-simulator
#7
Vikas Khanduja, John E Lawrence, Emmanuel Audenaert
PURPOSE: To test the construct validity of the hip diagnostics module of a virtual reality hip arthroscopy simulator. METHODS: Nineteen orthopaedic surgeons performed a simulated arthroscopic examination of a healthy hip joint using a 70° arthroscope in the supine position. Surgeons were categorized as either expert (those who had performed 250 hip arthroscopies or more) or novice (those who had performed fewer than this). Twenty-one specific targets were visualized within the central and peripheral compartments; 9 via the anterior portal, 9 via the anterolateral portal, and 3 via the posterolateral portal...
December 16, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27923706/validation-of-an-arthroscopic-training-device
#8
Samy Bouaicha, Thorsten Jentzsch, Fabrice Scheurer, Stefan Rahm
PURPOSE: To investigate the usefulness and conduct validation of a simulated arthroscopy training device to train basic arthroscopy skills. METHODS: Forty-six participants including 12 novices, 12 intermediates, and 22 experts completed a questionnaire regarding demographics, previous arthroscopic experience, training potential, and statements about the device. Furthermore, participants performed a single task on the arthroscopic training device using the 0° camera and a probe...
December 3, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27916178/arthroscopy-techniques-the-premier-arthroscopic-video-library
#9
EDITORIAL
J Martin Leland, James H Lubowitz, Matthew T Provencher
Arthroscopy has always been focused on its roots-providing practical, clinically relevant information for the practicing arthroscopist. In the digital age, there is a need for publication platforms dedicated to multimedia presentations, hence the birth of Arthroscopy Techniques, Arthroscopy's online video companion. With over 700 videos, our library is filled with an exceptional collection of arthroscopic educational material, with topics ranging from the basics of arthroscopy to the most complex surgical procedures...
December 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27900340/retropatellar-accessory-portals-for-improved-access-to-the-patella-anatomic-description-and-evaluation-of-safety
#10
Jason L Koh, Anthony L Logli
BACKGROUND: Standard knee arthroscopy portals are frequently used to address retropatellar chondral pathology. Alternative portals may offer a safe and simple substitute, particularly when reaching the base of deep lesions is required. PURPOSE: To describe and assess the safety of accessory retropatellar portals. STUDY DESIGN: Descriptive laboratory study. METHODS: An anatomic study was performed on 10 fresh-frozen cadaveric knees...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27856161/safety-of-dorsal-wrist-arthroscopy-portals-a-magnetic-resonance-study
#11
Umile Giuseppe Longo, Mattia Loppini, Riccardo Del Vescovo, Luigi Cazzato, Bruno Beomonte Zobel, Nicola Maffulli, Vincenzo Denaro
: In wrist arthroscopy, the standard dorsal portals are the most commonly used. However, their placement can be associated with injuries to the neurovascular structures of the radiocarpal joint. The present study assessed and compared the distance of commonly used dorsal portals to radial and ulnar neurovascular structures. Forty patients (20 males, 20 females) were evaluated with T1-weighted spin-echo (SE) magnetic resonance (MR) sequences. We measured the distance between 1-2 and 3-4 portals and radial vascular bundle and the nearest branch of the superficial branch of radial nerve (SBRN)...
November 14, 2016: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/27829936/ultrasound-guided-arthroscopic-management-of-hallux-rigidus
#12
Łukasz M Paczesny, Jacek Kruczyński
INTRODUCTION: The use of metatarso-phalangeal joint arthroscopy in the treatment of osteochondritis dissecans was first described in 1988. The technique produces good results. However, it can be difficult to enter a joint when it is deformed by degenerative disease. Sonography is a modern visualisation modality which can be used in orthopaedic surgery. AIM: To describe a method of intraoperative sonographic navigation during first metatarso-phalangeal joint arthroscopy...
2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/27815335/removal-of-osteoid-osteoma-of-the-calcaneus-using-subtalar-arthroscopy
#13
Andrija Jurina, Damjan Dimnjaković, Tomislav Smoljanović, Ivan Bojanić
: Intra-articular calcaneal osteoid osteoma is a very rare condition and the diagnosis as well as the treatment is extremely challenging. We report a case of a 19-year-old male with intra-articular osteoid osteoma of the calcaneus, initially treated for peroneal tenosynovitis with unsatisfactory results. Thorough diagnostic procedure revealed the superolateral location of a calcaneal osteoid osteoma, near the sinus tarsi. A cherry-red elevated lesion typical of an osteoid osteoma nidus was completely removed arthroscopically using the anterolateral portal and the middle portal for subtalar arthroscopy...
November 4, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27795947/posterior-ankle-impingement-syndrome-a-systematic-four-stage-approach
#14
REVIEW
Youichi Yasui, Charles P Hannon, Eoghan Hurley, John G Kennedy
Posterior ankle impingement syndrome (PAIS) is a common injury in athletes engaging in repetitive plantarflexion, particularly ballet dancers and soccer players. Despite the increase in popularity of the posterior two-portal hindfoot approach, concerns with the technique remain, including; the technical difficulty, relatively steep learning curve, and difficulty performing simultaneous anterior ankle arthroscopy. The purpose of the current literature review is to provide comprehensive knowledge about PAIS, and to describe a systematic four-stage approach of the posterior two-portal arthroscopy...
October 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27777824/the-course-of-the-terminal-posterior-interosseous-nerve-and-its-relationship-with-wrist-arthroscopy-portals
#15
Yongwei Pan, Leung-Kim Hung
Purpose The terminal branches of the posterior interosseous nerve (PIN) are the main articular branch on the dorsal aspect of the wrist. Its relationship to dorsal wrist arthroscopic portals has not yet been elucidated. The purpose of this study was to quantitatively describe the anatomical relationships between the dorsal wrist arthroscopic portals and the PIN. Methods Dorsal wrist arthroscopic portals were established in 28 cadaver extremities, after which the limbs were dissected. Measurements were taken from the portals to the PIN...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27740464/inside-out-method-to-develop-volar-arthroscopic-portals-of-the-wrist-in-cadaver-specimens
#16
I Naroura, A Zemirline, C Taleb, F Lebailly, S Facca, J J Hidalgo Díaz, S Collon, P Liverneaux
Three direct volar portals for wrist arthroscopy have been described previously: two radiocarpal and one midcarpal. The aim of this study was to systematically describe four volar arthroscopic portals through minimally invasive incisions using an inside-out approach from known dorsal portals. Four volar arthroscopic wrist portals were studied on six hand specimens using an inside-out technique: a radial radiocarpal approach (RRCA), an ulnar radiocarpal approach (URCA), a radial midcarpal approach (RMCA) and an ulnar midcarpal approach (UMCA)...
June 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27709048/ultrasound-guided-portal-placement-for-hip-arthroscopy
#17
Tanya Keough, David Wilson, Ivan Wong
Over the past 2 decades, hip arthroscopy has developed as a surgical technique, with more orthopaedic surgeons attempting to become proficient in performing this surgical procedure as indications and surgical skills evolve. The hip joint presents unique arthroscopic challenges because of its anatomic location, and it can be challenging to safely and confidently establish portal sites. Ultrasound-guided hip arthroscopy portal placement is not yet common practice for orthopaedic surgeons. The potential advantages of ultrasound-guided hip arthroscopy portal placement are the lack of radiation exposure to the patient and operating room personnel, direct visualization of the hip joint and surrounding soft-tissue structures, and lack of bulky fluoroscopic equipment in the operative field...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27709038/bicruciate-knee-ligament-reconstruction-using-4-all-anterior-arthroscopic-portals
#18
Robert Petretta, Vipul Mandalia
The use of an accessory posteromedial portal for posterior cruciate ligament reconstruction in bicruciate knee ligament reconstruction has often been described. However, the use of a posteromedial portal can be time consuming and has some inherent risks including injury to the saphenous vein or nerve. We describe our bicruciate knee ligament reconstruction using 4 exclusively anterior portals including a high anteromedial, high anterolateral, low anteromedial, and low anterolateral portals. Arthroscopy is performed using a combination of 30° and 70° arthroscopes...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27709024/revision-lapidus-arthrodesis-by-bone-endoscopy
#19
Tun Hing Lui
Revision arthrodesis is indicated in symptomatic nonunion of the first tarsometatarsal joint. Revision by first tarsometatarsal arthroscopy cannot deal with the dilated screw tract and associated bone cysts. Revision by bone endoscopy is indicated in symptomatic nonunion of the first tarsometatarsal joint, which is previously fixed by transarticular screw along with loosening of the screw and bone cyst formation. The screw tract makes up the portal tract, with the proximal and distal ends of the tract corresponding to the proximal and distal portals, respectively...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27703801/trans-4-portal-as-a-new-portal-for-accessing-the-lunate-in-wrist-arthroscopy-a-cadaveric-study
#20
Reza Shahryar-Kamrani, Hossein Saremi, Leila Oryadi-Zanjani, Mohammad Hossein Nabian, Azita Amoozadeh, Amir Hossein Moradi
BACKGROUND: Evolving wrist arthroscopy requires creating new portals, and creating portals reciprocally leads to increased indications for arthroscopic wrist procedures. To facilitate access to the lunate bone and fossa for new arthroscopic procedures, a new portal was used. This is a cadaveric study of this portal. OBJECTIVES: In this cadaveric study, we evaluated a portal in wrist arthroscopy for procedures involving the lunate bone and lunate fossa. MATERIALS AND METHODS: Seventeen wrists from 10 fresh cadavers were included in this study...
July 2016: Iranian Red Crescent Medical Journal
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