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Shoulder knee arthroscopy

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https://www.readbyqxmd.com/read/27578242/a-review-of-important-medical-and-surgical-considerations-for-obese-patients-undergoing-arthroscopic-surgery
#1
John Prodromo, Justin Rackley, Mary K Mulcahey
Obesity represents a unique challenge in orthopaedic surgery, the impact of which is seen through all phases of injury: in the development of disease, during the operative procedure, and throughout the rehabilitation period. Given the high prevalence of obesity in the United States and around the world, this patient population represents a substantial proportion of patients in need of orthopedic care. The effects of this disease constrain both medical and financial resources. For obese patients undergoing orthopedic procedures, adequate steps must be taken to minimize the risks that occur before, during, and after surgical intervention...
September 2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27561628/a-checklist-intervention-to-assess-resident-diagnostic-knee-and-shoulder-arthroscopic-efficiency
#2
Benedict Nwachukwu, Michael Gaudiani, Jennifer Hammann-Scala, Anil Ranawat
PURPOSE: The purpose of this investigation was to apply an arthroscopic shoulder and knee checklist in the evaluation of orthopedic resident arthroscopic skill efficiency and to demonstrate the use of a surgical checklist for assessing resident surgical efficiency over the course of a surgical rotation. METHODS: Orthopedic surgery residents rotating on the sports medicine service at our institution between 2011 and 2015 were enrolled in this study. Residents were administered a shoulder and knee arthroscopy assessment tool at the beginning and end of their 6-week rotation...
August 22, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27492688/when-can-i-drive-after-orthopaedic-surgery-a-systematic-review
#3
REVIEW
Kevin J DiSilvestro, Adam J Santoro, Fotios P Tjoumakaris, Eric A Levicoff, Kevin B Freedman
BACKGROUND: Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive...
December 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27343387/hip-arthroscopy-a-brief-history
#4
REVIEW
Abdurrahman Kandil, Marc R Safran
Hip arthroscopy is a fast-growing and evolving field. Like knee and shoulder arthroscopy, hip arthroscopy began as a diagnostic procedure and then progressed to biopsy and resection of abnormalities. Subsequently, it has evolved to repair of various tissues and treatment of underlying causes. As the understanding of the hip joint and its associated pathophysiology grows, indications will continue to expand for this diagnostic and therapeutic modality. This article outlines the historic developments of hip arthroscopy, including advancements in instrumentation and techniques from the days of the first hip arthroscopies to the present day...
July 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27293281/results-of-arthrospine-assisted-percutaneous-technique-for-lumbar-discectomy
#5
Mohinder Kaushal
BACKGROUND: Avaialable minimal invasive arthro/endoscopic techniques are not compatible with 30 degree arthroscope which orthopedic surgeons uses in knee and shoulder arthroscopy. Minimally invasive "Arthrospine assisted percutaneous technique for lumbar discectomy" is an attempt to allow standard familiar microsurgical discectomy and decompression to be performed using 30° arthroscope used in knee and shoulder arthroscopy with conventional micro discectomy instruments. MATERIALS AND METHODS: 150 patients suffering from lumbar disc herniations were operated between January 2004 and December 2012 by indiginously designed Arthrospine system and were evaluated retrospectively...
May 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27135450/use-of-an-irrigation-pump-system-in-arthroscopic-procedures
#6
Mark S Hsiao, Nicholas Kusnezov, Ryan N Sieg, Brett D Owens, Joshua P Herzog
Since its inception, arthroscopic surgery has become widely adopted among orthopedic surgeons. It is therefore important to have an understanding of the basic principles of arthroscopy. Compared with open techniques, arthroscopic procedures are associated with smaller incisions, less structural damage, improved intra-articular visualization, less pain in the immediate postoperative period, and faster recovery for patients. Pump systems used for arthroscopic surgery have evolved over the years to provide improved intraoperative visualization...
May 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27073774/arthroscopic-removal-of-shotgun-pellet-from-within-the-medial-meniscus
#7
Kyle Lacy, Chris Cooke, Pat Cooke, Frederick Tonnos
Arthroscopic techniques are effective for the removal of intra-articular bullet and metal fragments after gunshot wounds to the shoulder, hip, knee, and sacroiliac joints. Surgical removal of bullets retained within the synovial joints is indicated; lead is dissolved by synovial fluid over time, leading to proliferative synovitis, lead arthropathy, elevated serum lead levels, and lead toxicity. We present an arthroscopic technique for removal of a shotgun pellet retained within the medial meniscus. In this technique, diagnostic knee arthroscopy is initially performed, which allows for localization of the pellet within the medial meniscus...
February 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27039072/rapid-chondrolysis-of-the-medial-knee-compartment-after-arthroscopic-meniscal-resection-a-case-report
#8
Sylvain Steinmetz, François Bonnomet, Michel Rahme, Philippe Adam, Matthieu Ehlinger
BACKGROUND: Rapidly destructive osteoarthritis of the hip and rapid chondrolysis of the lateral compartment of the knee or the shoulder are rare, but have been previously described in the medical literature. To the best of our knowledge, no case of medial femorotibial compartment chondrolysis after arthroscopy has yet been described. We therefore submit the first case report. CASE PRESENTATION: A 64-year-old white European man presented with right knee pain due to a medial meniscal tear with no other abnormality found on examination or imaging...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/26993670/variability-of-arthroscopy-case-volume-in-orthopaedic-surgery-residency
#9
Joseph A Gil, Gregory R Waryasz, Brett D Owens, Alan H Daniels
PURPOSE: To examine orthopaedic surgery case logs for arthroscopy case volume during residency training and to evaluate trends in case volume and variability over time. METHODS: Publicly available Accreditation Council for Graduate Medical Education surgical case logs from 2007 to 2013 for orthopaedic surgery residency were assessed for variability and case volume trends in shoulder, elbow, wrist, hip, knee, and ankle arthroscopy. The national average number of procedures performed in each arthroscopy category reported was directly compared from 2009 to 2013...
May 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26844634/orthopedic-manifestations-of-ochronosis-pathophysiology-presentation-diagnosis-and-management
#10
REVIEW
Joseph A Gil, Joseph Wawrzynski, Gregory R Waryasz
Ochronotic arthropathy occurs in patients with alkaptonuria, manifesting first in the intervertebral discs of the lumbar spine, with subsequent degeneration most often observed in the knee, hip, and shoulder joints. Efforts at treatment are targeted at minimizing the damaging effects of the underlying metabolic disorder on the articular cartilage. Vitamin E and N-acetyl cysteine are potential therapies because of their scavenging of free radicals and consequent limitation of oxidative damage to joint tissue...
May 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/26840696/adolescent-femoral-chondral-fragment-fixation-with-poly-l-lactic-acid-chondral-darts
#11
John K Morris, Alexander E Weber, Mark S Morris
Large chondral injuries without attached bone are uncommon. This report describes a 14-year-old boy who had a unique stress reaction between the bone and the overlying cartilage, predominantly of the anterior lateral femoral condyle, during a week-long basketball camp, resulting in complete displacement of a 2.5 × 2.5-cm full-thickness articular cartilage lesion. There was a 6-day interval from the time of the injury to the first office appointment. Scheduling of magnetic resonance imaging and insurance approval took another week, and then surgery scheduling, including insurance approval and arranging for surgical supplies, took another week...
March 2016: Orthopedics
https://www.readbyqxmd.com/read/26821961/trends-in-arthroscopic-procedures-performed-during-orthopaedic-residency-an-analysis-of-accreditation-council-for-graduate-medical-education-case-log-data
#12
Richard M Hinds, Michael B Gottschalk, Eric J Strauss, John T Capo
PURPOSE: To analyze orthopaedic resident case log data to report temporal trends in performing arthroscopic procedures and to assess variability in arthroscopic case volume among residents. METHODS: Accreditation Council for Graduate Medical Education orthopaedic surgery resident case logs were reviewed from 2007 to 2013. The mean number of wrist, elbow, shoulder, knee, and ankle arthroscopic procedures performed by graduating residents was analyzed. The median number of arthroscopic procedures reported by the 70th and 30th percentiles of graduating residents (by arthroscopic case volume) was also recorded...
April 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26810062/safety-and-efficacy-of-arthroscopy-in-the-setting-of-shoulder-arthroplasty
#13
Sebastian Heaven, Darren de Sa, Andrew Duong, Nicole Simunovic, Olufemi R Ayeni
Shoulder arthroplasty has become a reliable and reproducible method of treating a range of shoulder pathologies including fractures, osteoarthritis, and rotator cuff arthropathy. Although most patients experience favorable outcomes from shoulder arthroplasty, some patients suffer from persistent symptoms post-arthroplasty and it is these patients who present a unique diagnostic and therapeutic challenge. The role of arthroscopy in assessing and treating patients with symptomatic prosthetic joints elsewhere in the body has been established in recent literature...
March 2016: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/26803544/arthroscopic-management-of-osteoarthritis
#14
Michael Pitta, William Davis, Evan H Argintar
Arthroscopic surgery is commonly performed in the knee, shoulder, elbow, and hip. However, the role it plays in the management of osteoarthritis is controversial. Routine arthroscopic management of osteoarthritis was once common, but this practice has been recently scrutinized. Although some believe that there is no role for arthroscopic treatment in the management of osteoarthritis, it may be appropriate and beneficial in certain situations. The clinical success of such treatment may be rooted in appropriate patient selection and adherence to a specific surgical technique...
February 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/26552647/arthroscopy-and-obesity
#15
REVIEW
G Nourissat, G Ciais, H Coudane
UNLABELLED: Obesity is a major public health issue, as incidence is rising in all developed countries, although the proportion is lower in Europe than in the U.S. Over and above the metabolic consequences and increased risk of diabetes, cardiovascular pathology and certain forms of cancer, the present study focuses on osteoarticular risk, and in particular on pathologies manageable by arthroscopy. It also analyzes results and complications specific to arthroscopy in these indications...
December 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26412207/post-arthroscopy-septic-arthritis-current-data-and-practical-recommendations
#16
REVIEW
T Bauer, P Boisrenoult, J Y Jenny
Septic arthritis develops after less than 1% of all arthroscopy procedures. The clinical symptoms may resemble those seen after uncomplicated arthroscopy, raising diagnostic challenges. The diagnosis rests on emergent joint aspiration with microscopic smear examination and prolonged culturing on specific media. Urgent therapeutic measures must be taken, including abundant arthroscopic lavage, synovectomy, and the concomitant administration of two effective antibiotics for at least 6 weeks. Preservation of implants or transplants is increasingly accepted, and repeated joint lavage is a component of the treatment strategy...
December 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26398437/arthroscopic-treatment-of-septic-arthritis-in-very-young-children
#17
Rachel M Thompson, Prasad Gourineni
INTRODUCTION: Arthroscopic lavage is a well-established, minimally invasive treatment for septic arthritis (SA) in adults, but the use of arthroscopy in the pediatric population is typically restricted to sports injuries and deformity. Previous research on arthroscopic lavage of septic joints in the pediatric population has been limited to case reports and small case series of older children. As such, we aimed to evaluate the safety and efficacy of arthroscopic treatment of SA in various joints in very young children...
September 20, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26378271/impact-of-economic-incentives-on-patient-selection-of-surgical-facility-commentary-on-an-article-by-james-c-robinson-phd-et-al-consumer-choice-between-hospital-based-and-freestanding-facilities-for-arthroscopy-impact-on-prices-spending-and-surgical-complications
#18
COMMENT
https://www.readbyqxmd.com/read/26378263/consumer-choice-between-hospital-based-and-freestanding-facilities-for-arthroscopy-impact-on-prices-spending-and-surgical-complications
#19
COMPARATIVE STUDY
James C Robinson, Timothy T Brown, Christopher Whaley, Kevin J Bozic
BACKGROUND: Hospital-based outpatient departments traditionally charge higher prices for ambulatory procedures, compared with freestanding surgery centers. Under emerging reference-based benefit designs, insurers establish a contribution limit that they will pay, requiring the patient to pay the difference between that contribution limit and the actual price charged by the facility. The purpose of this study was to evaluate the impact of reference-based benefits on consumer choices, facility prices, employer spending, and surgical outcomes for orthopaedic procedures performed at ambulatory surgery centers...
September 16, 2015: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/26319640/assessing-diagnostic-arthroscopy-performance-in-the-operating-room-using-the-arthroscopic-surgery-skill-evaluation-tool-asset
#20
Ryan J Koehler, John P Goldblatt, Michael D Maloney, Ilya Voloshin, Gregg T Nicandri
PURPOSE: To determine the validity and reliability of using the Arthroscopic Surgery Skill Evaluation Tool (ASSET) to assess arthroscopic skill in the operating room. METHODS: Eight orthopaedic residents, 1 sports medicine fellow, and 3 sports medicine faculty members recorded the diagnostic portion of 3 shoulder and 3 knee procedures in the operating room. Two blinded raters used the ASSET to assess each recorded procedure video. Criterion for a passing score on a procedure was attaining a 3 or greater in all 8 domains assessed...
December 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
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