Ortho Oracle - orthopaedic operative atlas

Shoulder Arthroscopy: Lateral Portal

– See: Arthroscopic Acromioplasty – Lateral portal: – used for visualization of, or for insertion of instruments into, subacromial space, (usually for arthroscopic acromioplasty or for calcific tendinitis); calcific tendinitis); – the key to lateral portal placement is that it must allow triangulation over the entire undersurface of the anterior acromion; – if the portal is … Read more

Arthroscopy of the Osteoarthritic Knee

– See:       – Knee Joint Menu:                – Chondral and Osteochondral Injuries of the Knee and Meniscal Tears  – Discussion:     – arthroscopic lavage alone may be of some benefit;     – debridement has little value for long-standing or severe osteoarthritis of knee              – where as, in the recent … Read more

Joint Arthroscopy:

ankle arthroscopy elbow arthroscopy hip arthroscopy arthroscopy of the knee joint shoulder arthroscopy – arthroscopic rotator cuff repair wrist arthroscopy                   Additional Informaton The Effect of Irrigation Solution at Different Temperatures on Articular Cartilage Metabolism Supraphysiologic Temperature Enhances Cytotoxic Effects of Bupivacaine on Bovine Articular Chondrocytes in … Read more

Role of Knee Arthroscopy following Arthroplasty

– See: Total Knee Arthroplasty – references:       – Infection after arthroscopic treatment of symptomatic total knee arthroplasty.       – Arthroscopy following total knee arthroplasty.       – [Arthroscopic release for knee joint stiffness after total knee arthroplasty]       – [Technical aspects of arthroscopic arthrolysis after total knee … Read more

Arthroscopic Anterior Shoulder Reconstruction

– Discussion: – shoulder arthroscopy / acute dislocations / recurrent anterior instability / multidirectional instability / posterior instability – drive through sign: – refers to the ability to pass the arthroscope easily between the humeral head and the glenoid at level of anterior band of inferior glenohumeral ligament; – considered diagnostic of shoulder laxity or instability; – ref: Clinical significance of the arthroscopic … Read more

Arthroscopic Rotator Cuff Repair

– Discussion:       – rotator cuff anatomy – etiology of RTC tears – how do these tears heal? – massive RTC – open rotator cuff repair – Technique:     – arthroscopy exposure and setup             – inorder to avoid extrasavation, begin with fluid pressure at 35 mm, and increased pressures incrementally as necessary;     – irrigation fluid management     – … Read more

Arthroscopic Lateral Retinacular Release

– Discussion:     – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, &            joint capsule;     – a tourniquet should not be used during this procedure since it has been shown to increase the occurance of postoperative hemarthrosis;     – prior to performing … Read more