– Discussion: – stenosing tenosynovitis of the flexor pollicis longus in childhood is relatively uncommon condition which causes triggering, IP joint flexion contracture, and a flexor tendon nodule over the metacarpal head level (Notta’s nodule); – although present at birth, dx often not made until 4-6 months of age – … Read more
– See: – CMC Joint Instability – Trapezium – Ligament Reconstruction Tendon Interposition – Anatomy of CMC – Arthritis of CMC Joint: – most commonly involved arthritic joint in the hand; – more common in women (upto 1/3 of women over age 40, will have x-ray changes); – may exist in a localized form or … Read more
– See: shoulder joint menu and arthroscopic RCT repair Fluid Management: Positioning: beach chair position is comfortable for both the patient and the surgeon and allows the option of converting to an open procedure (if necessary); patients need to be seated with the torso raised to 70 deg with a foled sheet placed on the medial … Read more
– 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
– Technique: – best visualization of the shoulder joint is through the posterior portal; – portal usually is located 1.5-3 cm distal & 1-2 cm medial to postero-lateral tip of acromion; – further refine the proper location of the portal by finding the soft spot, using deep palpation of the … Read more
– 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
– Lateral Compartment: – lateral compartmet may be visualized with the arthroscope thru either anterolateral or anteromedial compartment; – initially knee should be placed in flexion and internal rotation, and while holding internal rotation, apply a varus stress, and bring the leg to between 20-40 deg of extension; … Read more
– 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
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
– 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