Ortho Oracle - orthopaedic operative atlas

Aspiration of the Hip Joint

– Discussion: – anterior approach: – femoral artery may be palpated in femoral triangle, & may be used as a guide in aspirating the hip joint; – palpate the femoral pulse just as it exits the inguinal ligament; – entry point is one inch lateral to the artery (at the inguinal ligament) and one inch … Read more

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

Articular Cartilage

– See:        – Chondral and Osteochondral Injuries of the Knee / Articular Cartilage: Injury and Potential for Repair: / Osteoarthritis         – Enchondral Ossification  – Discussion:     – hyaline cartilage caps ends of bones that form synovial joints;      – in other hyaline cartilage structures, surrounding perichondrium contains both capillaries for nutrition and the cells that become … Read more

Articular Cartilage: Injury and Potential for Repair

– See:        – Chondral and Osteochondral Injuries of the Knee        –  Enchondral Ossification         – osteochondral allografting for OCD injuries of the knee Healing of Articular Cartilage in Intra-Articular Fractures in Rabbits.  Viability and apoptosis of human chondrocytes in osteochondral fragments following joint trauma The viability of articular cartilage … 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

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

Arthroscopic Acromioplasty / Cuff Debridement

– See: Open Acromioplasty – Discussion and Indications:     – objective good to excellent results may be achieved in over 70% of patients, and subjective satisfactory results are achieved in over 90% of patients;     – shoulder arthroscopy is indicated in cases of impingement syndrome and questionable rotator cuff tear repair, since the shoulder … Read more