Well Child: Onset of Joint Disorders
– Trauma – Toxic Synovitis – Reflex neurovascular dystrophy – Hemophilia – Slipped Capital Femoral Epiphysis – Pigmented Villonodular Synovitis
Arthroscopy
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 an In Vitro Study
- Effect of Different Irrigation Fluids on Human Articular Cartilage: An In Vitro Study
Shoulder Arthroscopy – Subacromial Bursectomy:
– Surgical Considerations: (arthroscopic rotator cuff repair / acromioplasty) – note that the subacromial bursa is an anterior structure; – it is located from anterior 1/2 to 1/3 of acromion to just medial to A-C joint to 1 to 2 cm anterior to acromion & 2.5 cm laterally; – posterior busrsal wall is thick posteriorly (called posterior bursal … Read more
Initial Steps in Arthroscopic Acromioplasty
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 border of the affected scapula … Read more
Shoulder Capsule / Rotator Interval Capsule
– Rotator Interval Capsule: – rotator interval is a triangular portion of shoulder capsule which lies between the supraspinatus and subscapularis tendons; – capsular anatomy: (Static Stabilizers / Capsule of the Shoulder) – interval capsule is reinforced by the superior glenohumeral and coracohumeral ligaments; – references: – Capsular ligaments … Read more
Healing of Rotator Cuff Tears / Repair
– Discussion: – rotator cuff anatomy – etilogy of tear and frequency of tear – partial rotator cuff tear – how do RTC tears heal? – arthroscopic vs open rotator cuff repair – biology of tendon healing to bone – references: – Histological evaluation of repair of the rotator cuff in a primate model – Repair integrity and … Read more
Rheumatoid Hand: Tenosynovitis
– See: – Rheumatoid Arthritis – Rheumatoid Hand – RA Disease in the Wrist – Discussion: – tenosynovitis may present w/ difficulty w/ active PIP flexion, carpal tunnel symptoms, trigger finger, & deQuervain’s syndrome; – tenosynovitis will manifest as dorsal wrist swelling and may be isolated … Read more
RTC Repair: Convergence Repair
– See RTC Repair – References: Modified Margin Convergence Technique Using Suture Anchors for Footprint Reconstruction of Rotator Cuff Tears A novel technique of rotator cuff repair using spinal needle and suture loop Anatomic reduction and next-generation fixation constructs for arthroscopic repair of crescent, L-shaped, and U-shaped rotator cuff tears. Arthroscopic Side-to-Side Rotator Cuff Repair … Read more
Physical Therapy after RTC Repair
Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff repair. Does slower rehabilitation after arthroscopic rotator cuff repair lead to long-term stiffness? Subacromial pressures vary with simulated sleep positions. Shoulder kinematics during the wall push-up plus exercise.
Pigmented Villonodular synovitis
Discussion pigmented villonodular synovitis is a slow growing, benign, and locally invasive tumor of the synovium; location: most often involves the knee (also in hip, ankle, elbow, etc.); always consider PVNS in a younger patient with unexplained hip pain; acute episodic attacks of pain and swelling may occur; patients may have mechanical symptoms (locking and … Read more
Open Medial Meniscal Repair
– Discussion: – arthroscopic inside to out repair using the Supramid System