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ARTHROSCOPY AND SPORTS INJURIES
• MS ORTH (AHMEDABAD)
• FELLOWSHIP ARTHROSCOPY (South Korea)
• IOC Dip Sports Medicine (UK)
“The doorstep to the temple
of wisdom is knowledge of our
own ignorance’’
AAAARRGGHHHHH!
!!! MY KNEE
HURTS~~~
No... I will not be
able to play for like
3 months!
No worries.. We’ve got
KEYHOLE SURGERY for your
knee! You can recover faster
that way!
But chief, what is keyhole
surgery???
What is Arthroscopy
• Key Hole surgery:
• Looking inside the joint
with a small telescope
Joint problems diagnosis
Clinical Examination
X rays
CT & MRI scans
Arthroscopy: Joint problems
Diagnostic procedure
Definitive treatment
Why Arthroscopy ?
Arthroscope
(No, this is not your toilet plunger.)
Example of an arthroscope.
Small incisions
small scars.
Less tissue
damage and
less chance of
infection.
Less pain and
disability after
surgery.
What are the advantages ?
Better diagnosis
of joint
problems
Some
procedures can
only be done
with arthroscope
Early recovery
& rehabilitation
What are the advantages ?
Conditions needing Arthroscopy
Knee Arthroscopy Theraputic/Definitive
Ligament Reconstruction:
ACL or PCL
Diagnostic/ joint wash
Loose body removal
Synovial tissue biopsy
Fracture fixation inside
knee joint
Meniscus tear –
Repair/excision
Conditions needing Arthroscopy
Shoulder Arthroscopy
Subacromial decompression
Rotator cuff tear repair
Bankarts repair/SLAP
Repair
Frozen shoulder
Biopsies
Diagnostic
Theraputic/Definitive
EXAMPLES
ACL AVULSION
ACL and MCL
Conventional vs keyhole
Conventional ‘open’ surgery Keyhole surgery
1. Requires large incision – to illuminate
whole area of damage, to allow
surgeon to see clearly and to allow
access of equipment
2. Significant blood loss
3. Painful wound
4. Higher risk of infection
5. Longer recovery period (several
months)
1. Incision only the size of buttonhole
to insert arthroscope – other
incisions may be required for other
instruments or to view other parts of
joint
2. Arthroscope is a pencil-sized
instrument, with small lens and light
3. Television camera attached to
display image
4. Small dressing required and little or
no pain medication
5. Shorter recovery (weeks)
Find More
ARTHROSCOPY AND SPORTS MEDICINE  I Dr.RAJAT JANGIR JAIPUR

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ARTHROSCOPY AND SPORTS MEDICINE I Dr.RAJAT JANGIR JAIPUR

  • 1. ARTHROSCOPY AND SPORTS INJURIES • MS ORTH (AHMEDABAD) • FELLOWSHIP ARTHROSCOPY (South Korea) • IOC Dip Sports Medicine (UK)
  • 2. “The doorstep to the temple of wisdom is knowledge of our own ignorance’’
  • 3. AAAARRGGHHHHH! !!! MY KNEE HURTS~~~ No... I will not be able to play for like 3 months!
  • 4.
  • 5. No worries.. We’ve got KEYHOLE SURGERY for your knee! You can recover faster that way!
  • 6. But chief, what is keyhole surgery???
  • 7. What is Arthroscopy • Key Hole surgery: • Looking inside the joint with a small telescope
  • 8. Joint problems diagnosis Clinical Examination X rays CT & MRI scans Arthroscopy: Joint problems Diagnostic procedure Definitive treatment Why Arthroscopy ?
  • 9. Arthroscope (No, this is not your toilet plunger.) Example of an arthroscope.
  • 10. Small incisions small scars. Less tissue damage and less chance of infection. Less pain and disability after surgery. What are the advantages ?
  • 11. Better diagnosis of joint problems Some procedures can only be done with arthroscope Early recovery & rehabilitation What are the advantages ?
  • 12.
  • 13.
  • 14.
  • 15. Conditions needing Arthroscopy Knee Arthroscopy Theraputic/Definitive Ligament Reconstruction: ACL or PCL Diagnostic/ joint wash Loose body removal Synovial tissue biopsy Fracture fixation inside knee joint Meniscus tear – Repair/excision
  • 16. Conditions needing Arthroscopy Shoulder Arthroscopy Subacromial decompression Rotator cuff tear repair Bankarts repair/SLAP Repair Frozen shoulder Biopsies Diagnostic Theraputic/Definitive
  • 19.
  • 21. Conventional vs keyhole Conventional ‘open’ surgery Keyhole surgery 1. Requires large incision – to illuminate whole area of damage, to allow surgeon to see clearly and to allow access of equipment 2. Significant blood loss 3. Painful wound 4. Higher risk of infection 5. Longer recovery period (several months) 1. Incision only the size of buttonhole to insert arthroscope – other incisions may be required for other instruments or to view other parts of joint 2. Arthroscope is a pencil-sized instrument, with small lens and light 3. Television camera attached to display image 4. Small dressing required and little or no pain medication 5. Shorter recovery (weeks)
  • 22.

Editor's Notes

  1. Common joints where arthroscopic procedures could be carried out are Knee, shoulder, elbow, hip and wrist joints. Arthroscopy of knee joint can be done as a diagnostic procedure or as definitive procedure. Diagnostic knee arthroscopy is performed to evaluate doubtful ligament injuries, meniscal tears, cartilage erosions. However some times can be converted to definitive procedure like partial meniscectomy, synovial biopsy and procedures like ACL and PCL reconstrcution, meniscal repair with prior informed consent to the patient.