Arthroscopic removal of osteochondral fragments in the dorsal pouch of the proximal intertarsal joint in 29 horses

Objective: Impingement syndromes are recognized as an important cause of chronic ankle pain, which results from the entrapment of an inflamed soft-tissue component between the osteophytes. The predominant site of occurrence is the anterolateral aspect of the ankle for soft-tissue impingement, and anteromedial aspect for bony impingement. Symptoms related to the physical impact of bone or soft-tissue pain often result in limited ankle range of motion. Methods: We conducted a retrospective study of 34 patients (34 ankles) with anteromedial bony impingement. All patients underwent arthroscopy, with a mean follow-up of 34 months. Results: All osteophytes were removed, and the ankle range of motion improved. The AOFAS score improved from 73 preoperatively to 95 postoperatively. Conclusion: The arthroscopic removal of the anteromedial osteophytes of the ankle had excellent functional results. It is an effective procedure that allows rapid patient recovery. Level of Evidence IV; Therapeutic Studies; Case Series.

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EDITORIAL : The Viability of Arthroscopic Removal as a Treatment for Calcific Deposit

Clinics in Shoulder and Elbow ◽

10.5397/cise.2016.19.4.190 ◽

2016 ◽

Vol 19 (4) ◽

pp. 190-191

Author(s):

Jong-Hun Ji

Keyword(s):

Calcific Deposit ◽

Arthroscopic Removal

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Arthroscopic Removal of Proximal Femoral Locking Screws: A Novel Application of Hip Arthroscopy

Orthopedics ◽

10.3928/01477447-20130624-05 ◽

2013 ◽

Vol 36 (7) ◽

pp. 523-526 ◽

Cited By ~ 1

Author(s):

Andrew Jensen ◽

Ann Marie Kelly ◽

John D. Kelly

Keyword(s):

Hip Arthroscopy ◽

Locking Screws ◽

Arthroscopic Removal

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Standing Needle Arthroscopy of the Metacarpophalangeal and Metatarsophalangeal Joint for Removal of Dorsal Osteochondral Fragmentation in 21 Horses

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0039-1688984 ◽

2019 ◽

Vol 32 (05) ◽

pp. 420-426 ◽

Cited By ~ 5

Author(s):

Alvaro G. Bonilla

Keyword(s):

Metatarsophalangeal Joint ◽

Relevant Information ◽

Prospective Clinical Study ◽

Proximal Margin ◽

Synovial Plica ◽

Dorsal Aspect ◽

Arthroscopic Removal ◽

Distal Aspect ◽

Telephone Questionnaire

Abstract Objective The aim of this study was to report the technique, experience and outcome of standing arthroscopic removal of dorsal osteochondral fragmentation of the metacarpophalangeal and metatarsophalangeal joint using a 1.2-mm needle arthroscope. Study Design This was a prospective clinical study. Materials and Methods All horses referred for standing arthroscopic removal of dorsoproximal first phalanx fragments or fragments embedded in the distal aspect of the synovial plica were included. Relevant information from the cases was recorded. Follow-up was obtained by a telephone questionnaire. Results Twenty-one horses with a mean age of 4.5 years old were included. Osteochondral fragments removed were from the proximal margin of first phalanx in 18 horses (24 joints), in the synovial plica in 2 horses (2 joints) or free-floating fragment in 1 horse (1 joint). Fifteen out of twenty-one horses were unilaterally affected and 6/21 bilaterally. Fifteen out of twenty-seven affected joints were forelimbs and 12/27 hindlimbs. All articular structures within the dorsal recess of the joint were visible. The arthroscope was deemed easy to use and manoeuvre. Only minor complications occurred during the procedure. Surgery time was 15 to 20 minutes for most patients. Conclusions All fragments were successfully removed and needle arthroscopy allowed a thorough evaluation of the dorsal aspect of the joint. The technique offers an alternative for standing fetlock arthroscopy for surgeons concerned about equipment damage or portability.

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