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

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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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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Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x19829670 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1982967

Author(s):

Fernando P Ferro ◽

Felipe S Bessa ◽

Leandro Ejnisman ◽

Henrique MC Gurgel ◽

Alberto T Croci ◽

...

Keyword(s):

Hip Joint ◽

Weight Bearing ◽

Osteochondral Allograft ◽

Concurrent Treatment ◽

Chondral Lesions ◽

Chondral Defects ◽

Arthroscopic Removal ◽

Fresh Osteochondral Allograft ◽

Chondrocyte Implantation

The diagnosis of a bullet inside the hip joint is a rare finding. The usual method to treat this condition has been open surgery, with its associated complications and morbidity. The arthroscopic approach has been increasingly utilized for the diagnosis and treatment of several hip conditions, and the number of indications for this technique has been steadily rising. We report the case of a 35-year-old man who suffered a gunshot wound and was operated on for abdominal perforation. He later presented with groin pain that worsened with weight-bearing on his right leg and then underwent arthroscopic removal of a bullet located inside his right hip joint. After a 2-year follow-up, the patient had an excellent clinical outcome, with no radiologic signs of arthritis. The removal of an intra-articular projectile is necessary to avoid complications such as synovitis, osteoarthritis, septic arthritis, and saturnism. The best access to the hip joint remains a topic of debate. Arthroscopy has the advantage of less soft-tissue damage and quicker recovery. The treatment of associated chondral lesions can be done with several techniques, including microfracture, autologous chondrocyte implantation, mosaicplasty, and fresh osteochondral allograft transplantation. There is no consensus as to the best course of treatment for associated chondral lesions in such cases. Hip arthroscopy can be a safe and effective technique for the removal of intra-articular bullets in the hip.

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