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 keyholeConventional ‘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)

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