Arthroscopic InterventionStaying Active

WILLIAM F BENNETT MDOrthopedic Surgeon

Sportsmedicine/Arthroscopy

Arthroscopy-What is it?

Fiber optic scope with a mirror Utilized for viewing the insides of joints Mirror transmits inside image along fibers

to a processor which displays the picture on a TV Monitor

Various arthroscopic instruments allow for treatment of almost all joint conditions

Arthroscopic Instrumentsarthroscope

Knot tier cannula

scissorsSuture retriever

Suture passer

screw

Setupmonitor

Arthroscope

shoulder

Sportsmedicine

Definition- any individual who needs medical attention to stay active in their activities

Do not have to be on an organized team Ages from kids to 100 Aging population-likes to stay active- I.e.,

golf/tennis/swimming

Injuries

Prevent people from staying active and doing things they like

Too often people just stop performing With today’s technology there is no reason

to stop Previous techniques included open surgery

Injuries Continued

Most injuries can be treated with*anti-inflammatory medication*rest*physical therapy

If surgery needed in times past large incisions and may not return to 100%

Arthroscopy small incisions and tries to fine-tune the athlete

Arthroscopy advantages

Biggest- complete visualization of the joint Can address multiple lesions Particularly relevant in the shoulder when

more than one lesion may be present Small Incisions Less Pain Shorter rehab

Injuries-joints accessible via arthroscope Shoulder Knee Ankle Elbow Wrist Hip Spine

Shoulder

Bursitis/tendonitis Rotator Cuff Tears Biceps Inflammation Dislocations/Subluxations Ac joint pain Spurs Post-fracture care

Knee

Torn cartilage Articular Cartilage defects Ligament reconstruction Knee-Cap problems Synovitis Tendonits/bursitis

Elbow

Tennis Elbow Golfer’s Elbow Ligament injuries Cartilage Defects Post-fracture care

Ankle

Chronic Sprains Osteochondritis Dissecans Synovitis Post-fracture care

Shoulder

ShoulderRight shoulder

back

front

Biceps tendon

Rotator cuff