crystal clinic orthopaedic center summit hand

Arthroscopy

Arthroscopy is a surgical procedure during which the internal structures of a joint are examined for diagnosis and treatment if needed.  In an arthroscopic examination, a small incision is made in the patient’s skin through which a pencil-sized instrument called an arthroscope, containing a small lens and lighting system, is passed. The arthroscope magnifies and illuminates the structures of the joint with the light transmitted through fiber optics and has a camera that transmits images of the interior of the joint on a television monitor for the surgeon to view.

Arthroscopic examination of joints is helpful in diagnosis and treatment of the following conditions:

  • Inflammation: Synovitis, the inflammation of the lining of the knee, shoulder, elbow, wrist, or ankle
  • Acute or chronic injury: Injuries to the shoulder, knee and wrist joint such as cartilage tears, tendon tears, carpal tunnel syndrome
  • Osteoarthritis: A type of arthritis caused by cartilage loss in a joint
  • Removal of loose bodies of bone or cartilage that becomes logged within the joint

During arthroscopic surgery, either general, spinal or local anesthesia will be given depending on the condition. A small incision the size of a buttonhole is made through which the arthroscope is inserted. Other accessory incisions will be made through which specially designed instruments are inserted. After the procedure is completed, the arthroscope and instruments are removed and incisions are closed. You will be instructed on incision care, activity limitations and exercises to promote a quicker recovery.

Some of the possible complications after arthroscopy include infection, phlebitis (clotting of blood in vein), excessive swelling, bleeding, blood vessel or nerve damage and instrument breakage.

Recovery

It may take several weeks for the puncture wounds to heal and the joint to recover completely. A rehabilitation program may be advised for a speedy recovery of normal joint function. You can resume normal activities within a few days.

  • Arthroscopy MP Joints for Arthritis

    The metacarpophalangeal (MCP) joints are the knuckle joints between the hand and the fingers. Surgery for arthritis at these joints usually requires an open incision for proper access. However, arthroscopy offers good visualization and has better cosmetic results and may be indicated for assessment and treatment of arthritis in certain cases.

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  • Arthroscopy CMC Joint

    The carpometacarpal joints are the joints between the bones in the hand and the wrist. Arthroscopy may be indicated for the assessment and repair of damaged joint structures due to arthritis as it offers good visualization, minimal soft tissue disturbance and good cosmetic results.

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  • Arthroscopic CMC Arthroplasty

    The carpometacarpal (CMC) joints are present where the bones in the hand meet the wrist bones. Advanced arthritis of the CMC joints especially the thumb joint may be treated by arthroplasty which is removal of part of the joint and placement of a tendon graft or an artificial implant. This procedure may be performed in a minimally invasive manner using an instrument called an arthroscope.

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  • Arthroscopy Wrist

    Arthroscopy Wrist

    Your wrist is a complex joint made up of eight small bones called carpal bones. These bones are supported by connecting ligaments.

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  • Arthroscopic TFCC Repair and Debridement

    The arthroscopic technique is a less invasive procedure where 2 to 3 incisions of about 5 mm each are made in the wrist, through which a telescope (arthroscope) and other surgical instruments are passed. Repair is based on the damage caused to the ligament and cartilage.

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  • Arthroscopic Assisted Scaphoid Fixation

    Fractures of the scaphoid bone in the wrist are usually unstable and difficult to treat without surgery. An arthroscopic technique may be used to reposition and fixate the scaphoid fracture fragments.

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  • Arthroscopy of The Elbow

    Arthroscopy of The Elbow

    Elbow arthroscopy, also referred to as keyhole or minimally invasive surgery, is performed through tiny incisions to evaluate and treat several elbow conditions.

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  • Loose Body Removal

    Loose bodies are small loose fragments of cartilage or a bone that float around the joint. The loose bodies can cause pain, swelling, locking and catching of the joint.

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  • Arthroscopic Elbow Arthritis Treatment

    Elbow Arthroscopy
    Total Elbow Replacement

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  • Arthroscopic Tennis Elbow Treatment

    Arthroscopic Tennis Elbow Treatment

    Tennis elbow is the common name used for the elbow condition called lateral epicondylitis. It is an overuse injury that causes inflammation of the tendons that attach to the bony prominence on the outside of the elbow (lateral epicondyle).

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  • Arthroscopy of Shoulder

     Arthroscopy of Shoulder

    Arthroscopy is a minimally invasive diagnostic and surgical procedure performed for joint problems. Shoulder arthroscopy is performed using a pencil-sized instrument called an Arthroscope.

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  • Arthroscopic Rotator Cuff Repair

    Rotator cuff is the group of tendons in the shoulder joint providing support and enabling wider range of motion. Major injury to these tendons may result in tear of these tendons and the condition is called as rotator cuff tear.

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  • Arthroscopic Shoulder Release

    Scar tissue may develop in the shoulder after a shoulder injury or surgery restricting movement of the shoulder. Arthroscopic shoulder release surgery is performed to improve shoulder movement by cutting through the tight tissues. Narrow tube-like instruments are inserted through small incisions to carry out the procedure.

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  • Arthroscopic AC Joint Arthritis Treatment

    Acromioclavicular (AC) joint arthritis is a condition that develops when the cartilage cushioning the AC joint in the shoulder begins to wear out. The shoulder is a 'ball-and-socket' joint.

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  • Endoscopic Carpal Tunnel Release

    The carpal tunnel is a narrow passageway on the palm side of your wrist. Small wrist bones known as carpals form the bottom and sides of the carpal tunnel and a strong band of connecting tissue, known as the transverse carpal ligament, covers the top of the carpal tunnel.

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  • Endoscopic Cubital Tunnel Release

    Cubital tunnel syndrome occurs when the ulnar nerve is stretched or compressed where it passes through the elbow causing forearm pain and tingling in the ring and little fingers. Endoscopic cubital tunnel release surgery is a minimally invasive technique to relieve pressure on the nerve, which may reduce the risk of complications and promote a faster recovery.

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  • The American Board of  Orthopaedic Surgery
  • Allegheny General Hospital
  • University of Pittsburgh  Medical Center
  • University of Cincinnati College of Medicine
  • American Society for Surgery of the Hand
  • American Association for Hand Surgery: AAHS
  • Alpha Omega Alpha