• Title/Summary/Keyword: Arthroscopic excision

Search Result 56, Processing Time 0.025 seconds

Comminuted Radial Head Fracture in All-arthroscopic Repair of Elbow Fracture-dislocation: Is Partial Excision of the Radial Head an Acceptable Treatment Option?

  • Yang, Hee Seok;Kim, Jeong Woo;Lee, Sung Hyun;Yoo, Byung Min
    • Clinics in Shoulder and Elbow
    • /
    • v.21 no.4
    • /
    • pp.234-239
    • /
    • 2018
  • Background: In elbow fracture-dislocation, partial excision of the comminuted radial head fracture that is not amenable to fixation remains controversial considering the accompanying symptoms. This study was undertaken to evaluate the results of radial head partial excision when the comminuted radial head fracture involved <50% of the articular surface in all-arthroscopic repair of elbow fracture-dislocation. Methods: Patients were divided into two groups based on the condition of the radial head fracture. In Group A, the patients had a radial head comminuted fracture involving <50% of the articular surface, and underwent arthroscopic partial excision. Group B was the non-excision group comprising patients with stable and non-displacement fractures. Follow-up consultations were conducted at 6 weeks and at 3, 6, 12, and 24 months after surgery. Results: In all, 19 patients (Group A: 11; Group B: 8) met the inclusion criteria and were enrolled in the study. At the final follow-up, all 19 patients showed complete resolution of elbow instability. No significant differences were observed in the range of motion, visual analogue scale score, and Mayo elbow performance score between groups. Radiological findings did not show any complications of the radiocapitellar joint. However, nonunion of the coracoid fracture was observed in 3 patients (Group A: 1; Group B: 2), without any accompanying instability and clinical symptoms. Conclusions: Considering that the final outcome is coronoid fracture fixation and lateral collateral ligament complex repair for restoring elbow stability, arthroscopic partial excision for radial head comminuted fractures involving <50% of articular surface is an effective and acceptable treatment for elbow fracture-dislocation.

Arthroscopic Treatment of Chronic Calcific Tendinitis of the Shoulder (견관절 만성 석회화 건염의 관절경적 치료)

  • Kim Jin Sub;Yoo Jung Han;Yoo Sun Oh
    • Clinics in Shoulder and Elbow
    • /
    • v.1 no.1
    • /
    • pp.6-11
    • /
    • 1998
  • Shoulder is a common site for calcific deposit and is frequently asymptomatic. There is a general agreement that calcific tendinitis should be initially treated nonoperatively and excision reserved for cases unresponsive to the conservative measures. There are several reports that arthroscopic excision of symptomatic calcific deposit is proved to be efficient in the calcific tendinitis refractory to nonoperative management. The results of arthroscopic treatment of chronic resistant calcific tendinitis of the shoulder in eleven patients were evaluated. Each patient had shoulder pain for more than one year prior to the arthroscopic surgery. The average age of the patients was 48 years(range 35-70). Arthroscopic calcium removal and subacromial bursectomy was performed in all patients. Arthroscopic acromioplasty was additionally done in four patients. The results turned out to be good in nine patients with full range of motion and complete pain relief. One patient with full motion and occcasional episodes of pain was satisfactory. One patient with persistent pain was unsatisfactory which converted to satisfactory six months later after subacromial injection. So we conclude that the arthroscopic treatment is a reasonable alternative in treatment of the chronic calcific tendinitis resistant to conservative treatment.

  • PDF

Arthroscopic Treatment of Coronoid Impingement in Stiff Elbow

  • Lee Yong Geol
    • The Academic Congress of Korean Shoulder and Elbow Society
    • /
    • 1999.03a
    • /
    • pp.38-40
    • /
    • 1999
  • $\cdot$ Arthroscopic management is the effective method with acceptable results for coronoid impingement of stiff elbow contributing to the functional improvement and pain relief. $\cdot$ The functional improvement and pain relief seem to be affected by the severity of a degenerative change of the elbow joint. $\cdot$ Excision of coronoid process is required in a marked limitation of further flexion in addition to deeping of the coronoid fossa and anterior capsular release. $\cdot$ Excision of olecranon tip or posterior capsular release are effective method in severe flexion contracture.

  • PDF

Arthroscopic Excision of Medial Knee Plica: A Meta-Analysis of Outcomes

  • Gerrard, Adam Daniel;Charalambous, Charalambos P.
    • Knee surgery & related research
    • /
    • v.30 no.4
    • /
    • pp.356-363
    • /
    • 2018
  • Purpose: A meta-analysis was performed to assess the outcomes following surgical intervention for medial knee plica. Materials and Methods: A literature search of Medline, EMBASE, CINAHL and Cochrane CENTRAL was performed using relevant key words. The primary outcome was patient-reported postoperative scores of "good" and "excellent". Meta-analyses were performed using a random effects model. Results: The literature search identified 731 articles. After removing duplicates and those not meeting the inclusion criteria, 12 articles reporting on a total of 643 knees were included for analysis, and of these, 7 articles including 235 knees were used for meta-analysis. The overall rate of good and excellent outcomes following surgery was estimated at 84.2% (95% confidence interval [CI], 72.8-91.4). In those cases that had non-surgical therapy prior to surgery, the rate of good and excellent outcomes of surgery was estimated at 76.1% (95% CI, 60.1-87). Conclusions: Arthroscopic surgical management of symptomatic medial knee plica results in favourable outcomes. Our results suggest that arthroscopic surgical excision should be considered as a treatment modality in patients with pathological medial plica disease of the knee either as a first-line treatment or when symptoms have not responded to non-surgical interventions. Level of Evidence: IV.

Intra-articular Giant Cell Tumor of Tendon Sheath Arising from Posterior Cruciate Ligament - Arthroscopic Excision Using Posterior Trans-septal Portal - (후방 십자 인대에서 발생한 건초성 거대 세포종 - 후격막 통과 도달법을 이용한 관절경적 절제 -)

  • Ahn, Jin Hwan;Seo, Jai Gon;Ha, Chul Won
    • Journal of the Korean Arthroscopy Society
    • /
    • v.2 no.1
    • /
    • pp.97-100
    • /
    • 1998
  • The giant cell tumor of tendon sheath is very rarely present inside the knee joint. The authors report a case of intraarticular giant cell tumor of tendon sheath arising from posterior cruciate ligament which was successfully excised arthroscopically using posterior trans-septal portal at the time of arthroscopic reconstruction of anterior cruciate ligament.

  • PDF

Surgical Treatment for Diffuse Pigmented Villonodular Synovitis of the Ankle by A Combined Open and Arthroscopic Synovectomy: A Case Report (발목관절의 미만형 색소 융모 결절성 활액막염에서 관절경적 및 개방적 활액막 절제술을 이용한 수술적 치료: 증례 보고)

  • Choi, Jun-Cheol;Song, Woo-Suk;Byun, Chan-Woong;Kim, Jin;Han, Eun-Mee
    • Journal of Korean Foot and Ankle Society
    • /
    • v.23 no.3
    • /
    • pp.139-142
    • /
    • 2019
  • Pigmented villonodular synovitis (PVNS) is a rare proliferative disease involving the synovial membranes. Complete excision with a total synovectomy is important for diffuse type PVNS because of its high recurrence rate. In the ankle, complete excision of diffuse type PVNS is difficult due to the anatomical structure of the ankle joint. This paper reports the author's experience of surgical treatment with combined open and arthroscopic synovectomy. In this manner, it is expected that the complications of the open procedure and the recurrence rate of arthroscopic procedure can be reduced.

Treatment of Os Trigonum Syndrome using Subtalar Arthroscopy (A Case Report) (거골하 관절경을 이용한 Os Trigonum Syndrome의 치료(1예 보고))

  • Ahn, Jae-Hoon;Baek, Chang-Hyun;Lee, Kwang-Won;Kim, Seung-Kwon;Choy, Won-Sik
    • Journal of Korean Foot and Ankle Society
    • /
    • v.10 no.2
    • /
    • pp.267-270
    • /
    • 2006
  • Os trigonum syndrome is a clinical disorder characterized by posterior ankle pain which occurs in excessive plantar flexion. The pain is elicited by the impingement of os trigonum between the calcaneus and the posterior edge of tibial plafond. Mostly, symptoms can be improved with nonsurgical management, however surgery is required for refractory cases. We report of a case of os trigonum syndrome in a female ballet dancer, which was successfully treated with subtalar arthroscopic excision of os trigonum.

  • PDF

Arthroscopic Excision of Intra-articular Osteochondroma of the Elbow: A Case Report

  • Jang, Suk-Hwan;Song, Han-Eui
    • Clinics in Shoulder and Elbow
    • /
    • v.19 no.3
    • /
    • pp.172-175
    • /
    • 2016
  • Osteochondromas are one of the most common benign bone tumors usually involving extraarticular metaphysis of long bone. Solitary intra-articular osteochondroma arising from the elbow joint has rarely been reported. We present a case of 23-year-old female who had pain and limited motion of the left elbow as a result of intraarticular osteochondroma of the distal humerus. Arthroscopic excision of the osteochondroma yielded complete relief of symptoms. Absence of recurrence was confirmed radiographically at two years after surgery. To the best of our knowledge, this is the first report of osteochondroma of the elbow successfully treated arthroscopically.

Arthroscopic Treatment of the Ganglion Cysts of the Posterior Cruciate Ligament Through the Anteromedial Portal (전내측 도달법을 이용한 후방 십자 인대 결절종의 관절경적 치료)

  • Choi, Joong-Geun
    • Journal of the Korean Arthroscopy Society
    • /
    • v.2 no.1
    • /
    • pp.68-71
    • /
    • 1998
  • Ganglion cysts of the cruciate ligaments of the knee are rare and their pathogenesis is uncertain. A few cases of the cyst of the posterior cruciate ligament were reported in the literature. We have arthroscopically treated sucessfully the ganglion cysts of the posterior cruciate ligament through the anteromedial portal. We reported three cases of ganglion cyst of the posterior cruciate ligament with brief of literatures.

  • PDF