China
Africa
Explore chapters and articles related to this topic
Rheumatic Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
Arthroscopy is useful both diagnostically and therapeutically. Unlike needle biopsy, it allows a direct view of the joint and synovial fluid, and biopsy samples can be taken from multiple sites within the joint. The joint most commonly examined by arthroscopy is the knee. The technique is often used to investigate trauma (e.g. sport injury).
Temporomandibular Joint Disorders
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Surgery can be divided into open and closed procedures. Closed procedures are arthrocentesis and arthroscopy. Arthrocentesis is the washing out of the upper joint space with 200 ml of isotonic solution, most commonly under general anaesthesia. It gives 70–80% improvement in cases of locking, restriction, and pain. Arthroscopy is similar but allows visualisation of the internal joint anatomy. Both procedures carry a 1% risk of temporary temporal branch weakness.
Surgery of the Hip
Published in Timothy W R Briggs, Jonathan Miles, William Aston, Heledd Havard, Daud TS Chou, Operative Orthopaedics, 2020
Daud TS Chou, Jonathan Miles, John Skinner
Hip arthroscopy is indicated in a variety of painful conditions of the hip. The most frequent are Femeroacetabular impingementSeptic arthritis of the hip jointOsteoarthritisLabral pathologyOsteochondral defectRemoval of loose bodiesSynovectomy or synovial biopsy
Post-arthrolysis rehabilitation in a patient with wrist stiffness secondary to distal radio-ulnar fracture: A case report
Published in Physiotherapy Theory and Practice, 2023
Andrea Inglese, Sheila Santandrea
Fractures of the distal epiphysis of radius and ulna are among the most frequent (Ilyas and Jupiter, 2007). In relation to the severity of the fracture, after a traumatic event, the choice is between a conservative and a surgical approach. The correct diagnosis and subsequent early treatment are essential to avoid possible long-term consequences (Mathews and Chung, 2015). The most frequent complications cited are neuropathies, arthritis, malunion and rigidity (Gutow, 2005). Among the secondary complications, rigidity is an occurrence that can be promoted by a period of prolonged immobilization (Ikpeze, Smith, Lee, and Elfar, 2016; Wong, 2002) which could cause the reduction of physiological joint excursion (Wong, 2002). Arthrolysis is a surgical technique that can be performed via open surgery or arthroscopy (Guidi et al., 2021) which allows immediate postoperative rehabilitation (Luchetti, Atzei, and Fairplay, 2007; Luchetti, Atzei, and Papini Zorli, 2006). Since a wrist arthrolysis rehabilitation guideline was not available in the literature yet, it was suggested that the main goals for treatment should be maintenance of passive wrist range of motion (PROM), reduction of pain, as well as improvement of functional active range of motion (AROM) and social reintegration.
Post-surgery rehabilitation following rotator cuff repair. A survey of current (2020) Italian clinical practice
Published in Disability and Rehabilitation, 2022
Fabrizio Brindisino, Andrea De Santis, Giacomo Rossettini, Leonardo Pellicciari, Marco Filipponi, Giuseppe Rollo, Jo Gibson
Shoulder surgery has evolved over the years, moving from open procedures to the current minimal access and arthroscopic techniques [13]. Arthroscopic surgery has become the gold standard, largely as a result of its efficacy in relation to postoperative pain, skin incisions, and minimal invasiveness; it also ensures a potentially better recovery process (e.g., smaller incisions, less soft-tissue dissection, no need for deltoid detachment, less postoperative pain, and potential accelerated recovery) if compared to open surgical procedures [13]. Several studies have investigated which suturing techniques are most efficacious (e.g., simple row versus double row) [13], both in terms of clinical outcomes, such as pain, function, and residual disability (e.g., using American Shoulder and Elbow Surgeon [ASES] scores and University of California, Los Angeles [UCLA] scores) [14], and impact on recurrence rates. However, there continues to be a lack of consensus as to which arthroscopic technique is associated with optimal outcomes.
The Effect of Pre-emptive Dexketoprofen Administration on Postoperative Pain Management in Patients with Ultrasound Guided Interscalene Block in Arthroscopic Shoulder Surgery
Published in Journal of Investigative Surgery, 2021
U. Demir, I. Ince, M. Aksoy, A. Dostbil, M. A. Arı, M. M. Sulak, M. Kose, M. Tanios, O. Ozmen
Analgesia commonly used following shoulder surgery are NSAIDs, opioids, local injection of local anesthetics to the operative field, and brachial plexus blocks. Powerful opioids may be required since pain associated with shoulder surgery can be very severe, and these may be used for days or weeks [7]. Arthroscopy can reduce postoperative pain in shoulder surgery, however, this benefit is not generally seen in the first few days since analgesic requirements in the absence of local or regional anesthesia may be equal to those of open shoulder surgery [7]. As a result, with the reduction of early postoperative pain, arthroscopic shoulder surgery has entitled to “same-day surgery” [1]. The available options to improve postoperative pain include intra-articular (IA) local anesthetic (alone or in addition to opioids), suprascapular nerve block (alone or in addition to axillary nerve block), single-shot ISB, and continuous (catheterized) ISB [8].