1.Advantages of Scorpion Suture Passer and 70 Degrees Arthroscope in Arthroscopic Bankart Repair: Usefulness for Inferior Labral Repair.
Clinics in Shoulder and Elbow 2017;20(4):201-207
BACKGROUND: The blunted tip of a reusable with multiple uses can cause problems with the passing procedure in arthroscopic Bankart repair. This study assessed the advantage of Scorpion with a 70° arthroscope in arthroscopic Bankart repair compared to hook typed suture passer. METHODS: Scorpion in 19 patients, the hook type suture passer (conventional group) in 18 patients were used. All patients underwent the same procedure except for the type of suture passer used. Another different point of the procedure were telescopes and the number of portals used; three arthroscopic portals (posterior, anterorsuperiorlateral, and mid-anterior) and a 30° arthroscope in the conventional group, but two portals and a 70° arthroscope as well as the 30° one in the Scorpion group. The surgery time and the surgical complications including an iatrogenic axillary nerve injury were recorded. RESULTS: The Scorpion group showed a significant decrease in surgery time compared to the conventional group. In contrast to the conventional group, Scorpion provided an easy estimation of the exit of suture passing, no iatrogenic labral injury during the passing procedure with straight movement and the sharp tip of the knife installed. Iatrogenic supraspinatus injuries could be avoided when making an accessory anteosuperiorlateral portal due to the 70° arthroscope. CONCLUSIONS: In arthroscopic Bankart repair, the use of the Scorpion suture passer and a 70° arthroscope can reduce the surgery time, avoid unnecessary supraspinatus injury, and avoid iatrogenic axillary nerve damage through the relatively easy and precise suture passing and saving of the anterosuperior portal.
Arthroscopes*
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Arthroscopy
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Humans
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Scorpions*
;
Sutures*
;
Telescopes
2.Advantages of Scorpion Suture Passer and 70 Degrees Arthroscope in Arthroscopic Bankart Repair: Usefulness for Inferior Labral Repair
Journal of the Korean Shoulder and Elbow Society 2017;20(4):201-207
BACKGROUND: The blunted tip of a reusable with multiple uses can cause problems with the passing procedure in arthroscopic Bankart repair. This study assessed the advantage of Scorpion with a 70° arthroscope in arthroscopic Bankart repair compared to hook typed suture passer. METHODS: Scorpion in 19 patients, the hook type suture passer (conventional group) in 18 patients were used. All patients underwent the same procedure except for the type of suture passer used. Another different point of the procedure were telescopes and the number of portals used; three arthroscopic portals (posterior, anterorsuperiorlateral, and mid-anterior) and a 30° arthroscope in the conventional group, but two portals and a 70° arthroscope as well as the 30° one in the Scorpion group. The surgery time and the surgical complications including an iatrogenic axillary nerve injury were recorded. RESULTS: The Scorpion group showed a significant decrease in surgery time compared to the conventional group. In contrast to the conventional group, Scorpion provided an easy estimation of the exit of suture passing, no iatrogenic labral injury during the passing procedure with straight movement and the sharp tip of the knife installed. Iatrogenic supraspinatus injuries could be avoided when making an accessory anteosuperiorlateral portal due to the 70° arthroscope. CONCLUSIONS: In arthroscopic Bankart repair, the use of the Scorpion suture passer and a 70° arthroscope can reduce the surgery time, avoid unnecessary supraspinatus injury, and avoid iatrogenic axillary nerve damage through the relatively easy and precise suture passing and saving of the anterosuperior portal.
Arthroscopes
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Arthroscopy
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Humans
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Scorpions
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Sutures
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Telescopes
3.Ganglion of the Triangular Fibrocartilage Complex: A Case Report.
Sang Seon LEE ; Jun Bum KIM ; Jong Seok PARK ; Sung Yong PARK
Journal of the Korean Society for Surgery of the Hand 2011;16(1):48-51
Ganglions are the most common mass occurred in the wrist and hand. Ganglion usually arises from the dorsal aspect of the radiocarpal joint that may lead to the wrist pain. We report a patient with a ganglion of the triangular fibrocartilage complex. Using arthroscopic technique, ganglion located in triangular fibrocartilage complex was successfully excised.
Arthroscopes
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Ganglion Cysts
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Hand
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Humans
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Joints
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Triangular Fibrocartilage
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Wrist
4.Surgical Treatment of Popliteal Artery Injury as a Complication of Arthroscopic Surgery: 2 case reports.
Kilsoo YIE ; Se Min RYU ; Seong Joon CHO ; Byung Ryul CHO ; Bong Ki LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2008;41(6):772-776
The indications and applications of arthroscopic surgery for the knee joint have increased with the development in surgical techniques and the improvement of arthroscopic equipment. The use of arthroscopic surgery has led to a significant decrease in morbidity for the patient with intra-articular abnormalities, in terms of both the diagnosis and the surgical treatments. Even though arthroscopy is a minimally invasive technique with relatively low morbidity, it is not without risk of complications, of which neurovascular complications are among the most serious and devastating. Here we report on 2 cases of popliteal artery injury during arthroscopic knee surgery and its specific diagnosis and treatment.
Arthroscopes
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Arthroscopy
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Humans
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Knee
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Knee Joint
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Popliteal Artery
5.Ankle Arthroscopy: Anatomy, Portals and Instrument.
Journal of Korean Foot and Ankle Society 2012;16(1):1-8
Major technologic advances in fiberoptic light transmission, video cameras, and instrumentation have allowed great advances in small-joint arthroscopy. Arthroscopy in particular is now well established procedure for accurate diagnosis and operative management of certain ankle disorders. The small size of the ankle and significant periarticular soft tissue structures make placement and advancement of the arthroscope and instrumentation more difficult than in larger joints. Successful arthroscopy of the ankle requires knowledge of the regional anatomy and a familiarity with the available arthroscopic portals. This review article is going to describe the gross and arthroscopic anatomy of the ankle as it relates to current arthroscopic techniques. Particular emphasis is placed on the anatomic relations of the important osseous and soft tissue structures for a safe, reproducible approach to arthroscopic treatment of ankle pathology. Also, current arthroscopic equipment and instruments are included.
Anatomy, Regional
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Animals
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Ankle
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Arthroscopes
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Arthroscopy
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Joints
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Light
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Recognition (Psychology)
6.Arthroscopic Assisted Treatment of Intraosseous Ganglion of the Scaphoid Associated with Occult Ganglion: A Case Report.
Byung Sung KIM ; Hyung Tae KIM ; Hyung Mo KOO
Journal of the Korean Society for Surgery of the Hand 2011;16(3):161-165
Intraosseous ganglion of the scaphoid associated with occult ganglion is rare. A 27-year-old man who presented with a 4-month history of progressive left wrist pain visited our institution. The patient was diagnosed intrasosseous ganglion of the carpal scaphoid assosiated with occult ganglion. We obtained satisfactory result by arthroscopic procedure and report this case focusing on surgical technique with literature review.
Adult
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Arthroscopes
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Bone Cysts
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Ganglion Cysts
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Humans
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Wrist
7.Arthroscopic Treatment of Elbow Osteoarthritis and Arthroscopic Ulnar Nerve Decompression.
Clinics in Shoulder and Elbow 2016;19(4):256-263
Although arthroscopic surgery has been used conventionally, it has not been widely adopted yet due to the risks of complications, including nerve damage, technical difficulties, and limited indications. As shown in other joints, however, the use of an arthroscope will gradually increased in the elbow joint (‘Arthroscopy always wins’). Herein, arthroscopic treatments and arthroscopic ulnar nerve decompression will be discussed in cases of elbow osteoarthritis.
Arthroscopes
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Arthroscopy
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Decompression*
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Elbow Joint
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Elbow*
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Joints
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Osteoarthritis*
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Ulnar Nerve*
8.Arthroscopic Decompression and Shaving of Popliteal Cyst Using Posteromedial Portal: Technical Note.
Jin Hwan AHN ; Yong Jin CHO ; Sang Hun KO ; Jun Sik PARK ; Hyo Kon KIM
Journal of the Korean Knee Society 2004;16(2):217-224
PURPOSE: To present the surgical procedure of arthroscopic decompression and shaving of popliteal cyst using posteromedial portal. OPERATIVE TECHNIQUE: After diagnostic knee arthroscopic examination, if there is associated intra-articular pathology with popliteal cyst, appropriate arthroscopic procedure has to be performed to adress the associated intra-articular pathology. It is the most important procedure to find the opening of connection between joint cavity and popliteal cyst at posteromedial compartment using anterolateral or posteromedial In some cases the capsular fold overlie the opening of connection, so thorough diagnostic examnation is mandatory. When the opening of connection is visualized, it is enlarged about 8 mm by the arthroscopic decompressive procedure of popliteal cyst using arthroscopic shaver which is approached via the posteromedial portal. After then arthroscope is positioned at posteromedial portal and advanced into popliteal cyst via enlarged opening to visualize the inside of popliteal cyst. While visualizing the inside of popliteal cyst, a 18 gauge spinal needle is introduced by outside-in technique from medial side of the skin overlying popliteal cyst. And then we make trans-cystic portal at the site of spinal needle by incising the skin with # 11 blade and arthroscopic shaver is introduced within popliteal cyst via trans-cystic portal, and arthroscopic cystectomy is performed to shave the inner wall of popliteal cyst with arthroscopic shaver. DISCUSSION: The arthroscopic procedure for popliteal cyst is an alternative of traditional surgical removal of popliteal cyst and it is expected to diagnose and to manage associated intra-articular pathology and to perform arthroscopic decompression and cystectomy effectively using posteromedial portal.
Arthroscopes
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Cystectomy
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Decompression*
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Joints
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Knee
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Needles
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Pathology
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Popliteal Cyst*
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Skin
9.Arthroscopic Treatment of Elbow Osteoarthritis and Arthroscopic Ulnar Nerve Decompression
Journal of the Korean Shoulder and Elbow Society 2016;19(4):256-263
Although arthroscopic surgery has been used conventionally, it has not been widely adopted yet due to the risks of complications, including nerve damage, technical difficulties, and limited indications. As shown in other joints, however, the use of an arthroscope will gradually increased in the elbow joint (‘Arthroscopy always wins’). Herein, arthroscopic treatments and arthroscopic ulnar nerve decompression will be discussed in cases of elbow osteoarthritis.
Arthroscopes
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Arthroscopy
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Decompression
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Elbow Joint
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Elbow
;
Joints
;
Osteoarthritis
;
Ulnar Nerve
10.A New Classifcation and Treatment of the Torn Discoid Meniscus of the Knee Joint
Jin Hwan AHN ; Myung Chul YOO ; Jung Soo HAN ; Byung Ho KIM
The Journal of the Korean Orthopaedic Association 1984;19(6):1208-1214
Sixty-eight discoid meniscus in sixty-seven patients confirmed by arthroscope have been analysed and operated upon at Kyung Hee University Hospital between 1976 and 1984. It is the purpose of this paper to study the clinical characteristics of the discoid meniscus and classify the type of tom discoid meniscus for the accurate diagnosis and the effective treatment. The types of torn discoid meniscus could be classified into 6 types, which had specific clinical, arthrographic and arthroscopic findings, respectively. The type Vwas most common. Of 52. 2% of cases of the discoid meniscus, the patients were in the second decade of life at the time of operation, varying in age from 7 years to 53 years. In the 55. 2% of cases of the torn discoid meniscus, there were no history of specific trauma. The clinical diagnostic accuracy was 61.8% and the diagnostic accuracy of arthrography was 86%. Partial and total meniscectomy through arthroscope showed better results in follow-up study.
Arthrography
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Arthroscopes
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Diagnosis
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Follow-Up Studies
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Humans
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Knee Joint
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Knee