Arthroscopic Intervention Staying Active WILLIAM F BENNETT MD Orthopedic 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 Instruments arthroscope Arthroscopic Instruments Knot tier cannula Suture passer Suture retriever screw scissors

monitor Setup shoulder A r t h o s c p e

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

Shoulder Right shoulder Rotator cuff front Biceps tendon back