Hroscopic Medial Gutter Knee

Best seen with 70 degree scope placed through notch modified gillquist view with knee in figure four position finish in lateral.

Hroscopic medial gutter knee.

Examination of suprapatellar pouch revealed copious synovial fluid. Preoperative mri revealed a distinctive flap tear of the medial meniscus flipped inferiorly to lay trapped between the tibia and deep fibers of the mcl. Medial femoral condyle cartilage. 29881 arthroscopy knee surgical with meniscectomy medial or lateral including any meniscal shaving including debridement shaving of articular cartilage chondroplasty same or separate compartment s when performed during a meniscectomy the surgeon removes a piece of the torn meniscus or the entire meniscus.

A standard arthroscopic shaver and radiofrequency rf ablation device are used to debride the patellofemoral joint and the suprapatellar pouch with the knee in extension releasing all adhesions hypertrophied synovium and intra articular bands. There were multiple cartilaginous loose joint bodies floating around within the knee. Medial tibial plateau cartilage. The arthroscope is named according to the angle between the long axis of the arthroscope and the viewing angle of the lens with 0 30 and 70 lenses available for use.

Look carefully for erosion of the condyle with an irregular radius of curvature of the femoral. 29883 arthroscopy knee surgical. Arthroscopic resection of the anvil osteophyte can improve knee extension in these selected patients. On arthroscopy flap tears were found displaced inferiorly and trapped in the medial gutter in 6 of the 8 patients.

Diagnostic arthroscopy is a crucial skill for diagnosing intra articular disorders of the knee including meniscal. With meniscus repair medial and lateral in some cases the three compartments of the knee may be treated as separate anatomic areas whereby procedures in different compartments of the same knee may be billed separately but procedures performed in the same compartment may be bundled. Portal creation is noted in the previous chapter. With knee flexed to 90 move to medial compartment.

The arthroscope and probe are the two pieces of equipment that are fundamental to knee arthroscopy fig. Arthroscopy includes visualization of the suprapatellar pouch medial gutter lateral gutter medial compart ment lateral compartment intercondylar notch and posterior medial and posterior lateral compartments. The arthroscopic instruments were inserted through a medical infrapatellar puncture site.