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Knee Tear, Shoulder Tear, and Torn Meniscus


Knee Arthroscopy

There are two menisci in your knee and each rests between the thigh bone, called the femur, and shin bone, called the tibia. The medial meniscus is on the inside of your knee, and, the lateral meniscus rests on the outside of your knee. The meniscus is a different type of cartilage that forms a shock-absorber between the bones. The meniscus is a rubbery, C-shaped disc that cushions your knee. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right. The meniscus is nourished by small blood vessels, but the meniscus also has a large area in the center that has no direct blood supply (avascular). This presents a problem when there is an injury to the meniscus as the avascular areas tend not to heal. Without the essential nutrients supplied by blood vessels, healing cannot take place. Without treatment, a piece of meniscus may come loose and drift into the joint. This can cause your knee to slip, pop or lock.

Arthroscopic surgery is a surgical procedure in which the inside of the joint can be evaluated and treated using surgical instruments placed into the joint through small incisions called portals that measure one cm or less. This arthroscopic equipment consists of the scope and small surgical instruments which allow the surgeon to probe, cut, or shave tissues inside the knee. The arthroscope allows the surgeon to see many structures inside the knee. The surgeon's first task is to properly diagnose your problem. The surgeon will insert the arthroscope and use the image projected on the screen to guide it. If surgical treatment is needed, your surgeon will insert tiny instruments through another small incision. These instruments might be scissors, motorized shavers, or lasers. How long it takes depends upon the findings and the treatment necessary.

Arthroscopic Shoulder Surgery

The shoulder joint is prone to injury since it is very mobile. It is most flexible joint in your body. It allows you to place and rotate your arm in many positions--in front, above, to the side, and behind your body. And it is become of this flexibility that your shoulder is susceptible to instability and injury. Sudden trauma can damage the tissues inside the shoulder. This can cause pain, tenderness, weakness, instability, and limitation of movement in the shoulder joint. Non-surgical methods of treatment are often recommended prior to surgery. However, in some instances, delaying the surgical repair of a shoulder can increase the likelihood that the problem will be more difficult to treat later. Therefore, early, correct diagnosis and treatment of shoulder problems can make a significant difference in the long run. A few types of shoulder injuries are: Impingement and Partial Rotator Cuff Tears; Shoulder Dislocation; Full-Thickness Rotator Cuff Tears; and Fractured Collarbone and Acromioclavicular Joint Separation.

Arthroscopy, or arthroscopic surgery, is an orthopedic/orthopaedic procedure that examines the joints of the body. Arthroscopic surgery is performed through small incisions using a camera to visualize the inside of a joint. The surgeon can then inspect the joint and take photos or samples of the tissue there to determine the extent or type of damage that is occurring. This procedure may be used along with additional surgical techniques. For example, if the surgeon performs arthroscopy on a shoulder joint and determines that the rotator cuff has been torn, a rotator cuff repair may be added to the surgery. An arthroscopy joint procedure is typically performed with local, regional or general anesthesia. Once the anesthesia takes effect, the surgeon starts by making small incisions approximately 1 to 2 centimeters long near the joint. This will be repeated as needed to allow the surgeon to completely visualize the damaged joint.

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