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Arthroscopic knee surgery
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WHY IS ARTHROSCOPY NECESSARY?
Diagnosing joint injuries and disease begins with a thorough medical
history and physical examination, and sometimes X-rays. Further
diagnosis using arthroscopy may be required because it gives a
precise, direct view of the affected bones and soft tissues (ligaments
and cartilage.)
With the arthroscope, more of the joint
can be seen than is possible even with a large incision made during
an open operation. In addition, areas that sometimes are difficult
to see on an X-ray can be seen during arthroscopy. A joint usually
contains dense, pad-like tissue called cartilage and fibre-like
tissue called ligaments. The cartilage and ligaments cushion the
bones and stabilise the joint so the joint can move easily without
pain. Additional stability and the ability to control movement
are provided by tendons and muscles which are attached to the
bones in the joint.
Disease and injuries can damage bones,
cartilage, ligaments, muscles and tendons. Some of the most frequent
conditions found during diagnostic arthroscopic examinations of
joints are:
| Torn or abnormal
cartilage |
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Torn ligaments.
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| Loose fragments
of bone or cartilage. |
| Damaged joint
surfaces |
| Inflammation of
the joint lining. |
| Misaligned bones
(such as the kneecap.) |
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Even though the inside of
most joints can be viewed with an arthroscope, only six joints
are frequently examined with this procedure. The knee is by far
the joint most often examined. Others include the shoulder, elbow,
ankle, hip and wrist. As advances are made by engineers in electronic
technology and new techniques are developed by orthopaedic surgeons,
other joints may be viewed and treated with arthroscopy in the
future.