1. Arthroscopic Intervention Staying Active
WILLIAM F BENNETT MD
Orthopedic Surgeon
Sportsmedicine/Arthroscopy

2. 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

3. Arthroscopic Instruments
arthroscope
Arthroscopic Instruments
Knot tier
cannula
Suture passer
Suture retriever
screw
scissors

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

5. 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

6. 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

7. 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

8. 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

9. Injuries-joints accessible via arthroscope
Shoulder
Knee
Ankle
Elbow
Wrist
Hip
Spine

10. Shoulder Bursitis/tendonitis Rotator Cuff Tears Biceps Inflammation
Dislocations/Subluxations
Ac joint pain
Spurs
Post-fracture care

11. Knee Torn cartilage Articular Cartilage defects
Ligament reconstruction
Knee-Cap problems
Synovitis
Tendonits/bursitis

12. Elbow Tennis Elbow Golfer’s Elbow Ligament injuries Cartilage Defects
Post-fracture care

13. Ankle Chronic Sprains Osteochondritis Dissecans Synovitis
Post-fracture care

14. Shoulder

15. Shoulder
Right shoulder
Rotator cuff
front
Biceps tendon
back