Indications for arthroscopy of the knee
In Clinic + 31, knee arthroscopy is prescribed in the following cases:
- Meniscus damage. The modern equipment of the Department of Orthopedics and Traumatology of Clinic + 31 and the qualifications of our specialists allow us to perform not only resection of the damaged meniscus, but, when indicated, and its seam.
- Damage to the cruciate ligaments of the knee
- Inflammatory diseases of the synovial membrane
- Habitual dislocation of the patella
- Inflammatory diseases of the synovial membrane
- Damage and disease of articular cartilage
- Deforming arthrosis of the knee
- Rheumatoid arthritis
- Goff's disease: damage and disease of the fatty body - chronic fatty body hyperplasia
- Unclear pathologies in case of damage or disease of the joints, the causes of which were not identified using clinical and instrumental methods of research
- Unclear complaints after previous surgery
Arthroscopy of the shoulder joint
Arthroscopy of the shoulder joint is performed for diagnosis and treatment. Accurate diagnosis is important for young patients and is especially relevant in cases where other research methods do not allow a definitive diagnosis to be made. Arthroscopy of the joints provides important information about the nature of the injuries of the tendon of the biceps of the shoulder, the rotational cuff, helps to establish the reasons for the inability to move the arm in the shoulder joint.
Specialists of the Department of Traumatology-Orthopedics in Clinic + 31 perform the following types of operations on the shoulder joint:
- Rotator Seam
- Decompression of the subacromial space in "impingement" syndrome
- Fixation of the cartilaginous lip and capsule-ligamentary complex with joint instability.
Often it is necessary to perform arthroscopic refixation of the articular lip (in case of Bankart damage or SLAP damage), tenodesis. At the same time, special titanium or absorbable arthroscopic anchor fixators are used for flashing and for fixing the torn portion of the articular lip to the edge of the articular cavity.
Joint arthroscopy for injuries of the rotational (rotator) cuff of the shoulder
Around the head of the humerus are several tendons that form the rotational (rotator) cuff of the shoulder. Its structure includes the tendons of the supraspinatus, infraspinatus, small round and subscapularis muscles. These muscles are designed to stabilize the head of the shoulder, they press it to the articular cavity during abduction of the arm (initial phase), provide rotation of the shoulder in and out. If damage occurs to one or more tendons of the rotator cuff, a violation of the biomechanics of the shoulder joint occurs, mobility is limited, and pain occurs when the arm is abated.
The Department of Traumatology-Orthopedics of Clinic + 31 conducts a diagnosis of the cuff of the shoulder based on the characteristic symptoms and data from an MRI scan. With a complete rupture of the tendons or the threat of their development, the specialists of the Clinic + 31 unconditionally recommend minimally invasive arthroscopic treatment.
Habitual dislocation of the shoulder, instability of the shoulder joint
In some cases, after an injury and a primary, the so-called traumatic dislocation, instability of the shoulder joint or the usual dislocation of the shoulder appear. With minor injury or even with an awkward movement, repeated displacements occur. Their causes are damage to the capsule and articular lip (Bankart damage), or defects in the articular surface of the scapula. Bone defects on the back of the shoulder head (Hill-Sachs damage) are also quite common.
Specialists in traumatology and orthopedics Clinks + 31 apply various methods of surgical treatment for instability of the shoulder and habitual dislocation. Arthroscopic stabilization of the shoulder joint is among the most effective. In this case, the damaged part of the articular lip is fixed to the glenoid using anchor fixators. To close the defect, the joint capsule is additionally tightened. The operation is done through skin punctures.
Impingement syndrome, subacromial bursitis, tendonitis of the supraspinatus tendon
In the area of the rotator cuff of the shoulder there is the so-called subacromial space, which plays an important role in the movement of the arm. The narrowing of this space causes compression of the anatomical formations during abduction of the arm. This, in turn, leads to pain and limited mobility.
Long-term practice of Clinic + 31 specialists has proved that subacromial decompression is the most effective way to treat such pathological conditions. Using special arthroscopic devices (shaver, boron, ablator), the removed soft tissues and bursa are removed in the subacromial space. If necessary, an edge resection of the lower surface of the acromial process or the edge of the clavicle is done. As a result of the operation, the space becomes large, and the cause of pain and limitation of function disappear once and for all.