Acl and pcl reconstruction.
Arthoscopy medial gutter knee.
Arthroscopy is a surgical technique that can be applied to perform the following types of procedures.
Removal of loose bodies.
Diagnostic arthroscopy is a crucial skill for diagnosing intra articular disorders of the knee including meniscal.
Chondral defect repair including microfracture.
Medial knee chondral surfaces and meniscus and easier use of arthroscopic instrumentation in the medial compartment.
May 15 2009 1 hi all just looking for some help to educate my docs.
I d say you could bill for the lateral and medial menisectomy.
Therefore in the knee arthroscopy does not routinely visualize and evaluate abnormalities of the superficial medial collateral ligament complex soft tissue structures of the posterolateral corner the extensor mechanism the pes anserine and semimembranosus tendons and popliteal cysts.
The knee should be placed in flexion of approximately 20 to 30 and the valgus force applied to open up the medial compartment.
Arthroscopy knee w lateral gutter.
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.
During a meniscectomy the surgeon removes a piece of the torn meniscus or the entire meniscus.
Inspection of the medial compartment is performed with the knee slightly flexed to allow the scope to enter the compartment over the anterior horn of the medial meniscus.
The sl portal is established about 2 cm superior and 2 cm lateral to the sl edge of the patella.
This nonconsecutive case series highlights a distinctive clinical finding that correlates with inferiorly displaced flap tears of the medial meniscus that become trapped in the medial gutter of the knee as identified through magnetic resonance imaging mri and arthroscopy.
Synovial biopsy or synovectomy.
The al and am portals are established through the standard al and am soft spots standard knee arthroscopy portal sites whereas the sm portal is established 2 cm superior and 2 cm medial to the sm edge of the patella.
Diagnostic arthroscopy medial and lateral meniscectomies shaving chondroplasty most microfracture techniques removal of loose bodies and all inside meniscal repair as well as many others.
They do not place any significant neurovascular structures at risk are easy to identify and facilitate a wide variety of procedures.
The two primary portals anterolateral and anteromedial are the workhorse portals of knee arthroscopy fig.
Md did synovectomy and chondroplasty both in patellofemeral joint.
Start date may 15 2009.