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MeSH Review

Arthroscopes

 
 
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High impact information on Arthroscopes

  • Applied pressure was lowered to 100 mm Hg to prevent the escape of anesthetic solution into the soft tissue of the leg, the prilocaine concentration was reduced to 1 gm/L, and the arthroscope was only set up after a delay to allow the intra-articular anesthetic effect of prilocaine to become established [1].
  • We also measured the concentration of pethidine and its demethylated metabolite, norpethidine, in plasma by collecting blood samples at 20, 40, 60, 80, 140 and 200 min following injection, and in synovial fluid which was collected through the arthroscope at the start and the end of the surgery [2].
  • At the end of surgery, before tourniquet release, the following were injected intraarticularly through the arthroscope: group 1, 0.25% bupivacaine; group 2, 1 mg morphine in saline; group 3, 2 mg morphine in saline; and group 4, 1 mg morphine in 0.25% bupivacaine [3].
  • At the end of the procedure 40 mg triamcinolone acetonide was injected through the arthroscope [4].
  • From this position, a 30 degrees arthroscope approaches the midline at a 30 degrees angle providing a "straight on" view of the patellofemoral joint [5].
 

Anatomical context of Arthroscopes

  • The arthroscope is inserted in the joint midline, through the patellar tendon, allowing passage through the intercondylar notch and direct visual access to the posterior compartments [6].
 

Associations of Arthroscopes with chemical compounds

  • However, Watanabe was not satisfied with the new instrument and he still preferred the conventionally illuminated No. 21 arthroscope with the offset tungsten bulb at his tip [7].
  • After reduction of the fracture, polyglactin (Vicryl) suture was passed into the knee with the use of the arthroscope to fix the fracture [8].
  • Evaluation of the palmar surface of the superficial digital flexor tendon was limited by the midline attachment of the tendon sheath, otherwise the surfaces of the tendons and tendon sheath could be examined with 25 degrees and 70 degrees arthroscopes [9].

References

  1. Prilocaine in arthroscopy: clinical pharmacokinetics and rational use. Debruyne, D., Moulin, M., Thomassin, C., Locker, B., Tartiere, J., Bigot, M.C., Besnard, M., Berthelin, C., Beguin, J. Clin. Pharmacol. Ther. (1985) [Pubmed]
  2. A comparison of 50, 100 and 200 mg of intra-articular pethidine during knee joint surgery, a controlled study with evidence for local demethylation to norpethidine. Söderlund, A., Boreus, L.O., Westman, L., Engström, B., Valentin, A., Ekblom, A. Pain (1999) [Pubmed]
  3. Postarthroscopy analgesia with intraarticular bupivacaine/morphine. A randomized clinical trial. Allen, G.C., St Amand, M.A., Lui, A.C., Johnson, D.H., Lindsay, M.P. Anesthesiology (1993) [Pubmed]
  4. Arthroscopic lavage treatment in rheumatoid arthritis of the knee. Sharma, A., Baethge, B.A., Acebes, J.C., Lisse, J.R. J. Rheumatol. (1996) [Pubmed]
  5. Proximal superomedial portal in arthroscopy of the knee. Schreiber, S.N. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. (1991) [Pubmed]
  6. Swedish arthroscopic system. Mulhollan, J.S. Orthop. Clin. North Am. (1982) [Pubmed]
  7. How cold light was introduced to arthroscopy. Kieser, C.W., Jackson, R.W. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. (2006) [Pubmed]
  8. An arthroscopic technique for the reduction and fixation of tibial-eminence fractures. Mah, J.Y., Otsuka, N.Y., McLean, J. Journal of pediatric orthopedics. (1996) [Pubmed]
  9. Endoscopy of the digital flexor tendon sheath in horses. Nixon, A.J. Veterinary surgery : VS : the official journal of the American College of Veterinary Surgeons. (1990) [Pubmed]
 
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