Arthroscopy is a surgical procedure in which the inside of the joint IS examinED with optical instruments connected with the camera.In this way it is possible to sometimes treat damaged joint elements.The advantage of arthroscopic surgery in comparison to standard surgical method is in the access – arthrotomy, is that it is less invasive, the procedure inflicts less damage connective tissue, provides better visibility to the inside of the joint and faster time of recovery after an intervention which is especially important for athletes.
When operating, smaller surgical instruments are used and are inserted into the joint through one or more additional cuts.
During an arthroscopical examination, an orthopedic surgeon makes a small incision in the skin of the patient, through which he inserts an optical instrument (Arthroscope) containing the lens system and lighting for magnification and illumination images of structures inside the joint.The image is transmitted with optical fibers to a small camera that is connected to a monitor on which the surgeon looks inside the joint during examination or therapeutic procedure.
In this way you can see the condition of the articular cartilage, ligaments, joint capsules and other structures and decide on further treatment.
Diagnosis of articular injury is established by anamnesis(discussion with the patient), clinical examination, and usually, the radiographic examination.Sometimes, additional procedures such as magnetic resonance imaging (MRI) or computed tomography (CT) may be necessary.
Diagnose during arthroscopy can be more reliable than after open surgical procedure or radiographic testing.
Almost all joints in the body can be examined arthroscopically.Today are widely used arthroscopy of knee , shoulder, wrist and ankle, and lesser hip, elbow and small joints.
Arthroscopies are used in diagnostics and treatments of inflammatory joint conditions (synovitis), acute and chronical ankle injuries.
Arthroscopy of the shoulder
On the shoulder, arthroscopy is used in the treatment of shoulder instability (recurrent dislocation), damage of tendons in the shoulder area, cartilage and loose bodies and the treatment of painful limitation of motion caused by the narrowing of the space between the proximal upper arm and acromioclavicular wrist, the so-called “impingement” syndrome.