Arthroscopy Techniques in Diagnosis and Treatment

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: closed (15 March 2024) | Viewed by 1202

Special Issue Editor


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Guest Editor
Department of Orthopaedics, Dankook University Hospital, Cheonan, Republic of Korea
Interests: orthopedic surgery; arthroscopy; musculoskeletal imaging; fracture; trauma surgery; sports injuries

Special Issue Information

Dear Colleagues,

Arthroscopy is an advanced technology that uses microcamera systems and optical principles to observe, diagnose, and treat intra-articular lesions. With the continuous development of medical technology, arthroscopy technology is increasingly used in fields such as orthopedics, sports medicine, and rheumatology. Arthroscopy technology can directly observe the structures within joints, help doctors accurately diagnose joint diseases, and can perform surgical treatment under direct vision, thereby improving the treatment effect and patients’ recovery speeds.

The aim of this Special Issue is to collect papers regarding the applications of arthroscopy technology in diagnosis and treatment. I look forward to receiving your contributions.

Dr. Jae-Sung Yoo
Guest Editor

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Keywords

  • arthroscopy
  • diagnosis
  • orthopedics
  • musculoskeletal
  • joint
  • knee
  • tendon

Published Papers (2 papers)

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Research

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9 pages, 791 KiB  
Article
Assessing the Predictive Accuracy of the Eaton–Littler Classification in Thumb Carpometacarpal Osteoarthritis: A Comparative Analysis with the Outerbridge Classification in a Cohort of 51 Cases
by Enrico Carità, Alberto Donadelli, Mara Laterza, Giacomo Rossettini, Jorge Hugo Villafañe and Pier Giuseppe Perazzini
Diagnostics 2024, 14(16), 1703; https://doi.org/10.3390/diagnostics14161703 - 6 Aug 2024
Abstract
(1) Background: The objective of this study is to evaluate the predictive value of the Eaton–Littler radiologic classification for thumb carpometacarpal osteoarthritis (CMC OA) relating to intra-articular cartilage damage assessed by the Outerbridge arthroscopic classification. (2) Methods: A total of 51 thumb CMC [...] Read more.
(1) Background: The objective of this study is to evaluate the predictive value of the Eaton–Littler radiologic classification for thumb carpometacarpal osteoarthritis (CMC OA) relating to intra-articular cartilage damage assessed by the Outerbridge arthroscopic classification. (2) Methods: A total of 51 thumb CMC OA arthroscopies were performed on patients classified as Eaton stages 1, 2, or 3. Post-arthroscopic evaluations of cartilage damage were categorized using the Outerbridge classification. Comparative analyses were conducted between the radiological Eaton stages and the arthroscopic Outerbridge stages. (3) Results: Arthroscopic examination revealed Outerbridge stage 3 and 4 cartilage damage in 26 cases classified as Eaton stage 2 and in 18 cases classified as Eaton stage 3. The detection of severe cartilage damage in patients classified as Eaton stage 2 was unexpected. (4) Conclusions: Arthroscopy demonstrated that many patients with mild radiological degenerative signs exhibited significant cartilage destruction. Although the Eaton classification is widely used for staging thumb CMC OA, it may not accurately reflect the severity of intra-articular damage. The Eaton classification does not reliably predict intra-articular damage in Eaton stage 2 cases. Full article
(This article belongs to the Special Issue Arthroscopy Techniques in Diagnosis and Treatment)
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Review

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16 pages, 2705 KiB  
Review
The Role of Arthroscopy in Contemporary Glenoid Fossa Fracture Fixation
by Byron Chalidis, Polychronis P. Papadopoulos, Pericles Papadopoulos and Charalampos Pitsilos
Diagnostics 2024, 14(9), 908; https://doi.org/10.3390/diagnostics14090908 - 26 Apr 2024
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Abstract
Glenoid fossa fractures are rare injuries accounting for 10 to 29% of all intra-articular scapula fractures. They are usually the result of high-energy trauma, and concomitant injuries are not uncommon. Patients with glenoid fractures are admitted with shoulder pain and restricted range of [...] Read more.
Glenoid fossa fractures are rare injuries accounting for 10 to 29% of all intra-articular scapula fractures. They are usually the result of high-energy trauma, and concomitant injuries are not uncommon. Patients with glenoid fractures are admitted with shoulder pain and restricted range of motion. Although shoulder plain radiographs could establish the diagnosis, a computed tomography scan is necessary to adequately define the fracture pattern and characteristics. The most commonly used classification system is that of Ideberg (modified by Goss), which includes five glenoid fossa fracture types according to the location, extension, and complexity of the lesion. Articular surface displacement and step-off are the most important factors that should be taken under consideration when deciding for conservative or surgical management. Operative treatment includes open reduction and internal fixation through a posterior or anterior approach depending on fracture morphology and displacement. However, open surgical techniques are related to extensive soft-tissue disruption, risk of neurovascular injury, and inadequate exposure of the entire glenoid cavity. Introduction of arthroscopy could facilitate better visualization of the glenoid articular surface and improved fracture reduction. However, it is a technically demanding procedure with many challenges and pitfalls. The aim of this review is to summarize the current evidence regarding the treatment of glenoid fossa fractures and present the beneficial effect of arthroscopy in improving the quality of fracture fixation and overall functional outcomes. Full article
(This article belongs to the Special Issue Arthroscopy Techniques in Diagnosis and Treatment)
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