Arthroscopy
Cruciate ligament ganglion
Location
- 85 intra-articular ganglions
- 49 ACL, 16 PCL
- 12 from anterior horn meniscus, 3 posterior horn meniscus
- 3 from fat pad
Cruciate ligament ganglion
Technique
Surgical technique PDF using trans-septal portal
Internal snapping hip
Cause
Movement of iliopsoas tendon over femoral head / iliofemoral ridge / iliofemoral ligament
Arthroscopic Screw in Situ
Medial femoral condyle
Technique
Arthroscope in lateral portal
Clear fat pad
Ensure can see entire dimensions of OCD
If fragment is displaced, reduce and pin with accessory K wire
Remplissage
Indications
Engaging Hill Sachs
PVNS
Definition
Pigmented Villo-Nodular Synovitis
- benign inflammatory process that arises in synovial tissues
- contains significant amounts of hemosiderin
Epidemiology
Age: 20 - 50
Sex: M > F
Types
A. Diffuse
- throughout joint synovium
- more difficult to treat / excise fully
Loose Bodies
Source
OCD
OA - Osteophytes
Meniscus
Symptoms
Pain
Locking
Clicking
Can cause chondral damage
Xray
OA Loose Bodies
Background
Anatomy
Size
2 x as strong as ACL
About the same length as ACL 38 mm
Cross sectional area 150% of ACL
13 mm diameter (thicker)
2 Bundles
1. Anterolateral
- most important
- double the size of the posteromedial
- tight in flexion
- try to reconstruct this bundle