(Fiberoptic Joint Examination)
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Arthroscopy is a surgery done to examine a joint visually. Most of the time, it is done on larger joints, like the knee or shoulder. A special tool called an arthroscope is used. It is an instrument that looks like a long tube with a miniature camera on the end. Repairs or corrections to the joint may be done by using the arthroscope and other tools.
Reasons for Procedure
It is used to see, diagnose, and treat problems inside your joint. The procedure is most often performed for the following reasons:
- Diagnose an injury or disease inside a joint
- Remove bone or cartilage
- Repair tendons or ligaments
Complications are rare, but no procedure is completely free of risk. If you are planning to have an arthroscopy, your doctor will review a list of possible complications, which may include:
- Blood clots
- Swelling or bleeding
- Damage to blood vessels, nerves, or other tissue
- The need to have another surgery or more extensive surgery
Factors that may increase the risk of complications include:
What to Expect
Prior to Procedure
- Your doctor will likely do the following:
- Arrange for a ride to and from the procedure.
- The night before, do not eat or drink anything after midnight.
- You may be asked to use a special soap the morning of the procedure.
The type of anesthesia will depend on the joint your doctor is looking at. You may receive one of the following:
Description of the Procedure
The doctor will make tiny incisions in the skin along the joint. Special tools will be inserted through the incisions. The tools include the arthroscope. The picture from the arthroscope will show up on a screen so that the doctor can see the inside of your joint. The doctor will use the images to move around other tools that can cut and repair tissue in your joint.
- Some ]]>meniscal (cartilage) tears]]> in the knee will be repaired by cutting out some of the cartilage.
- ]]>Carpal tunnel syndrome]]> in the wrist may be treated by loosening the ligament that puts pressure on the nerves.
Once the examination is done, the tools will be removed. The skin may be closed with stitches or clips. The incisions will be covered with a dressing. The fluid or tissue that was removed may be sent to a lab for examination.
Arthroscopy of the Shoulder
How Long Will It Take?
Usually less than one hour, but this may be longer if repairs are being done.
Will It Hurt?
Most patients report no pain during the procedure. After the procedure, pain medicines are used to treat pain.
The dressings can sometimes be removed as early as the next morning. When you return home after the procedure, do the following to help ensure a smooth recovery:
- You may apply ice for the first 24 to 48 hours after surgery to help with swelling and pain.
- While resting in bed, elevate the part of your body that you had surgery on.
- Keep the incision area dry for the first 24 hours. After a day, it is usually fine to shower or rinse the area, but soaking the area in water is not recommended.
- You may be instructed to use crutches or a cane for the first few days if the surgery was done on a joint in your legs.
- Take only non-aspirin containing medicines for minor pain.
- If you have stitches or staples, your doctor will remove them in 7-10 days.
- Be sure to follow your doctor’s instructions .
It takes 4-6 weeks for the joint to recover. You can probably go back to work or resume daily activities within a few days, as long your doctor approves. A specific activity and rehabilitation program may be suggested. This will help speed your recovery and protect future joint function.
Athletes often return to athletic competition within a few weeks.
Note: Repair of the anterior cruciate ligament (ACL) by arthroscope may require a recovery time of 4-6 months and a more specialized rehabilitation program.
Call Your Doctor
After arriving home, contact your doctor if any of the following occurs:
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines you have been given
- Cough, shortness of breath, or chest pain
- Joint pain, fatigue, stiffness, rash, or other new symptoms
- Swelling, tingling, pain, or numbness in your toes that is not relieved by elevating your knee above heart level for one hour
In case of an emergency, CALL 911 .
American Academy of Orthopedic Surgeons
The Arthritis Society
Canadian Orthopaedic Association
Arthroscopy Association of North America website. Available at: http://www.aana.org/ . Accessed July 10, 2009.
Lindström D, Azodi O, Wladis A, et al. Effects of a perioperative smoking cessation intervention on postoperative complications: a randomized trial. Ann Surg . 2008;248:739-745.
What is arthroscopy? American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00109 . Updated October 2007. Accessed July 10, 2009.
Yacub J, Rice B, Dillingham T. Nerve injury in patients after hip and knee arthroplasties and knee arthroscopy. Am J PhysMed Rehabil . 2009;88:635-641.
Last reviewed November 2009 by ]]>John C. Keel, MD]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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