Arthroscopy is a surgical procedure in which an arthroscope is inserted into a joint. Arthroscopy is a term that comes from two Greek words, arthro-, meaning joint, and -skopein, meaning to examine.
The benefits of arthroscopy involve smaller incisions, faster healing, a more rapid recovery, and less scarring. Arthroscopic surgical procedures are often performed on an outpatient basis and the patient is able to return home on the same day.
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Diagnosing joint injuries and disease begins with a thorough medical history, physical examination, and usually X-rays. Additional tests such as an MRI, or CT scan also may be needed. Through the arthroscope, a final diagnosis is made which may be more accurate than through "open" surgery or from X-ray studies.
Although the inside of nearly all joints can be viewed with an arthroscope, six joints are most frequently examined with this instrument. These include the knee, shoulder, elbow, ankle, hip, and wrist. As engineers make advances in electronic technology and orthopaedic surgeons develop new techniques, other joints may be treated more frequently in the future.
Some problems associated with arthritis can also be treated. Several disorders are treated with a combination of arthroscopic and standard surgery.
Disease and injuries can damage bones, cartilage, ligaments, muscles, and tendons. Some of the most frequent conditions found during arthroscopic examinations of joints are:
The rotator cuff is a band of muscles that surrounds the joint formed by the upper arm bone or humerus that connects to the shoulder blade or scapula. The rotator cuff is stiff enough to hold the joint together, but is also flexible enough to allow the arm to reach and lift.
Rotator cuff injuries are common among baseball pitchers, tennis players and other athletes who frequently exert an overhand throwing or swinging motion. Non-athletes who engage in frequent lifting or reaching activities, such as stacking cans on a high shelf, can also develop rotator cuff problems.
Most shoulder problems are the result of overuse or traumatic injury. Athletes who participate in contact sports, such as hockey or football, often suffer shoulder injuries. Frequent lifting and repetitive arm rotation can also cause wear and tear on the shoulder. Inflammatory diseases such as arthritis and bursitis may develop over time.