Arthroscopy

Results

Location

Krudwig et al KSSTA 2004

- 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

Cause

Movement of iliopsoas tendon over femoral head / iliofemoral ridge / iliofemoral ligament

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

Indications

Engaging Hill Sachs

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

Definition

Source

OCD

OA - Osteophytes

Meniscus

Symptoms

Pain

Locking

Clicking

Can cause chondral damage

Xray

OA Loose Bodies

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

Causes

Most common

- fascia lata on greater trochanter

- iliopsoas on lesser trochanter

1.  Intra-articular structures

- labrum

- ligamentum Teres

- loose bodies

- synovial chondromatosis

- osteochondoma

2.  Extra-articular structures

- fascia lata on greater trochanter (common)