Saturday, September 12, 2009

Using Arthroscopy to Diagnose & Treat Knee Problems

By Dr. Richard Edelson

Arthroscopy is the use of a miniature camera to view the interior of a joint. It is particularly useful when diagnosing and treating damaged or diseased knees. Using an arthroscope, an orthopedic surgeon can get a clear view of the inside of the knee and make a definite decision as to how to treat the condition.

Modern arthroscopes and high resolution cameras make this hi-tech solution a very effective method for diagnosis and treatment of ailing knees.

The Parts of the Knee

The knee is made up of three bones: The patella, the tibia, and the femur. The juncture of these bones is cushioned by articular cartilage, which allows them to move easily.

Synovial membrane coats the remaining surfaces of the knee. This thin, smooth tissue liner produces a unique lubricating fluid that prevents friction and allows the healthy knee to function smoothly.

The three bones that make up the largest joint in the body are the shin bone (tibia), thigh bone (femur) and knee cap (patella). The entire structure is held together by ligaments that run between the tibia and femur. The patella moves along a groove in the end of the femur. The strong muscle of the thigh provides support and stability.

Click here for more on knee arthroscopy .

Knee Difficulties

When knees are healthy, they function smoothly; however, knees take a beating every day. They are used almost constantly as we go about our daily tasks. After a while, the knees become worn by work, sports, injuries, aging, arthritis, and general weakening of the tissues. The result is pain and a general loss of function.

This is where arthroscopy comes in handy to diagnose and treat:

Chondromalacia, which is the softening of articular cartilage and/or damage to joint surfaces.

When rheumatoid or gouty arthritis is present and the synovial membrane becomes inflamed, it is called crystalline arthropathy.

Patellar instability and misalignment.

Problems with the knee joint can be seen using arthroscopy.

Damaged meniscal cartilage.

Loose and/or fragmented bone and cartilage can be located.

The posterior and anterior cruciate ligaments can become torn.

Using arthroscopy, these problems can be located and assessed. This tool is extremely helpful to orthopedic surgeons. Using arthroscopy, diagnosis becomes more accurate and easier. This, in turn, makes treatment more effective and efficient.

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