Arthroscopy is a minimally invasive surgical technique that allows your healthcare provider to look inside your joints using a small camera called an arthroscope. It’s used for both diagnosing and treating conditions affecting the joints, such as torn meniscus, shoulder impingement, and ankle sprains. Unlike open surgery, which requires a large incision, arthroscopy involves smaller incisions, resulting in less tissue damage and a quicker recovery.e60dc2a1-f33c-4a05-9b50-8e3e8e5976297f53b814-3d70-4011-838b-6aebea3ddb3c
Types of Arthroscopy Types There are various types of arthroscopy that differ by the joints it’s used to investigate and treat. Healthcare providers can use an arthroscope to view inside nearly all of the joints in the body, but they most often use it for just six joints, according to the American Academy of Orthopaedic Surgery. These joints are the: Knee Shoulder Elbow Ankle Hip Wrist
Why Is Arthroscopy Done? Why It’s Done Your doctor might recommend arthroscopy if you’re experiencing issues affecting your joints, tendons, or ligaments, such as pain and stiffness, inflammation or swelling, and joints popping out of normal position. In terms of diagnosing joint issues, arthroscopy typically follows other diagnostic procedures, including X-rays, computerized tomography (CT) scans, and magnetic resonance imaging (MRI) scans.e60dc2a1-f33c-4a05-9b50-8e3e8e59762911ff3aef-9f54-4ab1-8632-5422cea8175f Arthroscopy is also used to treat a wide range of problems or conditions affecting your joints, tendons, or ligaments, including: Torn meniscus (tear in the cushioning pads of cartilage in the knee) Anterior cruciate ligament (ACL) tears Problems with the patella (kneecap)e60dc2a1-f33c-4a05-9b50-8e3e8e597629631d05b8-701e-4a3a-8bf8-368919654565 Patellar tendon rupture of the knee Cartilage damage Shoulder rotator cuff tears Frozen shoulder Recurrent shoulder dislocatione60dc2a1-f33c-4a05-9b50-8e3e8e597629bca5e41a-11f9-4e61-9a71-ff89fe5ebf35 Hip labral tears Hip dysplasia (an abnormality of the hip joint in which the socket portion does not fully cover the ball portion) Femoroacetabular impingement, a bony overgrowth in the hip Snapping hip syndrome, which causes tendon damage from repeated rubbing across the outside of the hip jointe60dc2a1-f33c-4a05-9b50-8e3e8e597629879dede8-b6cd-4654-9430-5cdbadf88f27 Sciatic nerve compression Ankle sprains Ankle bone spurs (abnormal bony growths)e60dc2a1-f33c-4a05-9b50-8e3e8e5976294c1e6051-affd-4ddc-a0e3-91a921d63dd5 Impingement (pinching) of the shoulder, hip, or ankle Tennis elbow Golfer’s elbow Loose bodies (small bits of bone or cartilage) in the joint Chronic wrist paine60dc2a1-f33c-4a05-9b50-8e3e8e5976292403b302-17d9-4c46-a417-99a565e1bc91 Wrist ligament tears Wrist fractures Carpal tunnel syndrome Ganglion cysts (lumps that develop in the wrist)e60dc2a1-f33c-4a05-9b50-8e3e8e597629418c1c04-6cb2-4c75-8fb9-f4783f32889b Arthritis Synovitis, inflammation of the lining of the joint Arthrofibrosis, excess scar tissue in the knee (caused by previous injuries) Septic arthritis, or joint infection (along with medical and antibiotic management) Baker’s cyst, a buildup of synovial fluid inside the joint that causes joint stiffness and swelling e60dc2a1-f33c-4a05-9b50-8e3e8e59762911ff3aef-9f54-4ab1-8632-5422cea8175f Temporomandibular disorder, a condition affecting the jaw joint and muscles Compared with open surgery for joints, arthroscopy is associated with:e60dc2a1-f33c-4a05-9b50-8e3e8e597629219ac133-9d50-442a-b2d8-7189ef54a059 Fewer complications Shorter (or no) hospital stay Lower cost Quicker recovery
How Is Arthroscopy Performed? How It’s Performed Arthroscopy is performed using an instrument called an arthroscope, which contains a small telescopic video camera and fiber optic lighting system to magnify and light up the inside of a joint. Knee arthroscopes are the width of a pencil, while those used for smaller joints, like the ankle and wrist, are thinner. Surgeons can view live video from the arthroscope on a computer screen.e60dc2a1-f33c-4a05-9b50-8e3e8e597629dd38eb4c-5ffd-4a8e-9287-ce3d22c63d8b The procedure varies depending on the type of arthroscopy the surgeon is performing. Generally, arthroscopy involves several steps, including: While on an operating table, you will receive local, regional, or general anesthesia . Your medical team will position your body to give them the best access to your joint, such as bending your knee, and then clean the joint area with antiseptic solution.e60dc2a1-f33c-4a05-9b50-8e3e8e59762923f24e58-cdcd-44b4-9f6d-0c77242b9c6f Your surgeon will make a buttonhole-size incision and insert the arthroscope. They may make additional incisions to insert an irrigation device and surgical instruments. You will receive corrective surgery, if necessary. You will receive stitches or adhesive strips to close the incisions and sterile bandages or dressings.
How Do I Prepare for Arthroscopy? How to Prepare Preparation for arthroscopy is straightforward but important. Your healthcare provider will review your medical history and medications — make sure to let them know about any blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs) , as well as any supplements (including herbal compounds), you are taking — and give you specific instructions based on your health and the joint being treated. This will include:e60dc2a1-f33c-4a05-9b50-8e3e8e597629f74f0e56-cf1c-4027-8f39-a09967dae2d9 Which medications you should start or stop leading up to the day of the surgery What and when you are allowed to eat or drink before your surgery Whether you’ll need to do rehabilitation exercises after your surgery If your arthroscopy requires sedation or general anesthesia, you will need to arrange for someone to pick you up after your surgery, as you will not be allowed to drive.e60dc2a1-f33c-4a05-9b50-8e3e8e5976296333986c-123b-4ab9-a42b-f6d6a01535b7 Also make sure to stop smoking as soon as possible before the surgery. People who smoke have poorer outcomes following orthopedic surgeries.e60dc2a1-f33c-4a05-9b50-8e3e8e59762990a8568d-a422-4cdd-a31b-036e71618160
What Should I Expect During Arthroscopy? What to Expect You will not feel any pain during your arthroscopy due to anesthetic drugs. You may also be asleep or completely unconscious and not remember anything from the procedure. The procedure will likely last 30 minutes to more than an hour, depending on the specific surgery you require.e60dc2a1-f33c-4a05-9b50-8e3e8e59762973a8674a-498d-49f1-96ae-0ca3f9972266 Afterward, you’ll spend some time in recovery and may meet with a physical therapist to discuss at-home exercises to do. If necessary, you may receive a sling, splint, or crutch. You will likely be able to go home the same day.e60dc2a1-f33c-4a05-9b50-8e3e8e5976291f39e5b0-3dae-40e9-b67d-78a705e0d1b8
What Are the Potential Risks Associated With Arthroscopy? Risks Arthroscopy is generally safe, but as with any surgical procedure, there are risks. These include:e60dc2a1-f33c-4a05-9b50-8e3e8e5976297a8e9c9c-f24a-42df-8bfa-99f16d97f379 Infection Blood clots Bleeding and bruising Anesthesia reactions, such as an allergic reaction to the medications Damage to nearby tissues, including ligaments and cartilage Nerve damage
What Type of Care Is Needed Following Arthroscopy? Follow-Up Care Recovery care is a crucial part of the healing process. You may be instructed to: Rest and elevate the joint, especially in the first few days Limit your activity and use of the joint for 24 to 48 hours after a diagnostic arthroscopy, and longer if other procedures were donee60dc2a1-f33c-4a05-9b50-8e3e8e597629561c67b2-3b03-4ea0-8c2e-a20135712efb Use ice therapy to reduce swelling and pain Take over-the-counter or prescription pain medications Keep your incisions clean and dry Undergo physical therapy to restore strength and mobility, and carry out any recommended joint exercises
What Are the Possible Complications and Side Effects of Arthroscopy? Complications Serious complications from arthroscopy are relatively rare, occurring in less than 1 in 100 operations.e60dc2a1-f33c-4a05-9b50-8e3e8e597629c2a55190-1015-4887-a6ad-ffe9ec4ba7fa They can include: Deep vein thrombosis , a serious blood clot that can cause pain and swelling in the limbs Septic arthritis, a joint infection that can cause high fever, pain, and swelling Temporary or permanent numbness and loss of sensation from damage to the nerves near the operated joint Scarring Tendon tearinge60dc2a1-f33c-4a05-9b50-8e3e8e597629d5930dc3-f6c0-40ec-8d0c-1938a61b5b2a Contact your healthcare provider immediately if you experience:e60dc2a1-f33c-4a05-9b50-8e3e8e597629eb53ddc1-20a1-419f-8134-aed3486c6423 Increasing joint pain Severe swelling Discharge (fluid, pus, or blood) at the incision site High fever Nausea or vomitinge60dc2a1-f33c-4a05-9b50-8e3e8e597629911466ae-211c-4e14-9ee6-7657cd10414a Numbness or tingling in the affected extremitye60dc2a1-f33c-4a05-9b50-8e3e8e5976295d0fcd0d-30f6-4ad3-a425-796e14b8b828
What’s Next You may need to take a week or two off from work when you undergo an arthroscopy procedure. However, it’s not uncommon for people to return to work or school activities within days after surgery.e60dc2a1-f33c-4a05-9b50-8e3e8e597629d669b408-8988-481d-87c5-ac5809ee072de60dc2a1-f33c-4a05-9b50-8e3e8e597629079552a0-10a3-408f-a053-83ef6d59504e Your recovery time from arthroscopy varies depending on the surgery. These are general estimates:e60dc2a1-f33c-4a05-9b50-8e3e8e597629036ce02e-703d-4ee2-b006-0eb15dfbca0f Knee: one to four weeks Shoulder: four to six weeks to several months Hip: weeks to months Ankle: at least four to six weeks Make sure to get plenty of rest as you recover and attend any follow-up appointments scheduled with your provider.
The Takeaway Arthroscopy offers a minimally invasive, highly effective way to diagnose and treat a range of joint problems. It has a solid track record of success and a generally smooth recovery, especially compared with open joint surgery. Arthroscopy risks are minimal and complications are rare. Preparing well, understanding the process, and following post-op care instructions will give you the best chance at a full, healthy, and speedy return to activity.
Resources We Trust Cleveland Clinic: Arthroscopy Hospital for Special Surgery: Hip Arthroscopy American Academy of Orthopaedic Surgeons: Knee Arthroscopy Cleveland Clinic: Shoulder Arthroscopy American Academy of Orthopaedic Surgeons: Wrist Arthroscopy
Read the full article here
Leave a comment
