Avoiding complications in elbow arthroscopy

Harrison, W. D.; Tonge, Xenia; Bhalaik, Vijay

doi:10.1016/j.jajs.2019.01.001

Cited by 1 publication

(1 citation statement)

References 19 publications

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“…However, due to the tight space between the joints of the upper limb and the complexity of the shape and adjacent musculotendinous and neurovascular structures, the technical requirements for upper extremity arthroscopic surgeries are high, and not many surgeons are yet trained enough to perform the surgery yet [4,5]. In addition, the field of view may be narrow especially in stiff joints, making it difficult to adequately evaluate intra-articular structures, including cartilage and joint capsules, and they are prone to procedural errors such as excessive resection and intra-articular bleeding, which may result in damage to important extra-articular structures [6]. Complications such as contractures owing to iatrogenic damage to the joint capsule, ligaments, and cartilage; postoperative ganglions; damages to nerves and vessels have also become an issue [4,7].…”

Section: Introductionmentioning

confidence: 99%

Intra-Articular Ultrasonography Probe for Minimally Invasive Upper Extremity Arthroscopic Surgery: A Phantom Study

Oyama,

Niimi,

Mori

et al. 2023

JCM

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Background: Upper extremity arthroscopic surgery is a highly technique-dependent procedure that requires the surgeon to assess difficult cartilage conditions and manage the risk of iatrogenic damage to nerves and vessels adjacent to the joint capsule in a confined joint space, and a device that can safely assist in this procedure has been in demand. Methods: In this study, we developed a small intra-articular ultrasound (AUS) probe for upper extremity joint surgery, evaluated its safety using underwater sound field measurement, and tested its visualization with a phantom in which nerves and blood vessels were embedded. Results: Sound field measurement experiments confirmed the biological safety of the AUS probe’s output, while confirming that sufficient output power level performance was obtained as an ultrasound measurement probe. In addition, images of blood vessels and nerves were reconstructed discriminatively using A-mode imaging of the agar phantom. Conclusions: This study provides proof-of-concept of the AUS probe in upper extremity surgery. Further studies are needed to obtain approval for use in future medical devices.

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