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Background and Aims: In-office needle arthroscopy (IONA) has emerged as a valuable diagnostic and therapeutic tool in orthopedic practice. It offers a minimally invasive approach to evaluating and treating various joint conditions. This review aims to explore the clinical applications, benefits, and challenges of IONA in orthopedic practice. Materials and Methods: A comprehensive literature search was conducted to identify relevant studies on IONA. The included articles were analyzed to extract information on the clinical applications, techniques, outcomes, and limitations of this procedure. Results: IONA has been successfully applied to a wide range of joints, including the knee, shoulder, ankle, wrist, elbow, and hip. It has demonstrated superior diagnostic accuracy compared to traditional imaging techniques, particularly for intra-articular pathologies. IONA can be used for both diagnostic purposes and therapeutic interventions, such as meniscus repair, rotator cuff repair, labral repair, and synovial biopsy. Conclusion: IONA offers a minimally invasive and cost-effective approach for diagnosing and treating various orthopedic conditions. It provides accurate visualization, reduces the need for traditional surgical procedures, and improves patient outcomes. However, further research is needed to establish its long-term efficacy and identify its optimal applications.
Background and Aims: In-office needle arthroscopy (IONA) has emerged as a valuable diagnostic and therapeutic tool in orthopedic practice. It offers a minimally invasive approach to evaluating and treating various joint conditions. This review aims to explore the clinical applications, benefits, and challenges of IONA in orthopedic practice. Materials and Methods: A comprehensive literature search was conducted to identify relevant studies on IONA. The included articles were analyzed to extract information on the clinical applications, techniques, outcomes, and limitations of this procedure. Results: IONA has been successfully applied to a wide range of joints, including the knee, shoulder, ankle, wrist, elbow, and hip. It has demonstrated superior diagnostic accuracy compared to traditional imaging techniques, particularly for intra-articular pathologies. IONA can be used for both diagnostic purposes and therapeutic interventions, such as meniscus repair, rotator cuff repair, labral repair, and synovial biopsy. Conclusion: IONA offers a minimally invasive and cost-effective approach for diagnosing and treating various orthopedic conditions. It provides accurate visualization, reduces the need for traditional surgical procedures, and improves patient outcomes. However, further research is needed to establish its long-term efficacy and identify its optimal applications.
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