equis - Articles
Intercarpal: arthroscopy
Introduction
- Arthroscopy is a useful tool for both diagnosis and treatment of intercarpal joint lesions Joint: arthroscopy - overview but it is a procedure which should only be carried out by specialists in the field.
Uses
- Removal of osteochondral chip fractures Carpus: fracture - chip .
- Treatment of third carpal slab fractures Carpus: fracture - slab
. - Diagnosis and treatment of medial palmar intercarpal ligament injuries Carpus: intercarpal ligament (MPICL) - trauma
. - Diagnosis and debridement of subchondral lesions in degenerative joint disease Musculoskeletal: osteoarthritis (joint disease) or trauma
. - Joint sepsis Carpal joint: disease - overview .
Advantages
- Minimally invasive with reduced trauma and fewer complications.
- Improved visibility.
- Multiple arthroscopies can be performed in multiple joints on one occasion.
- Good cosmetic appearance following surgery.
- Shorter operating time vs. arthrotomy.
- Reduced convalescence vs. arthrotomy.
- Better prognosis for return to previous level of performance (and beyond) vs. arthrotomy.
Disadvantages
- Expensive equipment.
- High levels of surgical expertise, knowledge and experience of technique required.
Alternative techniques
- Arthrotomy.
Time required
Preparation
- Induction of anesthesia Anesthesia: induction - overview and aseptic preparation.
Procedure
- Depends on whether diagnostic and/or surgical procedures are undertaken: 30120 min.
Decision taking
Criteria for choosing test
- Identification on radiography or scintigraphy of lesion amenable to arthroscopic surgery
. - Lameness localized to carpal joint by intra-articular anesthesia +/- absence of conclusive diagnosis.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
Other sources of information
- Ross M W & Dyson S J (2003) Eds. Diagnosis and Management of Lameness in the Horse. Saunders.
- McIlwraith C W & Robertson J T (1998) Equine Surgery Advanced techniques. 2nd edn. Williams & Wilkins.