In-Office Needle Arthroscopy of the Knee With Lateral Parapatellar Retinacular Release

The lateral patellofemoral joint, composed of multiple soft-tissue structures, balances the knee by aiding patella tracking, stability, and force distribution. Arthroscopic lateral release is a well-described procedure that addresses patellofemoral knee pain and, in cases with patellar instability,...

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Detalles Bibliográficos
Autores principales: Neal, William H.E., Kirschner, Noah, Owusu-Sarpong, Stephane, Colasanti, Christopher A., Fariyike, Babatunde, Bi, Andrew S., Azam, Mohammad T., Stone, James W., Kennedy, John G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10628066/
https://www.ncbi.nlm.nih.gov/pubmed/37942101
http://dx.doi.org/10.1016/j.eats.2023.06.011
Descripción
Sumario:The lateral patellofemoral joint, composed of multiple soft-tissue structures, balances the knee by aiding patella tracking, stability, and force distribution. Arthroscopic lateral release is a well-described procedure that addresses patellofemoral knee pain and, in cases with patellar instability, may be combined with medial stabilization. In-office needle arthroscopy is an up-trending technique that simultaneously diagnoses and treats patellofemoral pathology in the office, leading to a quicker patient recovery, reduced cost, and improved patient satisfaction. The purpose of this Technical Note is to describe in-office needle arthroscopy technique to address patellofemoral pain and lateral patellar mal-tracking, with special consideration for achieving adequate local anesthesia, proper indications, adequate visualization, and the advantages of performing these procedures in the office rather than the operating room.