Office-Based Needle Arthroscopy: A Standardized Diagnostic Approach to the Shoulder

Daggett, Matthew; Stepanovich, Blake; Geraghty, Brian; Meyers, Andrew W.; Whetstone, Joseph L.; Saithna, Adnan

doi:10.1016/j.eats.2019.12.003

Cited by 15 publications

(16 citation statements)

References 8 publications

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“…Moreover, persistence of a proximal and hypertrophic stump (“hourglass biceps” 4 ) into the glenohumeral joint could induce mechanical locking and discomfort. Recently, in-office needle arthroscopic diagnoses were made possible with the miniaturization of optic devices for knee and shoulder, 5 , 6 , 7 and therapeutic procedures such as partial meniscectomy also were made possible. The purpose of the present study is to assess the feasibility of in-office biceps tenotomy (IOBT) with a needle arthroscopy.…”

mentioning

confidence: 99%

In-Office Biceps Tenotomy with Needle Arthroscopy: A Feasibility Study

Gauci

Monin

Rudel

et al. 2021

Arthroscopy Techniques

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Isolated pathology of the long head of the biceps is an indication for biceps tenotomy. To date, needle arthroscopy allows a direct diagnosis of shoulder lesion. We aimed to evaluate the technical feasibility of an in-office biceps isolated tenotomy by needle arthroscopy. Advantages were found in the fast-track process and the high rate of satisfaction in our selected patients. It was also a way to correct the diagnosis of torn biceps missed by the imaging. However, performing this procedure requires previous experience in conventional arthroscopy and should not be performed on anxious patients. Further studies will be necessary to confirm the reproducibility of this promising method, which could be a valuable alternative to heavy in-operating room process.

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mentioning

confidence: 99%

In-Office Biceps Tenotomy with Needle Arthroscopy: A Feasibility Study

Gauci

Monin

Rudel

et al. 2021

Arthroscopy Techniques

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show abstract

“…In-office needle arthroscopy is a new minimally invasive diagnostic procedure that allows the patient to actively participate in the diagnostic process and avoids the need for advanced imaging. [52] The technology has evolved for use during surgery and single-portal rotator cuff and labral repairs have been described. [53,54]…”

Section: Office-based Needle Arthroscopymentioning

confidence: 99%

Recent advances and future trends in shoulder arthroscopy

DeNiese¹,

Bhatia²

2020

JASSM

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Shoulder arthroscopy has evolved significantly over the past decade. Treatment algorithms have evolved in sync with results from cadaveric, biomechanical, and clinical studies, and newer minimally invasive and biomechanically proven surgical techniques have replaced suboptimal procedures. Advances in arthroscopy have influenced three key aspects of shoulder problems: Anterior instability, rotator cuff tears, and osteoarthritis. A new frontier of “endoscopic” extra-articular procedures has evolved and these procedures have convincingly replaced traditional open surgeries. The current evidence suggests a growing trend for arthroscopic procedures in joint preservation and restoration.

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“…The main advantage is that it can be performed under local anesthesia in patients for whom general anesthesia is not convenient; moreover, this procedure can be conducted in an outpatient clinic setting. Until recently, only diagnostic arthroscopy has been performed [ 1 ]. Recently, surgeons have developed interventions in the knee, but in shoulder surgery, needle arthroscopy has not yet made a great breakthrough [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Long head of the biceps intra-articular tenotomy using needle arthroscopy under local anesthesia: preliminary results and technical note

Rosso

Grezda

Heuberer³

2022

J EXP ORTOP

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Purpose Arthroscopic isolated biceps tenotomy is a procedure successfully performed in patients with degenerative rotator cuff tears which offers good clinical results. With this article, we describe the technique of biceps tenotomy with needle arthroscopy in local anesthesia and the results of first patients treated from 2018. Methods Thirteen patients with irreparable rotator cuff tear treated with arthroscopic needle biceps tenotomy under local anesthesia were included. Constant score and active/passive flexion were recorded preoperatively and at 3 months postoperatively. Results The average age of the patients was 71 ± 7 year old. All the patients were available for the follow-up. The Constant score significantly improved from pre- to postoperatively (44 ± 8.9 to 63.1 ± 14.2, p < 0.05). Active flexion improved from preoperatively 115 ± 24° to 145 ± 31° postoperatively (p < 0.05), while passive flexion did not significantly improve. Conclusion This technique can be safely performed in the elderly patient with irreparable rotator cuff tears and pain refractory to conservative measures.

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Office-Based Needle Arthroscopy: A Standardized Diagnostic Approach to the Shoulder

Cited by 15 publications

References 8 publications

In-Office Biceps Tenotomy with Needle Arthroscopy: A Feasibility Study

In-Office Biceps Tenotomy with Needle Arthroscopy: A Feasibility Study

Recent advances and future trends in shoulder arthroscopy

Long head of the biceps intra-articular tenotomy using needle arthroscopy under local anesthesia: preliminary results and technical note

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