Arthroscopy & Sports Injuries
The term arthroscopy means to look into a joint (Arthro means joint and scopy means to look). It is a keyhole incision surgery. Until recently surgery on the inside of any joint meant making a large incision and opening the joint to do even the most minor procedure. Few years ago introduction of optical and fiber optic equipment in orthopaedics began changing that and today it is possible to do many surgeries through arthroscopy.
A: Acute injuries occur suddenly when playing or exercising.
Signs of acute injury include
- Sudden, Severe Pain
- Not being able to place weight on a leg, knee, ankle or foot.
Chronic injuries (also termed as overuse injuries) happen after you play a sport or exercise for a long time. Signs of chronic injuries include
- Pain when you play
- Pain when you exercise
- Pull aching pain
A: Never try to 'work through' the pain of a sports injury. Stop playing or exercising when you feel pain. Give the injured area complete rest & apply ice for 10-15 minutes. The affected area may be given elevation above the level of the heart & compression with a elastic bandage. Remember, prevent swelling.
Call a doctor when
- The injury causes severe pain, swelling or numbness.
- When old injury swells.
- When the joint does not feel normal or stable
A: As they say, Prevention is better than cure. At Sancheti Hospital, we believe in a prevention oriented proactive philosophy.
Incase of an injury, the first line of management is
R - Rest
I - Ice application
C - Compression
E - Elevation
R - Refer to appropriate Specialist
Here are some methods your doctor does to treat your sports injury
- Non-steroidal anti-inflammatory drugs (NSAIDS) These drugs reduce swelling & pain.
- Immobilization It is a common treatment which prevents more damage.
- In severe cases, surgery may be needed to stabilize the area & help in improving the function & faster recovery to sports.
- Rehabilitation with the help of various therapeutic modalities & tools also helps in accelerating the healing process. Your doctor will guide you through these options as well.
Sports injuries are injuries that happen when playing sports or exercising. Some are from accidents as well. One can get injured when one is not in proper condition, i.e. not warming up or stretching enough before you play or exercise.
- Arthroscopy is a keyhole surgery which minimizes the risk of infection and also reduces the morbidity which is usually associated with open surgery.
- Due to minimal soft tissue handling, the healing time and hospital stay is reduced.
- Also, rehabilitation is faster, so the patient can go back to work earlier as compared to open surgery.
A: Knee and shoulder are commonly scoped joints.
Surgical procedures with the arthroscope are performed on the knee, shoulder, elbow, wrist and ankle. Initially, knee and shoulder arthroscopy were maximally done, but these days elbow, wrist and ankle joints are also being scoped. Indications for knee arthroscopy are as follows-
- Meniscal tears
- ACL tears
- PCL tears
- Loose bodies in joint
- Chondral injuries
- Internal dearrangements of knee (diagnostic)
A: Preoperative check-up
Your doctor will meet with you to explain what the surgery is intending to accomplish and what you can expect. You will be made to undergo blood test, X-rays and ECG to ascertain fitness for anaesthesia to undergo arthroscopic surgery.
Most arthroscopic surgical procedures can be done on day care OPD basis, however further stay may be required at times.
Anesthesia maybe local, regional or general.
Once anaeshtesia is given the operating room nurses and your doctor will prepare your leg for the procedure, setup the arthroscopic equipment and then proceed with the actual procedure.
You will be monitored until discharge or until you are shifted to room.
A: You will be given specific instructions about what to do after your arthroscopy depending on what was the damage inside and what type of procedure was performed.
After discharge You will be advised physiotherapy and will be given a date for follow up.