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Orthopedic Pathology and Ankle Joint Capsule

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88 Questions

What is a common complication associated with osteochondral lesions?

Significant morbidity

What is the primary purpose of fluid management during arthroscopy?

To maintain visualization

What is the primary advantage of using a 70° arthroscope?

Improved visualization

Which portal placement is critical to avoid damaging the intermediate dorsal cutaneous nerve?

Anterolateral

What is the purpose of the obturator during arthroscopy?

To facilitate insertion of the cannula

What is the primary indication for using a chondral pick during arthroscopy?

To remove loose fragments

What is the primary advantage of using a radiofrequency ablation device during arthroscopy?

Reduced thermal damage

What is the primary purpose of the suction device during arthroscopy?

To remove debris

What is the primary indication for using a power shaver during arthroscopy?

To debride inflammatory tissue

What is the primary advantage of using a 30° arthroscope?

Improved visualization

What is the primary indication for ankle arthroscopy in a patient with a history of trauma and negative x-ray findings?

Soft tissue pathology

Which of the following is a contraindication for arthroscopy?

Severe scarring

What is the primary purpose of the first arthroscopy performed in 1912?

To evaluate knee joint anatomy

What type of synovitis is characterized by a white and fibrosed appearance?

Atrophic synovitis

What is the primary purpose of intraarticular injections in ankle arthroscopy?

To assist with diagnosis and planning

What is the term for the distal fascicle of the anteroinferior tibiofibular ligament with secondary chondromalacia and mechanical erosion of the articular surface of the lateral talar shoulder?

Bassett's ligament and lesion

During anteromedial portal creation, what is the recommended direction of dissection using a curved hemostat?

Gently down to the capsule

What is the primary purpose of insufflating the ankle joint with 10-15ml of NSS or LR?

To distract the joint and create space for instrumentation

What is the correct sequence of events during the initial stages of ankle arthroscopy?

Insufflate, make a portal with a #15 blade, and then insert a trocar/obturator

What is the purpose of the 21-point survey in ankle arthroscopy?

To perform a thorough evaluation of the ankle joint to identify any pathology

What is the recommended position of the ankle during the initial insertion of the trocar/obturator?

Dorsiflexion

What is the name of the bony prominence that serves as a landmark for the anteromedial portal?

Notch of Harty

What is the primary indication for arthroscopic management of osteochondral pathology?

Intractable pain despite conservative management

Which of the following is a contraindication for ankle arthroscopy?

Active infection

What is the primary purpose of using a suction device during ankle arthroscopy?

To clear the lens of the arthroscope

Which of the following portals is critical to avoid damaging the intermediate dorsal cutaneous nerve?

Anterolateral portal

What is the primary indication for using arthroscopy to assist with fracture reduction?

Small, displaced fractures

Which of the following is a primary advantage of using arthroscopy to manage intra-articular pathology?

Minimally invasive

What is the primary purpose of creating an anterolateral portal during ankle arthroscopy?

To insert power or hand instrumentation

During ankle arthroscopy, what is the recommended amount of insufflation?

10-15ml of NSS or LR

What is a contraindication for ankle arthroscopy?

Active infection

What is the primary indication for performing subtalar arthroscopy?

Os trigonum excision

What is the primary purpose of using an 18-gauge needle during arthroscopy?

to assist in confirming lateral portal placement

What is the purpose of distraction during ankle arthroscopy?

To increase the space for instrumentation

What is the primary indication for using a curved hemostat during ankle arthroscopy?

To dissect down to the capsule

Which of the following is a contraindication for arthrodesis?

severe edema

What is the primary purpose of fluid management during arthroscopy?

to control temperature and protect structures

What is the primary indication for using a chondral pick during arthroscopy?

to smooth out cartilage

Which of the following is an indication for ankle arthroscopy?

all of the above

What is the primary purpose of the suction device during arthroscopy?

to remove debris from the joint

What is the primary purpose of using a power shaver during arthroscopy?

to debride soft tissue

What is the primary purpose of using a radiofrequency ablation device during arthroscopy?

to ablate soft tissue

What is the primary purpose of using a grasper during arthroscopy?

to grasp and remove loose bodies

What is the primary purpose of using a 70° arthroscope during arthroscopy?

to visualize the joint

What is the primary characteristic of atrophic synovitis?

White and fibrosed

What is the origin of fibrous band/meniscoid lesions?

Periarticular structures

What is the primary symptom of Bassett's ligament and lesion?

Chronic anterior ankle pain

What is the primary limitation of arthrofibrosis?

Severe scarring with adequate joint access

What is the primary indication for using arthroscopy to manage synovitis?

Hemorrhagic and chronic synovitis

What is the primary difference between intra-articular and extra-articular osteophytes?

Location of origin

What is the term for a benign disorder characterized by the presence of multiple cartilaginous fragments in the joint space?

Synovial chondromatosis

What is the term for a condition characterized by excessive scarring in the joint space?

Arthrofibrosis

What is the term for a type of synovitis characterized by a white and fibrosed appearance?

Fibrous synovitis

What is the term for a type of lesion characterized by a fibrocartilaginous or chondral fragment in the joint space?

Meniscoid lesion

What is the term for a type of lesion characterized by a fibrocartilaginous or chondral fragment in the joint space, often associated with osteochondral lesions?

Bassett's lesion

What is the term for a condition characterized by inflammation of the synovial membrane?

Synovitis

What is the term for a type of fibrous tissue that can cause limited range of motion and pain in the joint?

Fibrous band

What is the term for a type of lesion characterized by a cartilaginous fragment in the joint space, often associated with osteochondral lesions?

Bassett's lesion

What is the term for a condition characterized by excessive scarring in the joint space, leading to limited range of motion and pain?

Arthrofibrosis

What is the term for a type of synovitis characterized by a white and fibrosed appearance?

Fibrous synovitis

What is the typical appearance of a fibrous band in ankle arthroscopy?

White and fibrosed

What is the name of the condition characterized by a meniscoid lesion?

Bassett's lesion

What is the primary mechanism of injury in arthrofibrosis?

Repetitive trauma

What is the typical appearance of synovitis in ankle arthroscopy?

Red and inflamed

What is the primary indication for performing arthroscopic debridement in patients with synovitis?

Acute inflammation

What is the common complication associated with osteochondral lesions?

Arthrofibrosis

What is the primary purpose of optimizing inflow and outflow during ankle arthroscopy?

To improve visualization of the joint space

What is the primary distinction between intra-articular and extra-articular osteophytes?

Location in the joint

What is the term for a condition characterized by the presence of multiple cartilaginous fragments in the joint space?

Synovial chondromatosis

What is the primary characteristic of osteochondral lesions?

Fibrocartilaginous fragments

What is the term for a condition characterized by the presence of multiple cartilaginous fragments in the joint space?

Synovial chondromatosis

What is the primary purpose of distracting the ankle joint during arthroscopy?

To increase the working space within the joint

What is the recommended position of the ankle during the initial insertion of the trocar/obturator?

Dorsiflexion

What is the primary purpose of creating an anterolateral portal during ankle arthroscopy?

To avoid damaging the intermediate dorsal cutaneous nerve

What is the primary indication for performing debridement in patients with synovitis?

To remove inflamed tissue

What is the primary indication for performing arthroscopic debridement in patients with osteochondral lesions?

To relieve symptoms of pain and inflammation

What is the critical portal to avoid damaging the intermediate dorsal cutaneous nerve?

Anterolateral portal

What is the primary characteristic of synovial chondromatosis?

Multiple cartilaginous fragments

What is the primary consideration for portal placement in ankle arthroscopy?

Avoiding important structures and maximizing access

What is the characteristic of osteochondral lesions?

Defect or injury to the articular cartilage

What is the term for a benign disorder characterized by the presence of multiple cartilaginous fragments in the joint space?

Synovial chondromatosis

What is the primary advantage of using a 30° arthroscope during arthroscopy?

It provides a wider field of view

What is the primary indication for performing arthrodesis?

Joint preparation for fusion

What is the term for a type of fibrous tissue that can cause limited range of motion and pain in the joint?

Arthrofibrosis

What is the primary purpose of using a power shaver during arthroscopy?

To debride the joint space

What is the term for a condition characterized by excessive scarring in the joint space?

Arthrofibrosis

What is the primary consideration for fluid management during arthroscopy?

Protecting structures and controlling temperature

What is the primary advantage of using a 70° arthroscope during arthroscopy?

It allows for more precise visualization of the posterior aspect of the joint

Test your knowledge of orthopedic pathology, including osteochondral lesions, synovial chondromatosis, and septic arthritis, as well as ankle joint capsule anatomy. Learn about contraindications for joint preparation and more.

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