Arthroscopy is a useful tool for the clinical rheumatologist. It allows the clinician to examine the synovial tissue under direct vision for evidence of active inflammation. It permits tissue sampling. Biopsies taken at arthroscopy can be used for diagnosis, as in the case of infectious arthritis, and in the context of clinical research. Arthroscopy also has therapeutic benefits when performed in conjunction with lavage. It is a simple procedure to perform, after the appropriate training. The procedure can be carried out on an outpatient basis and is well tolerated by patients. In this article we will outline the practical concerns relating to rheumatological arthroscopy.
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HSS J
November 2024
Department of Orthopaedic Surgery and Hip Preservation Center, Orthopaedic & Rheumatologic Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
Background: Studies on the feasibility of hip arthroscopy in workers' compensation (WC) patients have been largely inconsistent or limited by study design, necessitating the need for a systematic review.
Purpose: We sought to systematically compare clinically significant differences between WC patients and their counterparts in relation to (1) functional outcomes, (2) complications, and (3) failure rates after hip arthroscopy.
Methods: We searched MEDLINE, EMBASE, and PubMed databases for studies published between January 1996 and February 2021.
Cureus
August 2024
Orthopaedics and Traumatology, Bucharest Emergency University Hospital, Bucharest, ROU.
Arthroscopy
March 2024
Department of Orthopaedic Surgery, Center for Hip Preservation, Orthopaedic and Rheumatologic Institute, Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.
Which patients will benefit most from hip arthroscopy? Careful patient selection and conservative indications, such as patients with an alpha angle of 60° or greater or a lateral center-edge angle of 40° or greater who fail a trial of conservative treatment, may benefit from hip arthroscopy for femoroacetabular impingement (FAI). In female patients in particular, a lower body mass index (BMI) will predict the most benefit from arthroscopic treatment. That said, patients with a higher BMI can also substantially improve after treatment of FAI.
View Article and Find Full Text PDFArthritis Res Ther
January 2024
Rheumatology Department, Hospital Clinic of Barcelona, Barcelona, Spain.
Background: Inflammatory arthritis encompasses a group of immune-mediated diseases characterized by chronic joint inflammation. Despite having pathogenic mechanisms in common, the prognosis of rheumatoid arthritis (RA), psoriatic arthritis (PsA), and undifferentiated arthritis (UA) could be different regarding progression to chronic, to erosive, or to self-limited disease. Our aim was to evaluate the potential association of synovial tissue (ST) inflammatory cell infiltrate, the presence of ectopic lymphoid neogenesis (LN +) structures, and poor prognosis factors (PPF) in patients with RA, PsA, and UA.
View Article and Find Full Text PDFJSES Int
September 2023
Department of Orthopaedics, Stony Brook University, Stony Brook, NY, USA.
Background: Steroids are a common treatment for many rheumatologic and inflammatory disorders. Chronic steroid use has been studied in joint arthroplasty and arthroscopy, but studies specifically on preoperative chronic steroid use in arthroscopic rotator cuff repair (aRCR) are limited. The purpose of this study is to determine the association between chronic steroid use and 30-day postoperative outcomes following aRCR.
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