Arthroscopic Removal of Shotgun Pellet From Within the Medial Meniscus
| Autor: | Chris Cooke, Kyle Lacy, Frederick Tonnos, Pat Cooke |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Meniscus (anatomy) 03 medical and health sciences 0302 clinical medicine Shotgun pellet Arthropathy Technical Note medicine Synovial fluid Orthopedics and Sports Medicine Reduction (orthopedic surgery) Orthopedic surgery 030222 orthopedics business.industry 030208 emergency & critical care medicine musculoskeletal system Neurovascular bundle medicine.disease Surgery Surgical morbidity medicine.anatomical_structure business Medial meniscus RD701-811 |
| Zdroj: | Arthroscopy Techniques, Vol 5, Iss 1, Pp e27-e32 (2016) |
| ISSN: | 2212-6287 |
| DOI: | 10.1016/j.eats.2015.09.004 |
| Popis: | Arthroscopic techniques are effective for the removal of intra-articular bullet and metal fragments after gunshot wounds to the shoulder, hip, knee, and sacroiliac joints. Surgical removal of bullets retained within the synovial joints is indicated; lead is dissolved by synovial fluid over time, leading to proliferative synovitis, lead arthropathy, elevated serum lead levels, and lead toxicity. We present an arthroscopic technique for removal of a shotgun pellet retained within the medial meniscus. In this technique, diagnostic knee arthroscopy is initially performed, which allows for localization of the pellet within the medial meniscus. An up-biter is used to resect the inner rim of meniscus surrounding the pellet, and the pellet is removed with a grasper. This arthroscopic approach is advantageous because it allows for efficient visualization of the pellet within the meniscus, thorough visualization of all compartments of the knee, a reduction in blood loss, and a decrease in surgical morbidity to the surrounding cartilaginous, neurovascular, and soft-tissue structures. This technique may therefore be one option to address bullet fragments or shotgun pellets that are retained within the medial meniscus. |
| Databáze: | OpenAIRE |
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