Skip to main content

Knee Arthroscopy: Technique and Normal Anatomy

  • Chapter
  • First Online:
Knee Arthroscopy

Arthroscopy of the knee is the most common orthopaedic procedure performed in the United States [1–6]. Given the frequency of this procedure, it is hard to fathom that knee arthroscopy did not enter into the mainstream of orthopaedic surgery until the 1970s. In 1969, Masaki Wantanabe and colleagues published the Atlas of Arthroscopy [7]. In their seminal publication, they described the results of their first arthroscopic procedure, the removal of an intraarticular pigmented villonodular synovitis (PVNS), and provided pictures of their first arthroscopic meniscectomy. Jackson and Abe followed up on the work of their Japanese peers with the publication of their arthroscopic technique and outcomes in 1972 [8]. Arthroscopy of the knee became an accepted practice in the 1970s.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Garrett WE, Swiontkowski MF, Weinstein JN, Callaghan J, Rosier RN, Berry DJ, Harrast J, Derosa GP. American Board of Orthopaedic Surgery Practice of the Orthopaedic Surgeon: Part II, Certification Examination Case Mix. J Bone Joint Surg Am 2006;88:660–667.

    Article  PubMed  Google Scholar 

  2. Kim TK, Savino RM, McFarland EG, Cosgarea AJ. Neurovascular complications of the knee. Am J Sports Med 2002;30:619–629.

    PubMed  Google Scholar 

  3. McGinty JB, Johnson LL, Jackson RW, McBryde AM, Goodfellow JW. Uses and abuses of arthroscopy: a symposium. J Bone Joint Surg Am 1992;74:1563–1577.

    PubMed  CAS  Google Scholar 

  4. Rodeo SA, Forester RA, Weiland AS. Neurologic complications due to arthroscopy. [Current Concepts Review]. J Bone Joint Surg Am 1993;75:917–926.

    PubMed  CAS  Google Scholar 

  5. Small NC. Complications in arthroscopic surgery of the knee and shoulder. Orthopedics 1993;16:985–988.

    PubMed  CAS  Google Scholar 

  6. Small NC. Complications in arthroscopic surgery performed by experienced arthroscopists. Arthroscopy 1988;4:215–221.

    Article  PubMed  CAS  Google Scholar 

  7. Wantanabe M, Takeda S, Ikeuchi H. Atlas of Arthroscopy. 2nd ed. Tokyo: Igaku Shoin Ltd., 1969.

    Google Scholar 

  8. Jackson RW, Abe I. The role of arthroscopy in the management of disorders of the knee. J Bone Joint Surg Br 1972;57:310.

    Google Scholar 

  9. Johnson LL. Diagnostic and Surgical Arthroscopy: The Knee and Other Joints. St. Louis, MO: CV Mosby, 1981.

    Google Scholar 

  10. Metcalf RW. An arthroscopic procedure for lateral release of the subluxing or dislocating patella. Clin Orthop 1982;667:9.

    Google Scholar 

  11. McGinty JB (ed.). Operative Arthroscopy. New York: Raven Press, 1996.

    Google Scholar 

  12. McGinty JB, Freedman PA. Arthroscopy of the knee. Clin Orthop 1976;121:173.

    PubMed  Google Scholar 

  13. Gries P, Bandana D, Holstrom M, Burks RT. Meniscal injury: I. Basic science and evaluation. J Am Acad Orthop Surg 2002;10:168–176.

    Google Scholar 

  14. Vedi V, Spouse E, Williams A, Tennant JJ, Hunt D, Gedroyc W. Meniscal movement: an in-vivo study using dynamic MRI. J Bone Joint Surg Br 1999;81:37–41.

    Article  PubMed  CAS  Google Scholar 

  15. Cupte CM, Bull AM, Thomas RD, Amis AA. A review of the function and biomechanics of the meniscofemoral ligaments. Arthroscopy 2003;19:161–171.

    Google Scholar 

  16. Kusayama T, Harner CD, Carlin GJ, Xerogeanes JW, Smith BA. Anatomical and biomechanical characteristics of human meniscofemoral ligaments. Knee Surg Sports Traumatol Arthrosc 1994;2:234–237.

    Article  PubMed  CAS  Google Scholar 

  17. Wan AC, Felle P. The meniscofemoral ligaments. Clin Anat 1995;8:323–326.

    Article  PubMed  CAS  Google Scholar 

  18. Fitzgibbons RE, Shelbourne KD. Aggressive non-treatment of lateral meniscal tears seen during anterior cruciate ligament reconstruction. Am J Sports Med 1995;23:156–159.

    Article  PubMed  CAS  Google Scholar 

  19. Ekman EF, Wahba M, Ancona F. Analgesic efficacy of perioperative celecoxib in ambulatory knee surgery. Arthroscopy 2006;22:635–642.

    Article  PubMed  Google Scholar 

  20. Denti M, Randelli P, Bigoni M, Vitale G, Marino R, Fraschini N. Pre- and postoperative intra-articular analgesia for arthroscopic surgery of the knee and arthroscopic assisted anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 1997;5:206–212.

    Article  PubMed  CAS  Google Scholar 

  21. Miskulin M, Maldini B. Outpatient arthroscopic knee surgery under multimodal analgesic regiments. Arthroscopy 2006;22: 978–983.

    Article  PubMed  Google Scholar 

  22. Munk S, Pederson K. Knee arthroscopy under local anesthesia with or without anesthesiologic assistance. Ugeskr Laeger 1994;156:313–316.

    PubMed  CAS  Google Scholar 

  23. Shapiro MS, Safran MR, Crockett H, Finerman GAM. Local anesthesia for knee arthroscopy: efficacy and cost benefits. Am J Sports Med 1996;23:50–53.

    Article  Google Scholar 

  24. Jacobson E, Forssblad M, Rosenberg J, Westman L, Weidenhielm L. Can local anesthesia be recommended for routine use in elective knee arthroscopy? A comparison between local, spinal and general anesthesia. Arthroscopy 2000;16:183–190.

    Article  PubMed  CAS  Google Scholar 

  25. Fulkerson JP. Anteromedial tibial tubercle transfer. In Jackson DW (ed.), Reconstructive Knee Surgery. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2008.

    Google Scholar 

  26. Deutch A, Wyzykowski RJ, Victoroff BN. Evaluation of the anatomy of the common peroneal nerve. Defining nerve at risk in arthroscopically assisted lateral meniscus repair. Am J Sports Med 1999;27:10–15.

    Google Scholar 

  27. Irrang JJ, Harner CD. Loss of motion following knee ligament reconstruction. Sports Med 1995;19:150.

    Article  Google Scholar 

  28. Milankov M, Savic D, Miljkovic N. Broken blade in the knee: a complication of arthroscopic menisectomy. Arthroscopy 2002;18:E4.

    PubMed  Google Scholar 

  29. Oldenburg M, Mueller RT. Intra-articular foreign body after arthroscopy. Arthroscopy 2003;19:1012–1014.

    Article  PubMed  Google Scholar 

  30. In Y, Bank WJ, Park JB. Detachment of the tip of a motorized shaver within the knee joint: a complication of arthroscopic surgery. Arthroscopy 2003;19:257.

    Article  Google Scholar 

  31. Kaper BP, Carr CF, Shirreffs TG. Surgery of the knee: a report of two cases of compartment syndrome managed non-operatively. Am J Sports Med 1997;25:123–125.

    Article  PubMed  CAS  Google Scholar 

  32. Reigstad O, Grinsgaard C. Complications in knee arthroscopy. Knee Surg Sports Traumatol Arthrosc 2006;14:473–477.

    Article  PubMed  Google Scholar 

  33. Ilahi O, Reddy J, Ahmad I. Deep venous thrombosis after knee arthroscopy. Arthroscopy 2005;21:727–730.

    Article  PubMed  Google Scholar 

  34. Delis KT, Hunt N, Strachan RK, Nicolaides AM. Incidence, natural history and risk factors of deep venous thrombosis in elective knee arthroscopy. Throm Haemost 2001;86:817–821.

    CAS  Google Scholar 

  35. Hoppener M, Rettema HB, Henry CP, Verhegen C, Büller HR. Low incidence of deep venous thrombosis after knee arthroscopy without thromboprophylaxis. Acta Orthop 2006;77: 767–771.

    Article  PubMed  Google Scholar 

  36. Michot M, Conen D, Holt D, Erni D, Zumstein M, Ruflin G, Renner N. Prevention of deep venous thrombosis in ambulatory arthroscopic knee surgery. Arthroscopy 2002;18: 257–263.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Schena, A., Ross, G. (2009). Knee Arthroscopy: Technique and Normal Anatomy. In: Richmond, J., Bono, J., McKeon, B. (eds) Knee Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89504-8_1

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-89504-8_1

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-89503-1

  • Online ISBN: 978-0-387-89504-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics