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Abstract

Needle arthroscopy, miniarthroscopy, or nanoarthroscopy are terms used to identify a specific subset of arthroscopic viewing instruments. Whereas a standard arthroscope is approximately 2.7–4.0 mm in diameter with a fiberoptic cable connecting to a camera, the Nanoscope (Arthrex, Naples Fl) is a much smaller scope (1.9) that contains a microchip on the tip of a needle that transmits video to the viewing screen. This can lead to smaller incisions, decreased morbidity, and faster recovery times. Cost analysis has shown needle arthroscopy to be more cost-effective than magnetic resonance imaging for diagnostic purposes with studies showing nearly equivalent diagnostic accuracy if not improved accuracy with the arthroscope. This has led to the increasing popularity of needle arthroscopy.

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References

  1. Ostendorf B, Dann P, Wedekind F, et al. Miniarthroscopy of metacarpophalangeal joints in rheumatoid arthritis. Rating of diagnostic value in synovitis staging and efficiency of synovial biopsy. J Rheumatol. 1999;26(9):1901–8.

    CAS  PubMed  Google Scholar 

  2. Ostendorf B, Peters R, Dann P, et al. Magnetic resonance imaging and miniarthroscopy of metacarpophalangeal joints: sensitive detection of morphologic changes in rheumatoid arthritis. Arthritis Rheum. 2001;44(11):2492–502. https://doi.org/10.1002/1529-0131(200111)44:11<2492::aid-art429>3.0.co;2-x.

    Article  CAS  PubMed  Google Scholar 

  3. Gramas DA, Antounian FS, Peterfy CG, Genant HK, Lane NE. Assessment of needle arthroscopy, standard arthroscopy, physical examination, and magnetic resonance imaging in knee pain: a pilot study. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 1995;1(1):26–34. https://doi.org/10.1097/00124743-199502000-00007.

    Article  CAS  Google Scholar 

  4. Voigt JD, Mosier M, Huber B. Diagnostic needle arthroscopy and the economics of improved diagnostic accuracy: a cost analysis. Appl Health Econ Health Policy. 2014;12(5):523–35. https://doi.org/10.1007/s40258-014-0109-6.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Deirmengian CA, Dines JS, Vernace JV, Schwartz MS, Creighton RA, Gladstone JN. Use of a small-bore needle arthroscope to diagnose intra-articular knee pathology: comparison with magnetic resonance imaging. Am J Orthop Belle Mead NJ. 2018;47(2) https://doi.org/10.12788/ajo.2018.0007.

  6. Amin N, McIntyre L, Carter T, Xerogeanes J, Voigt J. Cost-effectiveness analysis of needle arthroscopy versus magnetic resonance imaging in the diagnosis and treatment of meniscal tears of the knee. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2019;35(2):554–562.e13. https://doi.org/10.1016/j.arthro.2018.09.030.

    Article  Google Scholar 

  7. Cooper DE. Editorial commentary: the desire to take a look: surgeons and patients must weigh the benefits and costs of in-office needle arthroscopy versus magnetic resonance imaging. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2018;34(8):2436–7. https://doi.org/10.1016/j.arthro.2018.06.002.

    Article  Google Scholar 

  8. Gill TJ, Safran M, Mandelbaum B, Huber B, Gambardella R, Xerogeanes J. A prospective, blinded, multicenter clinical trial to compare the efficacy, accuracy, and safety of in-office diagnostic arthroscopy with magnetic resonance imaging and surgical diagnostic arthroscopy. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2018;34(8):2429–35. https://doi.org/10.1016/j.arthro.2018.03.010.

    Article  Google Scholar 

  9. Voigt JD, Mosier M, Huber B. In-office diagnostic arthroscopy for knee and shoulder intra-articular injuries its potential impact on cost savings in the United States. BMC Health Serv Res. 2014;14:203. https://doi.org/10.1186/1472-6963-14-203.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Zhang K, Crum RJ, Samuelsson K, Cadet E, Ayeni OR, de Sa D. In-office needle arthroscopy: a systematic review of indications and clinical utility. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2019;35(9):2709–21. https://doi.org/10.1016/j.arthro.2019.03.045.

    Article  Google Scholar 

  11. McMillan S, Chhabra A, Hassebrock JD, Ford E, Amin NH. Risks and complications associated with intra-articular arthroscopy of the knee and shoulder in an office setting. Orthop J Sports Med. 2019;7(9):2325967119869846. https://doi.org/10.1177/2325967119869846.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Stornebrink T, Stufkens SAS, Appelt D, Wijdicks CA, Kerkhoffs GMMJ. 2-mm diameter operative tendoscopy of the tibialis posterior, peroneal, and achilles tendons: a cadaveric study. Foot Ankle Int. 2020;41(4):473–8. https://doi.org/10.1177/1071100719895504.

    Article  PubMed  Google Scholar 

  13. Lavender C, Lycans D, Sina Adil SA, Kopiec A, Schmicker T. Incisionless partial medial meniscectomy. Arthrosc Tech. 2020;9(3):e375–8. https://doi.org/10.1016/j.eats.2019.11.003.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Lavender C, Lycans D, Kopiec A, Sayan A. Nanoscopic single-incision anterior labrum repair. Arthrosc Tech. 2020;9(3):e297–301. https://doi.org/10.1016/j.eats.2019.10.010.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Lavender C, Lycans D, Sina Adil SA, Berdis G. Single-incision rotator cuff repair with a needle arthroscope. Arthrosc Tech. 2020;9(4):e419–23. https://doi.org/10.1016/j.eats.2019.11.012.

    Article  PubMed  PubMed Central  Google Scholar 

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Lycans, D., Lavender, C. (2021). Introduction to Nanoarthroscopy. In: Lavender, C. (eds) Biologic and Nanoarthroscopic Approaches in Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-71323-2_12

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  • DOI: https://doi.org/10.1007/978-3-030-71323-2_12

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