The use of arthroscopy in diagnosing and treating sports-related cartilage lesions

Authors

  • Abdullah Al Mamun Department of Orthopaedics and Traumatology, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh
  • Abdullah Al Muti Department of Orthopaedics and Traumatology, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh
  • M. Moniruzzaman Monir Department of Orthopaedics and Traumatology, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh
  • Abdul Hannan Department of Orthopaedics and Traumatology, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh
  • M. Mofizur Rahman Department of Orthopaedics and Traumatology, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20241099

Keywords:

Arthroscopy, Sports-related, Cartilage lesions, Anterior, Posterior medial, Cuff repair

Abstract

Background: Sports-related cartilage lesions pose challenges for athletes. Cartilage, vital for smooth joint movement, can be damaged. Arthroscopy, a minimally invasive procedure, allows precise diagnosis and treatment of joint issues, offering quicker recovery and minimal scarring, enhancing orthopedic interventions. This study aimed to assess the use of arthroscopy in diagnosing and treating sports-related cartilage lesions.

Methods: This prospective observational study was conducted at the department of orthopaedics and traumatology, Life Line Hospital Moulovibazar, Mount Adora Hospital Sylhet, MAG Osmani Medical College Hospital Sylhet, Bangladesh from January 2022 to December 2023. As the study subjects, a total of 58 patients with non-surgically treated acute or chronic sports-related cartilage lesions were enrolled by using a purposive sampling technique. After 6 months, a follow-up report was recorded. Data were analyzed by using Microsoft Office tools.

Results: In this study, 72% of participants underwent cuff repair, with the remaining 28% opting for loop repair. The arthroscopic assessment revealed anterior medial cartilage lesions in 34% and anterior lateral lesions in 28%. Posterior medial, posterior lateral, and mid-talus dome cartilage lesions were observed in 17%, 5%, and 16%, respectively. Capsule repair was employed in 86% of cases. Significant improvement in hip range of motion, as well as radiological parameters like lateral center-edge angle, alpha angle (anteroposterior), and alpha angle (Dunn), was observed 6 months postoperatively (p<0.001).

Conclusions: In detecting and treating sports-related cartilage lesions, arthroscopy is an effective method. This minimally invasive less painful treatment approach contributes to faster rehabilitation and a quicker return to normal activities.

References

Delaney JA, Thornton HR, Pryor JF, Stewart AM, Dascombe BJ, Duthie GM. Peak running intensity of international rugby: implications for training prescription. Int J Sports Physiol Perform. 2017;12(8):1039-1045.

Vigh-Larsen JF, Dalgas U, Andersen TB. Position-specific acceleration and deceleration profiles in elite youth and senior soccer players. J Strength Cond Res. 2018;32(4):1114-22.

Hintermann BA, Boss A, Schäfer D: Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med. 2002;30(3):402-9.

McCauley TR, Disler DG. MR Imaging of Articular Cartilage. Radiology. 1998;209:629-40.

Rolf C, Saro C, Engstrom B, Wredmark T, Movin T, Karlsson J. Ankle arthroscopy under local and general anaesthesia for diagnos- tic evaluation and treatment. Scand J Med Sci Sports. 1996;6:255-8.

Taga I, Shino K, Inoue M, Nakata K, Maeda A. Articular cartilage lesions in ankles with lateral ligament injury. An arthro- scopic study. Am J Sports Med. 1993;21(1):120-6.

Schafer D, Hintermann B. Arthroscopic assessment of the chronic unstable ankle joint. Knee Surg Sports Traumatol Arthrosc. 1996;4(1):48-52.

Takao M, Uchio Y, Naito K, Fukazawa I, Ochi M. Arthroscopic assessment for intra-articular disorders in residual ankle dis- ability after sprain. Am J Sports Med. 2005;33(5):686-92.

Rolf C, Yip K, Chan KM. Acute ankle sprains and ankle frac- tures-The use of arthroscopy for diagnostic evaluation and treatment. In Controversies in Orthopaedic Sports Medicine Edited by: Chan KM, Fu F, Mafulli N, Rolf C, Kurosaka M, Liu S. William & Wilkins Publications. 1998;460-5.

Sugimoto K, Takakura Y, Tohno Y, Kumai T, Kawate K, Kadono K. Cartilage thickness of the talar dome. Arthroscopy. 2005;21(4):401-4.

Rubin DA. Magnetic resonance imaging of chondral and osteochondral injuries. Top Magn Reson Imaging. 1998;9(6):348-59.

Rubin DA, Harner CD, Costello JM. Treatable chondral injuries in the knee: frequency of associated focal sub-chondral oedema. AJR Am J Roentgenol. 2000;174(4):1099-106.

Cvetanovich GL, Weber AE, Kuhns BD. Clinically meaningful improvements after hip arthroscopy for femoroacetabular impinge- ment in adolescent and young adult patients regardless of gender. J Pediatr Orthop. 2018;38(9):465-70.

Flores SE, Sheridan JR, Borak KR, Zhang AL. When do patients improve after hip arthroscopy for femoroacetabular impingement? A prospective cohort analysis. Am J Sports Med. 2018;46(13):3111-8.

Strobel MJ, Weiler A, Schulz MS, Russe K, Eichhorn HJ. Arthroscopic evaluation of articular cartilage lesions in posterior-cruciate-ligament-deficient knees. Arthroscopy. 2003;19(3):262-8.

Van Dijk CN, Bossuyt PMM, Marti RK. Medial ankle pain after lateral ligament rupture. J Bone Joint Surg Br. 1996;78(4):562-7.

Mullins K, Filan D, Carton P. Arthroscopic correction of sports-related femoroacetabular impingement in competitive athletes: 2-year clinical outcome and predictors for achieving minimal clinically important difference. Orthop J Sports Med. 2021;9(3).

Rolf CG, Barclay C, Riyami M, George J. The importance of early arthroscopy in athletes with painful cartilage lesions of the ankle: a prospective study of 61 consecutive cases. J Orthop Surg Res. 2006;1:4.

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Published

2024-04-29

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Original Research Articles