By Hans-Rudolf Henche Dr. med. (auth.)
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Extra info for Arthroscopy of the Knee Joint
35. Normal medial alar fold Clinically insignificant patellar chondropathy (the patella has been C> omitted from the diagram) Fig. 36. Normal synovial fold Fig. 37. Normal anterior cruciate ligament 44 Fig. 38. Normal posterior horn of the medial meniscus exercised during this investigation, since abrupt movement of the knee joint may damage the arthroscope or injure the articular cartilage. e. whether rotation of the lower leg causes dorsal displacement of the part of the meniscus which frequently has a triangular appearance (Fig.
33 13. Preliminary Notes on the Anatomy of the Knee Joint Clearly, nobody is likely to undertake arthroscopy if he is not thoroughly familiar with the anatomy of the knee joint. However, the anatomy of the knee joint as seen through the arthroscope is in no way comparable with that seen by the a natomist. It is extremely difficult to find one's way about the knee joint with the thin instrument. The conventional concepts presented in anatomy textbooks cannot be directly utilized during arthroscopy.
The arthroscopist can observe the greater part of the femoropatellar joint from a relatively remote position (as in an axial roentgenogram) and can watch the joint gap as it slowly closes. The initial cartilage contact normally begins on the lateral side of the joint. In addition, however, as the flexion increases, contact is often seen to occur between part of the mediopatellar facet and the trochlea. Examination of the joint is seldom possible when the flexion exceeds 50-60°, since the infrapatellar fat pad begins to obstruct the view and it is no longer possible to maintain an adequate distance between the end of the optical system and the joint (Figs.
Arthroscopy of the Knee Joint by Hans-Rudolf Henche Dr. med. (auth.)