skip to content

Mechanical and Thermal Damage to Articular Surfaces

Comparison of 2 fluid ingress/egress systems for canine stifle arthroscopy using computed tomography

Warnock JJ, Nemanic S, O'Donnell MD, Wiest JE.
Vet Surg. 2014 Nov;43(8):944-51 373.
Excerpt: “Fifty percent of limbs receiving the diagonally placed steel cannula had iatrogenic cartilage injury (9 total lesions), while none of the flexible cannula limbs had itatrogenic cartilage damage.”

In vitro effects of three common arthroscopic instruments on articular cartilage

Green LM, King JS, Bianski BM, Pink MM, Jobe CM.
Arthroscopy. 2006 Mar;22(3):300-7
.

Acute effects of cartilage impact

Borrelli J Jr, Ricci WM.
Clin Orthop Relat Res. 2004 Jun;(423):33-9.

Complications associated with arthroscopic shoulder surgery

Weber SC, Abrams JS, Nottage WM.
Arthroscopy. 2002 Feb;18(2 Suppl 1):88-95.

Prevention of chondrocyte apoptosis

D'Lima DD, Hashimoto S, Chen PC, Lotz MK, Colwell CW Jr.
J Bone Joint Surg Am. 2001;83-A Suppl 2(Pt 1):25-6.

In vivo changes after mechanical injury

Colwell CW Jr, D'Lima DD, Hoenecke HR, Fronek J, Pulido P, Morris BA, Chung C, Resnick D, Lotz M.Clin Orthop Relat Res. 2001 Oct;(391 Suppl):S116-23.

Cartilage injury induces chondrocyte apoptosis

D'Lima DD, Hashimoto S, Chen PC, Lotz MK, Colwell CW Jr
J Bone Joint Surg Am. 2001;83-A Suppl 2(Pt 1):19-21.

Damage to cobalt-chromium surfaces during arthroscopy of total knee replacements

Raab GE, Jobe CM, Williams PA, Dai QG.
J Bone Joint Surg Am. 2001 Jan;83-A(1):46-52002E7/31/2006A.

Injurious mechanical compression of bovine articular cartilage induces chondrocyte apoptosis

Loening AM, James IE, Levenston ME, Badger AM, Frank EH, Kurz B, Nuttall ME, Hung HH, Blake SM, Grodzinsky AJ, Lark MW.
Arch Biochem Biophys. 2000 Sep 15;381(2):205-12.

A cadaveric study of the potential damage in arthroscopic examination of the temporomandibular joints

Teh LY, Peck RH, Chew SC, Goh WS, Chua EK.
Ann Acad Med Singapore. 1992 Nov;21(6):747-50.

Complications in 4,000 arthroscopies

Birr R, Wuschech H, Kundiger R, Heller G.
Beitr Orthop Traumatol. 1990 Nov-Dec;37(11-12):620-6.

Arthroscopic arthropathy: iatrogenic arthroscopic joint lesions in animals

Klein W, Kurze V.
Arthroscopy. 1986;2(3):163-8.

Diagnostic and surgical arthroscopy of the equine shoulder joint

Nixon AJ.
Vet Surg. 1987 Jan-Feb;16(1):44-52.

Complications of arthroscopy. A review of 3714 cases

Dick W, Glinz W, Henche HR, Ruckstuhl J, Wruhs O, Zollinger H.
Arch Orthop Trauma Surg. 1978 Aug 11;92(1):69-73.

Back to top

Chondrocyte Death Due to Heated Irrigation Fluid

Thermal stress potentiates bupivacaine chondrotoxicity

Piper SL, Kim HT.
Arthroscopy. 2012 Sep;28(9):1246-1254.e1. Epub 2012 May 11.

Glenohumeral chondrolysis after arthroscopy: a systematic review of potential contributors and causal pathways.

Solomon DJ, Navaie M, Stedje-Larsen ET, Smith JC, Provencher MT.
Arthroscopy. 2009 Nov;25(11):1329-42.

Glenohumeral chondrolysis: a systematic review of 100 cases from the English language literature.

Scheffel PT, Clinton J, Lynch JR, Warme WJ, Bertelsen AL, Matsen FA 3rd.
J Shoulder Elbow Surg. 2010 Sep;19(6):944-9. Epub 2010 Apr 24.

Effect of radiofrequency energy on glenohumeral fluid temperature during shoulder arthroscopy.

Good CR, Shindle MK, Griffith MH, Wanich T, Warren RF.
J Bone Joint Surg Am. 2009 Feb;91(2):429-34.

Effect of simulated shoulder thermal capsulorrhaphy using radiofrequency energy on glenohumeral fluid temperature.

Lu Y, Bogdanske J, Lopez M, Cole BJ, Markel M.D..
Arthroscopy. 2005 May;21(5):592-6.

Lavage solution temperature influences depth of chondrocyte death and surface contouring during thermal chondroplasty with temperature-controlled monopolar radiofrequency energy.

Lu Y, Edwards RB 3rd, Nho S, Cole BJ, Markel M.D..
Am J Sports Med. 2002 Sep-Oct;30(5):667-73.

Thermometric determination of cartilage matrix temperatures during thermal chondroplasty: comparison of bipolar and monopolar radiofrequency devices.

Edwards RB 3rd, Lu Y, Rodriguez E, Markel M.D..
Arthroscopy. 2002 Apr;18(4):339-46.

Monopolar Radiofrequency Treatment of Partial-Thickness Cartilage Defects in the Sheep Knee Joint Leads to Extended Cartilage Injury

Max J. Kääb, M.D., PhD, Herman J. Bail, M.D., Andreas Rotter, Pierre Mainil-Varlet, M.D., PhD, Iolo apGwynn, PhD and Andreas Weiler, M.D., PhD
The American Journal of Sports Medicine 33:1472-1478 (2005).

Progressive articular cartilage loss following radiofrequency treatment of a partial-thickness lesion.

Hogan CJ, Diduch DR.
Arthroscopy. 2001 Jul;17(6):E24.

Back to top

Fluid Extravasation of Interstitial Tissue

Complications of arthroscopic surgery of the hip

A. V. Papavasiliou, BSc, MD, PhD, Consultant Orthopaedic Surgeon1 and N. V. Bardakos, MD, Consultant Orthopaedic Surgeon (Locum)
Bone & Joint Journal 2013 Apr; Vol. 360

Deltoid Muscle Pressures During Arthroscopic Rotator Cuff Repair

Daniel E. McBrayer, M.D.; Benjamin P. Debelak, D.O.; Patrick J. Fernicola, M.D.; Renjin Tu, PhD; Champ L. Baker III, M.D.
Orthopedics 2013 Jan; Vol. 36, Issue 1: e33-e37

Intra-abdominal fluid after hip arthroscopy: a case report

Jaekers J, Van Melkebeek J, Van Cleemput M, Van Riet R.
Hip Int. 2011 Nov-Dec;21(6):740-3. doi: 10.5301/HIP.2011.8845.

Intra-Abdominal Fluid Extravasation During Hip Arthroscopy: A Survey of the MAHORN Group

Mininder S. Kocher, M.D., M.P.H., Jeremy S. Frank, M.D., Adam Y. Nasreddine, M.A., Marc R. Safran, M.D., Marc J. Philippon, M.D., Jon K. Sekiya, M.D., Bryan T. Kelly, M.D., J.W. Thomas Byrd, M.D., Carlos A. Guanche, M.D., Hal D. Martin, D.O., John C. Clohisy, M.D., Nick G. Mohtadi, M.D., DamianR.
Arthroscopy. 2012 Nov;28(11):1654-1660.e2. doi: 10.1016/j.arthro.2012.04.151. Epub 2012 Sep 16.

Intrathoracic Fluid Extravasation After Hip Arthroscopy

Verma M, Sekiya JK.
Arthroscopy. 2012 Nov;28(11):1654-1660.e2. doi: 10.1016/j.arthro.2012.04.151. Epub 2012 Sep 16.

Fluid extravasation during hip arthroscopy

Stafford GH, Malviya A, Villar RN.
Hip Int. 2011 Nov-Dec;21(6):740-3. doi: 10.5301/HIP.2011.8845.

Tracheal Compression During Shoulder Arthroscopy in Beach-Chair Position

Mehmet Ozgur Ozhan, MD; Mehmet Anil Suzer, MD; Nadim Cekmen, MD; Ceyda Ozhan Caparlar, MD; and Mehmet Burak Eskin, MD
Elsevier HS Journals 2010; 78:6

Upper Airway Compromise by Extravasated Fluid: A Rare Complication After Arthroscopic Repair of Atrophic Cuff Tear

Gorthi Venkat, MS; Young Lae Moon, MD; Woong Chae Na, MD; Keum Young So, MD
ORTHOPEDICS 2009; 32:1

Fenestrated Cannulae with Outflow Reduces Fluid Gain in Shoulder Arthroscopy .

Hasan M. Syed, Seth B. Gillham, Christopher M. Jobe, Wesley P. Phipatanakul and Montri D. Wongworawat
Clinical Orthopaedics and Related Research, Springer New York, 0009-921X (Print) 1528-1132 (Online), Friday, June 26, 2009

Abdominal Compartment Syndrome During Hip Arthroscopy.

Sharma A, Sachdev H, Gomillion M.
Department of Anesthesiology, New York Presbyterian Hospital, Weill Cornell Medical Center, NY, NY
Anaesthesia. 2009 May; 64 (5):567-9.

Complications of Shoulder Surgery: Treatment and Prevention.

Thomas J. Gill, Richard J. Hawkins
Lippinncottt, Williams, Wilkins Res. 2005 ISBN:0781757290

Airway obstruction involving a laryngeal mask airway during arthroscopic shoulder surgery.

Yoshimura E, Yano T, Ichinose K, Ushijima K.
J Obstet Gynaecol Res. 2005 Oct ;31:375-83 16176503

Rhabdomyolysis following shoulder arthroscopy.

Lim J.K., Ang KC, Wang SC, Kumar VP
Arthroscopy: The Journal of Arthroscopic and Related Surgery. Vol 22, No 12 (December), 2006: p 1366.

Immediate postoperative fluid retention and weight gain after shoulder arthroscopy.

LoIK, Burkhart SS.
Arthroscopy. 2005 May;21(5):605-10.

Life Threatening Airway Edema Resuling From Prolonged Shoulder Arthroscopy

Steven L. Orebaugh, M.D.
Source: Anesthesiology, V 99, No. 6, Dec. 2003.

Severe Airway Obstruction During Arthroscopic Shoulder Surgery

Stephan Blumenthal, M.D., Marco Nadig, M.D., Christian Gerber, M.D., Alain Borgeat, M.D.
Source: Anesthesiology, V 99, No. 6, Dec. 2003.

Complications of Arthroscopic Shoulder Surgery

Suntheralingam Yogendran, M.D.
Source: Ambulatory Anesthesia, Oct. 2002.

Surrounding Soft Tissue Pressure During Shoulder Arthroscopy

Jeroen De Wachter, Francis Van Glabbeek, Roger Van Riet, Wim Vab Leemput, Karel Vermeyen, Johan Somville
Source: From the University Hospital of Antwerp, Edegem, Belgium
Acta Orthrop. Belg. 71, 521-527, 2005

Complete Airway Obstruction During Shoulder Arthroscopy

Hynson JM, Tung A, Guevara JE et al.
Source: Anesthesiology Analg, 76 : 875-878, 1993.

Compartment Syndrome in the Thigh as a Complication of Arthroscopy: A Case Report and Review of the Literature

Patricia A. Shands, M.D., Kenneth A. Jansson, M.D.
Source: Medscape General Medicine, Posted 04/10/2002.

Complications associated with arthroscopic shoulder surgery.

Weber SC, Abrams JS, Nottage WM.
Arthroscopy. 2002 Feb;18(2 Suppl 1):88-95.

Complications of hip arthroscopy.

Sampson TG.
Clin Sports Med. 2001 Oct;20(4):831-5.

Intramuscular pressure and fluid absorption during arthroscopic acromioplasty.

Sperber A, Wredmark T.
J Shoulder Elbow Surg. 1999 Sep-Oct;8(5):414-8.

Accumulation of irrigation fluid in the calf as a complication during high tibial osteotomy combined with simultaneous arthroscopic anterior cruciate ligament reconstruction.

Marti CB, Jakob RP.
Arthroscopy. 1999 Nov-Dec;15(8):864-6.

Massive intraperitoneal and extraperitoneal accumulation of irrigation fluid as a complication during knee arthroscopy.

Romero J, Smit CM, Zanetti M.
Arthroscopy. 1998 May-Jun;14(4):401-4.

Cardiac arrest as a result of intraabdominal extravasation of fluid during arthroscopic removal of a loose body from the hip joint of a patient with an acetabular fracture

Bartlett CS, DiFelice GS, Buly RL, Quinn TJ, Green DS, Helfet DL.
J Orthop Trauma. 1998 May;12(4):294-9.

Arthroscopic distal clavicle resection for isolated atraumatic osteolysis in weight lifters.

Auge WK 2nd, Fischer RA.
Am J Sports Med. 1998 Mar-Apr;26(2):189-92.

Compartment syndrome after arthroscopic surgery of knee. A report of two cases managed nonoperatively.

Kaper BP, Carr CF, Shirreffs TG.
Am J Sports Med. 1997 Jul-Aug;25(4):589-90.

Femoral nerve palsy after arthroscopic surgery with an infusion pump irrigation system. A report of three cases.

DiStefano VJ, Kalman VR, O'Malley JS.
Am J Orthop. 1996 Feb;25(2):145-8.

Complications in hip arthroscopy.

Funke EL, Munzinger U.
Arthroscopy. 1996 Apr;12(2):156-9.

The relationship between subacromial space pressure, blood pressure, and visual clarity during arthroscopic subacrom ial decompression.

Morrison DS, Schaefer RK, Friedman RL.
Arthroscopy. 1995 Oct;11(5):557-60.

Fluid pump systems for arthroscopy: a comparison of pressure control versus pressure and flow control.

Ogilvie-Harris DJ, Weisleder L.
Arthroscopy. 1995 Oct;11(5):591-5.

Shoulder arthroscopy and nerve injury: pitfalls and prevention.

Stanish WD, Peterson DC.
Arthroscopy. 1995 Aug;11(4):458-66.

Deltoid and supraspinatus muscle pressures following various arthroscopic shoulder procedures.

Carr CF, Murphy JM.
Arthroscopy. 1995 Aug;11(4):401-3.

Arthroscopic acromioplasty: extravasation of fluid into the deltoid muscle.

Ogilvie-Harris DJ, Boynton E.
Arthroscopy. 1990;6(1):52-4.

Intramuscular deltoid pressure during shoulder arthroscopy.

Lee YF, Cohn L, Tooke SM.
Arthroscopy. 1989;5(3):209-12.

Compartment syndrome as a complication of arthroscopy. A case report and a study of interstitial pressures.

Peek RD, Haynes DW.
Am J Sports Med. 1984 Nov-Dec;12(6):464-8.

Back to top

Hip Arthroscopy Extravasation

Intra-articular psoas tendon release alters fluid flow during hip arthroscopy

Hanypsiak BT1, Stoll MA, Gerhardt MB, DeLong JM.
Mount Sinai Hospital Orthopaedics, NY, USA
Hip Int. 2012 Nov-Dec;22(6):668-71. doi: 10.5301/HIP.2012.10346.

Intra-Abdominal Fluid Extravasation During Hip Arthroscopy: A Survey of the MAHORN Group

Kocher MS, Frank JS, Nasreddine AY, Safran MR, Philippon MJ, Sekiya JK, Kelly BT, Byrd JW, Guanche CA, Martin HD, Clohisy JC, Mohtadi NG, Griffin DR, Sampson TG, Leunig M, Larson CM, Ilizaliturri VM Jr, McCarthy JC, Gambacorta PG.
Arthroscopy. 2012 Sep 15. pii: S0749-8063(12)00482-3. doi: 10.1016/j.arthro.2012.04.151. [Epub ahead of print]

Fluid extravasation during hip arthroscopy

Stafford GH, Malviya A, Villar RN.
Hip Int. 2011 Nov;21(6):740-3. doi: 10.5301/HIP.2011.8845

Abdominal fluid extravasation during hip arthroscopy

Ladner B, Nester K, Cascio B.
Arthroscopy. 2010 Jan;26(1):131-5.

Abdominal compartment syndrome during hip arthroscopy

Sharma A, Sachdev H, Gomillion M.
Anaesthesia. 2009 May;64(5):567-9

Back to top

Shoulder Arthroscopy and Airway Compromise

Rapid tracheal deviation and airway compromise due to fluid extravasation during shoulder arthroscopy.

Edwards DS, Davis I, Jones NA, Simon DW
J Shoulder Elbow Surg. 2014 Jul;23(7):e163-5. doi: 10.1016/j.jse.2014.03.006.

Airway compromise due to irrigation fluid extravasation following shoulder arthroscopy.

Khan F, Padmanabha S, Shantaram M, Aravind M.
J Anaesthesiol Clin Pharmacol. 2013 Oct;29(4):578-9. doi: 10.4103/0970-9185.119171.

Postoperative airway compromise in shoulder arthroscopy: A case series.

Manjuladevi M, Gupta S, Upadhyaya KV, Kutappa AM.
Indian J Anaesth. 2013 Jan;57(1):52-5. doi: 10.4103/0019-5049.108563.

Arthroscopic shoulder surgery under general anesthesia with brachial plexus block: postoperative respiratory dysfunction of combined obstructive and restrictive pathology

Gwak MS1, Kim WH, Choi SJ, Lee JJ, Ko JS, Kim GS, Kim YI, Kim MH.
Anaesthesist. 2013 Feb;62(2):113-20. doi: 10.1007/s00101-012-2125-y. Epub 2013 Feb 13.

Tracheal obstruction caused by fluid extravasation during shoulder arthroscopy

Saeki N, Kawamoto M.
Anaesth Intensive Care. 2011 Mar;39(2):317-8.

Upper airway obstruction following arthroscopic rotator cuff repair due to excess irrigation fluid

Jirativanont T, Tritrakarn TD.
Anaesth Intensive Care. 2010 Sep;38(5):957-8.

Back to top

Low BP Hemostasis Cerebral Risk in Beach Chair

Severe Cerebral Desaturation During Shoulder Arthroscopy in the Beach-Chair Position by Christian Dippmann

Søren Winge, Henning Bay Nielsen
Arthroscopy: The Journal of Arthroscopic and Related Surgery (Vol.26, Issue 9)

Effects of Beach-Chair Position and Induced Hypotension on Cerebral Oxygen Saturation in Patients Undergoing Arthroscopic Shoulder Surgery

Jae Hoon Lee, Kyeong Tae Min, Yong-Min Chun, Eun Jung Kim, Seung Ho Choi
Arthroscopy: The Journal of Arthroscopic and Related Surgery (Vol.27, Issue 7)

Avoiding Catastrophic Complications of Stroke and Death Related to Shoulder Surgery in the Sitting Position

Anastasios Papadonikolakis, M.D., Ethan R. Wiesler, M.D., Michael A. Olympio, M.D., Gary G. Poehling, M.D.
Arthroscopy. 2008 Apr;24(4):481-2.

Back to top

Two- Versus Three-Portal Knee Arthroscopy

Two- Versus Three-Portal Technique for Routine Knee Arthroscopy

William B. Stetson, M.D., and Kevin Templin, A.T.C.
American Journal of Sports Medicine. 2002 Jan-Feb: 30:108-111

Back to top

Arthroscopic Versus Open

Arthroscopic Rotator Cuff Repair: Advancing a New Gold Standard

Don Johnson, M.D.
Medscape 2005

Better Early Improvements in Pain From Arthroscopic vs. Mini-Open Rotator Cuff Repairs

Kang L, Henn RF, Tashjian RZ, Green A.
Arthroscopy. 2007 June; 23:573-582

Patient Perceptions of Open and Arthroscopic Shoulder Surgery

John W. Sperling, M.D., M.B.A., Adam M. Smith, M.D.,
Robert H. Cofield, M.D., and Sunni Barnes, Ph.D.
Arthroscopy. 2007 April: 23;(4):361-6

Back to top

Why You Should Be Using the ClearVu Flexible Cannula

Canine Stifle Arthroscopy: A New View

Jennifer J. Warnock , DVM, PhD, DACVS-SA , Oregon State University
Article first published online: ACVS, 1 OCT 2015

Retained Broken Outflow Cannula Recovered 6 Years Post-Knee Arthroscopy

Mohit Bansal, MD; Frank Heckl, MD; Kate English, BA
ORTHOPEDICS December 2011;34(12):945
.

Back to top

Sterilization of Metal Devices

Nooks and Crannies: The Breeding Grounds for Bacteria

Kelly M. Pyrek
Infection Control Today. 2006 Oct;22(1):300-7
.

Back to top

Wound Repair and Regeneration

Inhibition of cell proliferation by chronic wound fluid.

Bucalo B, Eaglstein WH, Falanga V.
Wound Repair and Regeneration: The official publication of the Wound Healing Society, 1993 Jul;
1(3):181-6