Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 12 , Pages 1500-1504, December 2009

The Use of Medulloscopy for Localized Intramedullary Lesions: Review of 5 Cases

  • Ji Hoon Kwak, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea
    • ,
  • Jae Ang Sim, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea
    • ,
  • Sang Hoon Yang, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea
    • ,
  • Sung Jun Kim, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea
    • ,
  • Beom Koo Lee, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea
    • Corresponding Author InformationAddress correspondence and reprint requests to Beom Koo Lee, M.D., Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, 1198, Kuwol-dong, Namdong-gu, Incheon, Korea, 405-760
    • ,
  • Yong Chul Ki, M.D.

      Affiliations

    • Department of Seodaegu Hospital, Daegu, Korea

published online 25 June 2009.

Abstract 

We report 5 cases of a localized lesion (4 with osteomyelitis and 1 with an intraosseous ganglion cyst) that were treated successfully by medulloscopy. Medulloscopy is a standard arthroscopic technique for visualizing the intramedullary canal of the tibia. Two portals were created to allow easy access and triangulation to the lesion, one for the 5-mm arthroscope and the other for the instrument. Debridement, irrigation, and resection of the sequestrum were performed for the cases with osteomyelitis, and the intraosseous ganglion cyst was treated with biopsy, debridement, and autogenous bone grafting. All cases were treated successfully with medulloscopy and did not show recurrence at the last follow-up. In addition, there were no complications related to the procedure.

Key Words: Chronic osteomyelitis, Medulloscopy, Intramedullary lesion, Intraosseous ganglion, Saucerization, Sequestrum

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 The authors report no conflict of interest.

PII: S0749-8063(09)00068-1

doi:10.1016/j.arthro.2009.01.009

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 12 , Pages 1500-1504, December 2009

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