Research Article| Volume 2, ISSUE 3, P163-168, September 1986

Download started.


Arthroscopic arthropathy: Iatrogenic arthroscopic joint lesions in animals

      This paper is only available as a PDF. To read, Please Download here.


      Damage to the articular cartilage does occur, on occasion, during the course of diagnostic arthroscopy and arthroscopic surgery. Because of this, we decided to do an arthroscopic gross and histologic study of the alterations in the articular cartilage and the underlying bone that we produced in the joints of dogs. Depending upon the instruments used and the depth of the lesion created, various types of lesions were produced in the cartilage, including track-like fissures, patch-like defects, and even superficial damage to the subchondral bone. Superficial lesions reaching only to the transitional zone were repaired by a smoothing of the edges of the defects. In the deeper lesions, repair consisted of a flat fibrous covering with sclerosis of the subchondral bone. These defects were followed for a period of 6 months, and in no case did a complete filling in occur. We realize that this animal experimental study is not a model for human osteoarthritis, but it casts some light on the importance of iatrogenic lesions of the joint. This study was carried out for the purpose of drawing attention to damage of the articular cartilage that can occur during arthroscopic surgery, especially in narrow joint spaces. These findings underline the need for responsible and effective education in the field of diagnostic and therapeutic arthroscopy.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Arthroscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Glinz W
        Arthroskopie beim Knorpelschaden des Kniegelenkes.
        Hefte Unfallheilkd. 1975; 127: 46-57
        • Hausmann B
        • Forst R
        Nachweis einer moglichen Traumatisierung des Kniegelenkes bei der Arthroskopie.
        Z Orthop. 1982; 120: 725-728
        • Dick WW
        • Glinz HR
        • Henche R
        • Ruckstuhl J
        Komplicationen der Arthroskopie.
        Arch Orthop Trauma Surg. 1978; 92: 69-73
        • Klein W
        Arthroscopic partial meniscectomy.
        Arch Orthop Trauma Surg. 1983; 101: 231-237
        • Berner W
        • Hesse W
        • Giebel G
        • Tscherne H
        Der Wert der Stanzbiopsie fur die Arthroskopie.
        Hefte Unfallheilkd. 1970; 148: 360-363
        • Otte P
        Die Regenerationsfahigkeit des Gelenkknorpels.
        Z Orthop. 1958; 90: 299-303
        • Meachim G
        The effect of scarification on articular cartilage in the rabbit.
        J Bone Joint Surg. 1963; 45B: 150-161
        • Dustmann WO
        • Puhl W
        • Krempien B
        Das Phanomen der Cluster im Arthroseknorpel.
        Arch Orthop Unfallheilkd Chir. 1974; 78: 321-333
        • Muhr G
        Der frische Knorpelschaden.
        Hefte Unfallheilkd. 1975; 127: 59-70
        • Cotta HW
        • Puhl W
        Oberflachenbetrachtungen des Gelenknorpels.
        Arch Orthop Unfallheilkd Chir. 1970; 68: 152-164
        • Cotta HW
        • Puhl W
        Pathophysiologie des Knorpelschadens.
        Hefte Unfallheilkd. 1976; 128: 110-117
        • Puhl W
        Rasterelektronenoptische Untersuchungen zur Frage fruher Knorpelschadigung durch leukozytare Enzyme.
        Arch Orthop Unfallheilkd Chir. 1971; 70: 87-89
        • Mankin HJ
        Localization of tritiated thymidine in articular cartilage of rabbits.
        J Bone Joint Surg. 1962; 44A: 688-698
        • Mankin HJ
        The response of articular cartilage to mechanical injury.
        J Bone Joint Surg. 1982; 64A: 460
        • Frost GE
        Cartilage healing and regeneration.
        J S Afr Vet Assoc. 1979; 50: 181
        • Knezevic PF
        • Wruhs O
        Arthroscopy in the horse, ox, pig and dog.
        Vet Med Rev. 1977; 1: 53-63
        • Siemering HG
        Arthroscopy of dogs.
        Javama. 1978; 172: 575-577