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The Arthroscope, Then and Now

Doyle, James R. MD

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Techniques in Hand & Upper Extremity Surgery: December 2008 - Volume 12 - Issue 4 - p 201
doi: 10.1097/BTH.0b013e318190b3bc
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My first clinical introduction to the arthroscope was for the evaluation of a symptomatic knee that I thought might have a retained-and possibly torn-portion of the posterior horn of the meniscus. Incomplete removal of a torn meniscus (especially the posterior horn) was not an uncommon occurrence at that time. In contrast to our modern arthroscopic surgical techniques and instruments, the early use of the arthroscope was for diagnostic purposes only. It often did provide a better view of the posterior recesses of the knee. These early instruments were quickly improved and followed by devices that actually allowed surgical intervention and, as some say, "the rest is history." Yes, the editor is actually that old and has seen the development of this marvelous tool that began more than 3 decades ago. The device was soon applied to examination and later corrective surgery to the shoulder, elbow, wrist, and other joints.

Just when you think that the reasonable limits of application have been reached for a given technology, innovative and skilled surgeons demonstrate the usefulness of this technology in some surprising venues. The collection of articles in this issue, introduced by Editorial Board member Dr Alejandro Badia, is a prime example of this concept.

THUES will continue to present timely and innovative reports on these and other developments in upper extremity surgery. Please join us in our quest!

James R. Doyle, MD

Emeritus Professor of Surgery (Orthopaedics)

John A. Burns School of Medicine, University of Hawaii

Orthopaedic Residency Program

Honolulu, HI

© 2008 Lippincott Williams & Wilkins, Inc.