RebeccaWoodward*
True Blue
I'm feeling somewhat out of my comfort zone. Can you help me with this op note?
Procedure-Arthroscopy left knee w/ partial lateral meniscectomy; debridement of inflamed fat pad and plica
Inflow cannula was introduced through a superomedial portal and the irrigant contained epinephrine per protocol. The arthroscope was introduced through an anterolateral portal. The knee was scanned w/ the following finding:
1-Suprapatellar pouch normal
2-Patellofemoral joint demonstrated that the patella was well aligned and there were minimal degenerative changes in the patellofemoral joint. There was an inflamed medial plica.
3-Medial compartment showed some hypertrophied synovium and fat pad anteromedially. There were minimal degenerative changes on the medial compartment, chondral surfaces, and the medial meniscus appeared to be intact
4-the intercondylar notch showed that there was partially torn ligamentum mucosum attached to the femoral notch. The anterior and posterior cruciate ligaments appeared normal although there was some fraying of the posterolateral area of the ACL.
5-Lateral compartment visualization showed large kissing lesions w/ eburnated bone on both the femoral and tibial side. There was degenerative tearing of the lateral meniscus.
6-There were no loose bodies in the lateral gutter.
A probe was introduced though an anteromedial portal and the medial meniscus was probed and found to be stable. The tear of the lateral meniscus was defined by probing and partial lateral meniscectomy back to a stable rim performed with punch, shaver, and electrocautery. I then debrided the partially torn tigamentum musosum as well as the inflamed medial plica and fat pad, such that at then end of the debridement there was no further impingement of any of these tissues in the 3 compartments of the knee.
All advice is greatly appreciated!!
Procedure-Arthroscopy left knee w/ partial lateral meniscectomy; debridement of inflamed fat pad and plica
Inflow cannula was introduced through a superomedial portal and the irrigant contained epinephrine per protocol. The arthroscope was introduced through an anterolateral portal. The knee was scanned w/ the following finding:
1-Suprapatellar pouch normal
2-Patellofemoral joint demonstrated that the patella was well aligned and there were minimal degenerative changes in the patellofemoral joint. There was an inflamed medial plica.
3-Medial compartment showed some hypertrophied synovium and fat pad anteromedially. There were minimal degenerative changes on the medial compartment, chondral surfaces, and the medial meniscus appeared to be intact
4-the intercondylar notch showed that there was partially torn ligamentum mucosum attached to the femoral notch. The anterior and posterior cruciate ligaments appeared normal although there was some fraying of the posterolateral area of the ACL.
5-Lateral compartment visualization showed large kissing lesions w/ eburnated bone on both the femoral and tibial side. There was degenerative tearing of the lateral meniscus.
6-There were no loose bodies in the lateral gutter.
A probe was introduced though an anteromedial portal and the medial meniscus was probed and found to be stable. The tear of the lateral meniscus was defined by probing and partial lateral meniscectomy back to a stable rim performed with punch, shaver, and electrocautery. I then debrided the partially torn tigamentum musosum as well as the inflamed medial plica and fat pad, such that at then end of the debridement there was no further impingement of any of these tissues in the 3 compartments of the knee.
All advice is greatly appreciated!!
