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Lateral Knee Endoscopy and Proximal Tibiofibular Endoscopy

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Endoscopy of the Hip and Knee

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Abstract

Lateral knee endoscopy can approach the cysts of the lateral knee, distal part of the iliotibial band, the proximal tibiofibular joint, and the fibular head and it can be used for creation of the posterior portals for posterior knee arthroscopy. Endoscopic resection of cyst of the knee is a feasible minimally invasive approach for symptomatic cystic lesion of the lateral knee. It is particularly useful for multi-loculated cysts. Pre-operative magnetic resonance imaging is important to confirm the diagnosis and study the multi-loculation of the cyst and its relationship to surrounding important structures. The proximal tibiofibular joint can be considered as the fourth compartment of the knee to explain subtle knee problems. Endoscopic approach to proximal tibiofibular joint can reach adjacent capsulo-ligamentous structures including biceps femoris tendon, lateral collateral ligament, popliteofibular ligament, fibular head, and posterolateral corner of the knee. Distal iliotibial (IT) band syndrome is a disorder characterized by pain over the lateral aspect of the knee and is commonly diagnosed in a wide array of athletes, most frequently runners and cyclists. Most cases subside with conservative measures. Operative treatment is considered in chronic, recurrent, or refractory cases that persist for more than 6 months and include open or arthroscopic distal IT band lengthening, resection of the lateral synovial recess, transection of the posterior fibers of the IT band, and bursectomy. In this chapter, the endoscopic techniques are outlined.

The corresponding author of section 11.1 is Tun Hing Lui, Email: luithderek@yahoo.co.uk

The corresponding author of section 11.2 is Tun Hing Lui, Email: luithderek@yahoo.co.uk

The corresponding author of section 11.3 is Tun Hing Lui, Email: luithderek@yahoo.co.uk

The corresponding author of section 11.4 is Anthony J. Scillia, Email: scilliaa@sjhmc.org

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Queen Elizabeth Hospital, Hong Kong, China

    Lok Yiu Cheng

  2. Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China

    Tun Hing Lui

  3. The Second Affiliated Hospital, Shenzhen University, Shenzhen, China

    Tun Hing Lui

  4. Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong SAR, China

    Tze Wang Chan

  5. St. Joseph’s University Medical Center, Paterson, NJ, USA

    Iciar M. Dávila Castrodad, Matthew J. Kraeutler & Anthony J. Scillia

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Cheng, L.Y., Lui, T.H., Chan, T.W., Dávila Castrodad, I.M., Kraeutler, M.J., Scillia, A.J. (2021). Lateral Knee Endoscopy and Proximal Tibiofibular Endoscopy. In: Lui, T.H. (eds) Endoscopy of the Hip and Knee. Springer, Singapore. https://doi.org/10.1007/978-981-16-3488-8_11

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  • DOI: https://doi.org/10.1007/978-981-16-3488-8_11

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-3487-1

  • Online ISBN: 978-981-16-3488-8

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