About the Department
Department of Arthroscopy And Sports injury was started in the Year 1989. Dr R.N.Singh is one of the leading and a pioneer in arthroscopy of India who started his exclusive arthroscopy practice in 1989 at Bihar. This department is one of its kind in india with advanced medical care to athletes and the general population suffering from ailments of joints. We provide care for more than 400 inpatients annually. Arthroscopic surgery and Sports Medicine Services are provided with very high standards meeting the international clinical protocols under the guidance of experts. Fully equipped operation theatres with state of the art imported equipment and instruments for conducting all advanced arthroscopic surgeries of Knee, Shoulder, Ankle, Hip, Elbow and wrist joints. The Sports Rehabilitation facility is equipped with the latest gadgets and physiotherapy equipment to rehabilitate injured athletes expeditiously. A team of fully trained physiotherapists are available to carry out specialized treatment techniques like Manual Therapy for Myofascial Trigger Points Sports Nutrition and Sports Psychology leading by expert dietician give the extra edge to the athletes and also to people who seek professional help for weight management. A built in Sports Cafe will dish out scientifically designed and nutritious diet and snacks for the sporting and exercising persons who throng our centre.
At anup Institute of Orthopaedics and rehabilitation , we help our patients dealing with sports injuries get back to their lives as safely and as quick as possible with our specially designed comprehensive programs. Our team treat the full range of athletic injuries in children and adults, for both professional athletics and recreational athletes. All major sports procedures and surgeries are performed, including arthroscopic procedures on the knee, shoulder, elbow, and ankle. Our surgeons also perform the most recently developed meniscal, cartilage and ligament reconstruction procedures. Arthroscopy is a minimally invasive diagnostic and treatment procedure for the conditions of a joint. Most arthroscopic surgeries are done on an outpatient basis, and patients are allowed to go home within a day post surgery. The majority of patients resume daily activities and return to work or school within a few days. Athletes and other patients in good physical condition may return to athletic activities within a few weeks, under the care of our AIOR Orthopaedics specialists.
Knee is the largest joint and most commonly treated joint by arthroscopy Common conditions
1. Torn meniscus: The cartilage is trimmed to a stable rim or occasionally repaired
- Meniscus repair
- Partial menisectomy
- Meniscus transplants
- Radiofrequency chondroplasty
2. Torn surface (articular) cartilage
- Autologous chondrocyte transplantation
- Synthetic osteochondral implants
- Mosaicplasty/osteochondralautograft transfer
- Osteochondral transplants
Arthroscopy involves insertion of a camera (called arthroscope) in the joint, to look within the joint. It is a very useful tool aiding surgeons to examine, diagnose, and treat joint problems. With the help of camera pictures are visualized on the TV screen and small surgical instruments are guided by the surgeon to perform the arthroscopic surgery. Very small incisions are used compared to larger incisions used for open surgery.
Adhesive Capsulitis Arthroscopic Surgery
Frozen shoulder or adhesive capsulitis condition (resulting from inflammation and stiffening of connective tissue surrounding glenohumeral joint) can be corrected successfully by using minimally invasive arthroscopic surgery.
Arthroscopic ACL Reconstruction
ACL (anterior cruciate ligament) is one of the four important ligaments which stabilize the knee and when it is torn, it is reconstructed using arthroscopic technique during ACL reconstruction surgery.
Fusion of the bones of a joint making it one continuous bone is called arthrodesis. This procedure can be performed arthroscopically with minimal invasion and derive excellent results. Pins, plates, screws, and rods are used to hold the bones in proper position for fusion to take place. This surgery turns a painful joint into a stiff painless joint.
Arthroscopic Bankart Repair
Bankart lesion is an injury where labrum separates from its bony attachment at the glenoid rim of the shoulder. Arthroscopic surgery entails sewing back of torn tissue to the rim of the socket to treat condition effectively. Arthroscopic Debridement: Arthroscopic debridement is a minimally invasive surgery where joint is accessed and bone spurs, redundant cartilage and any inflamed tissue is removed. These loose fragments cause impingement and make the joint unstable creating pain and discomfort for the patient.
Meniscus provides cushioning to the knee joint. With sudden rapid twisting or turning of the knee while the foot is planted, meniscal tear can happen. Arthroscopic meniscectomy is performed to remove the torn meniscus and correct the condition. Rest of the knee is also examined to look for any other conditions that might be coexisting with the meniscal tear.
Recalcitrant elbow pain, not responding to treatment, might warrant arthroscopy of the elbow. Arthroscopy can successfully be performed to remove loose fragments of cartilage, bone, or scar tissue which might be inhibiting normal movement of the elbow.
The patients suffering from hip pain not responding to conservative treatment are often recommended hip arthroscopy to reach at exact diagnosis and fix it also during the procedure. Patients suffering from hip dysplasia, hip joint infection, FAI, snapping hip syndrome synovitis, and loose bony fragments also derive significant benefits from arthroscopy.
Achilles Tendinitis Management
Calf muscles at the back of the leg to the heel get inflamed by overuse and appropriate treatment helps resolve the problem quickly.
ACL provides rotational stability to the knee and sudden stops during sports can injure it. Appropriate technique training along with physical therapy management is very crucial. FAI Syndrome: When there is too much friction of the hip joint, femoroacetabular impingement occurs. Arthroscopic surgery might be warranted to correct the problem.
It does not affect only golfers but also people involved in repetitive hand, wrist or forearm motions such as throwing sports, bowling, baseball, raking, and hammering. Management under expert care renders adequate relief.
It is an overuse injury causing inflammation of patellar tendon and should be treated promptly. Mallet finger: With injuries such as striking of ball, there can be damage to extensor tendon and the finger cannot be straightened after that. This condition is also referred to as baseball finger. It can mostly be treated without surgery under expert care.
Rotator Cuff Tears
Rotator cuff helps with stabilization of the shoulder joint. Repetitive overhead motions related to sports or occupation can lead to rotator cuff injury/tear which can be quite painful.
It is the most common cause of knee pain and treatment is planned under expert guidance.
People involved in intensely vigorous quick motions over the top of the shoulder are especially at high risk of injuring/tearing of the labrum, such as volleyball players and baseball pitchers. Such injuries can be managed under expert and return to play is planned accordingly.
This is a condition affecting pubic joint leading to chronic groin pain which increases with coughing and sneezing. It can result in disabling pain and expert orthopedic can chalk out the treatment plan.
Tennis elbow occurs in people who are involved in occupations requiring repetitive motion of the elbow such as tennis players, painters, cooks, plumbers, carpenters.
Sprain of the big toe affecting football players, needs to be examined carefully and treated accordingly.