An Overview of Pediatric Knee Arthroscopy With Use of the NeedleScope

Nicholas Bast; Remy Zimmerman; John Schlechter

doi:10.1016/j.eats.2023.08.018

An Overview of Pediatric Knee Arthroscopy With Use of the NeedleScope

Arthrosc Tech. 2023 Dec 11;13(1):102813. doi: 10.1016/j.eats.2023.08.018. eCollection 2024 Jan.

Authors

Nicholas Bast¹, Remy Zimmerman², John Schlechter^{1

2

3}

Affiliations

¹ Department of Orthopaedic Surgery, Riverside University Health System-Medical Center, Moreno Valley, California, U.S.A.
² CHOC Children's Hospital, Orange, California, U.S.A.
³ Pediatric Orthopedic Specialists of Orange County, Orange, California, U.S.A.

Abstract

As sports-related injuries are becoming more common among children, there has been an increased need for knee arthroscopies in the pediatric population. Nevertheless, pediatric knee arthroscopy exposure is varied among orthopaedic surgeons, especially during residency training. There is a considerable difference in knee arthroscopy case volume between the adult and the pediatric population among orthopaedic residents. Although the fundamentals of adult knee arthroscopy have been well delineated, there is a paucity of literature surrounding basic pediatric knee arthroscopy. Our goal is to further explain the fundamentals needed to perform successful arthroscopic surgery in the pediatric knee. Through discussing proper patient positioning, instrumentation, including the utility of the 1.9-mm small-bore needle arthroscope (NanoScope; Arthrex, Naples, FL), subtle tips and tricks, as well as advantages and disadvantages of arthroscopy in children, this Technical Note along with the corresponding video are designed to help elucidate the intricacies of the pediatric knee. It will serve as educational material targeted to the resident trainee or any orthopaedic practitioner interested in gaining an introductory foundation to pediatric knee arthroscopy.