Tendoscopy

What is Tendoscopy?

Tendoscopy is a minimally invasive surgical procedure used to diagnose and treat conditions affecting tendons. During tendoscopy, a small instrument called a tendoscope is inserted into the affected area through minimal incisions. This procedure allows surgeons to view tendons and adjacent structures in real-time, facilitating diagnosis and intervention.
Indications for Tendoscopy

Tendoscopy is indicated in various situations, including:

  • Tendon Injuries: Acute or chronic tendon injuries, such as ruptures or tendinitis.
  • Persistent Pain: Pain in the tendon that doesn't improve with conservative treatments, such as physical therapy or anti-inflammatory medications.
  • Chondromatosis: Formation of small nodules in the tendon that can cause pain and movement limitation.
Symptoms that May Justify Tendoscopy

Symptoms that may lead to the decision to perform tendoscopy include:

  • Localized Pain: Persistent pain around the affected tendon, especially during physical activities.
  • Swelling and Stiffness: Swelling and stiffness in the tendon area, making movement difficult.
  • Functional Difficulty: Limitation in ability to perform activities that require use of the affected tendon.
Tendoscopy Procedure

The procedure generally involves the following steps:

  1. Anesthesia: Patient undergoes local or general anesthesia, depending on location and procedure complexity.
  2. Minimal Incisions: Small incisions are made over the tendon area to be examined.
  3. Tendoscope Insertion: The tendoscope is inserted through the incisions, allowing visualization of the tendon and surrounding structures on a monitor.
  4. Diagnosis and Treatment: The surgeon can diagnose conditions, remove inflamed or damaged tissue, and perform repairs, such as sutures in ruptured tendons.
Recovery from Tendoscopy

Recovery after tendoscopy may include:

  • Rest and Immobilization: Patient may need to rest the affected area and use a splint or immobilizer to protect the tendon during healing.
  • Pain Control: Use of painkillers to manage post-operative pain.
  • Physical Therapy: Physical therapist may recommend exercises to restore strength and mobility, typically starting a few weeks after surgery.
  • Medical Follow-up: Regular consultations to monitor recovery and evaluate tendon function.

Conclusion

Tendoscopy is an effective technique for diagnosing and treating conditions affecting tendons, offering a minimally invasive approach that can result in faster recovery and fewer complications. If you have symptoms related to tendon injuries, it’s important to discuss your options with a foot and ankle surgeon to determine the best treatment plan.