Loose Body Removal

Loose Body Removal
June 14, 2016

Arthroscopic-Loose-Body-RemovalCurrently designated as the head of shoulder and hand division at Max Healthcare, Dr. Gupta while talking about loose body removal says, “There are times when multiple and repeated injuries sustained during work or sports cause tissues or parts of bone or cartilage to break away from their position and flow around the joint causing discomfort and pain in its movement and functionality.”

After 25 years in the field of upper extremity and relatively relieving more than 6000 patients of their trauma by surgical releases, Dr. Gupta is unperturbed by any technicality or complexity of the case. He asserts calmly, “Degenerative diseases of the joints such as osteoarthritis, are the most probable cause that make it essential to remove loose body. As regarding how the patient would know when to seek medical advice, the patient should look out for locking and catching while moving the joints. If there is a history of some past injury and the patient feels discomfort, we conduct a thorough examination and with diagnostic tests such as X-ray, MRI or CT scan decide what has to be done further.”

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Even after studying in Germany and USA besides here in India from AIIMS, I always feel that there is still so much to learn and each case be it mild or severe gives me a new unique dimension to work upon. “Coming back to removal of loose body, I personally prefer treating it with Arthroscopy or Arthrotomy as both the techniques are minimally invasive techniques and completely relieve the patient. There are nonsurgical techniques too but they come handy only when we are dealing in very mild cases.”

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FAQ – Loose Body Removal

Loose Body is another term for the tissue in the form of bone or cartilage that gets torn away from its original place and moves around the joint freely like debris, causing pain, swelling and discomfort.
Loose body removal means extracting out the free flowing part of bone or cartilage in the joint by a simple, minimally invasive procedure.
Probable causes of loose body are injuries sustained during work or while indulging in sports activities.
When a patient starts to feel discomfort and intense pain while moving a joint and starts to feel locking and catching in it, it is advisable to seek medical attention for it might be happening because of a loose body in the joint.
The conditions that make the removal essential are presence of degenerative diseases in the joints such as Osteoarthritis. Repeated pressure and use can make the joints weak and prone to lose body.
The doctor begins with an inquiry into the patient’s medical history and then initiates a thorough physical examination. To determine the extent of damage incurred in the joint by a loose body, the doctor recommends X-ray, CT Scan, MRI or Arthrography.
In most cases surgery is undertaken to remove loose body but in milder cases the joint can be kept functional by physiotherapy and anti inflammatory medications. Regular checkups and a close monitoring of the symptoms should be followed by the patient sincerely so that the condition does not become worse.

The bone or cartilage that is debilitating the joint is removed by techniques such as Arthroscopy – with small surgical cuts a camera is inserted inside the joint to view the bone or cartilage and then remove it by a suction cup that is inserted by another cut.

Arthrotomy. For bodies that cannot be removed via Arthroscopy because they are large in size the technique of Arthrotomy is adopted.
Posted in Condition & Treatments by admin