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The patella and entire distal portion of the extensor mechanism can be retracted into the lateral gutter of the knee where they remain out of the way and allow direct visualization of both femoral condyles.
The same high speed burr was used to create unicortical hinges at the lateral gutter (junction of lamina and lateral mass) (Fig. 2).
After DTOO, the lateral gutter is narrowed from contact between the articular surface of the lateral aspect of the talar body and the medial articular surface of the lateral malleolus (c).
Open image in new window Fig. 1 Varus and valgus stressing of the ankle is performed and illustrates instability from the tilt of the talar body within the ankle mortise and the widening of the lateral gutter before the DTOO (a, b).
Eight samples were obtained from the suprapatellar pouch and the medial and lateral gutter in each patient [ 14].
Eight synovial tissue samples were obtained from the suprapatellar pouch and the medial and lateral gutter in each patient [ 3].
Similar(52)
Suprapatellar pouch and medial and lateral gutters should be explored to look for fibrous bands.
Debridement of medial and lateral gutters, contracture, and chondral problems with the radial head were treated.
It is caused by progressive production of abundant scar tissue between extensor mechanism and anterior femoral cortex with suprapatellar pouch obliteration, and medial and lateral gutters scarring down.
In the ankle, PVNS can be present in the medial and lateral gutters, as well as extend along the syndesmotic ligament, flexor and peroneal tendon sheaths, and adjacent joints (ie, subtalar and midtarsal joints).
Jerosch describes a standard technique that consists of release of all fibrous bands in the suprapatellar pouch, re-establishing of the medial and lateral gutters, patellar release, and removal of remaining meniscal tissue or anterior cyclops.
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