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Since the introduction of endoscopic inspection of joints in the 1960s, a few rheumatologists have sought to apply the technique to our patients. Surgical applications under arthroscopic guidance swept away simple arthroscopy in the 1970s1. Attempts to acquire full arthroscopic skills in the 1980s led rheumatologists at several institutions to enter operating rooms (OR) and apply arthroscopic techniques to a variety of clinical situations encountered in rheumatology, particularly arthroscopic debridement for knee osteoarthritis (OA) and major synovectomy for refractory knee synovitis in rheumatoid arthritis (RA)2.Advances in instrumentation that permitted arthroscopy to be performed in a procedure room or office setting fueled a surge of interest in the early 1990s, with highly popular instructional courses sponsored by the American College of Rheumatology (ACR) and private concerns. Arthroscopy study group meetings became a regular part of every national ACR yearly meeting.The nationwide burden of knee arthritis coupled with … Address correspondence to Dr. R.W. Ike, 300 N. Ingalls, SPC 5422, Ann Arbor, Michigan 48109-5422, USA. E-mail: rike{at}umich.edu, rike{at}med.umich.edu

Arthroscopy in Rheumatology: Time for a New Look?