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This Concept Map, created with IHMC CmapTools, has information related to: Annular Ligament Desmotomy, Closed: Minimally Invasive pros and cons Pros 1. Can be done standing using stainding chemical restraint and minimal incision length Cons 2.Needs some level of experience 3. Transection is done 'blindly' which could lead to iatrogenic damage, Annular Ligament Desmotmy Includes Procedure, Procedure Technique Tenoscopic /Arthroscopic, Procedure Technique Closed: Minimally Invasive, Annular Ligament Desmotmy Includes Prognosis, Tenoscopic /Arthroscopic Pros and cons, Procedure Technique Open Surgery, Open Surgery Pros and Cons Pros 1. Allows for greater examination of contents of the sheath than in closed but less than tenoscopic, Annular Ligament Desmotmy Includes Complications 1.Wound Breakdown may lead to synovial fistulas if an open approach is used 2. Infection in the sheath or wound 3. Adhesions 4.Incomplete transection of the PAL 5.Iatrogenic damage.