van Dijk C N, Scholten P E, Krips R
Academic Medical Center, Department of Orthopaedic Surgery, Amsterdam, The Netherlands.
Arthroscopy. 2000 Nov;16(8):871-6. doi: 10.1053/jars.2000.19430.
We describe a 2-portal endoscopic approach of the hindfoot with the patient in the prone position. By means of this approach, it is possible to visualize and treat a variety of posterior ankle problems. Not only can pathology of the posterior ankle joint and subtalar joint be visualized and treated, but also periarticular pathology, such as calcifications or scar tissue, can be diagnosed and treated. We describe a professional ballet dancer with chronic flexor hallucis longus tendinitis and a posterior ankle impingement syndrome caused by an os trigonum of both ankles. The patient was successfully treated by removing the os trigonum and releasing the flexor hallucis longus tendon. She resumed her professional activities within 2 months after endoscopic treatment.
我们描述了一种患者俯卧位时后足的双切口内镜入路。通过这种入路，可以可视化并治疗多种后踝问题。不仅后踝关节和距下关节的病变可以可视化并治疗，而且关节周围病变，如钙化或瘢痕组织，也可以被诊断和治疗。我们描述了一名职业芭蕾舞演员，患有双侧距骨三角骨引起的慢性拇长屈肌腱炎和后踝撞击综合征。通过切除距骨三角骨和松解拇长屈肌腱，患者得到了成功治疗。内镜治疗后2个月内，她恢复了职业活动。
