Holt M Shaun, Savoie Felix H, Field Larry D, Ramsey James R
Mississippi Sports Medicine and Orthopaedic Center, 1325 East Fortification Street, Jackson, MS 39202, USA.
Hand Clin. 2004 Nov;20(4):485-95. doi: 10.1016/j.hcl.2004.07.003.
The arthroscope can assist in effectively treating traumatic injuries about the elbow, including some intra-articular fractures. Proper selection of patients is important to ensure effective treatment, but when used judiciously, arthroscopic-assisted debridement and fracture fixation is effective. The arthroscope is a valuable tool in the diagnosis and management of acute intra-articular fractures and in dealing with the sequelae that sometimes cause problems after healing has occurred. It allows for effective fracture treatment without the extensive soft tissue disruption that would be otherwise necessary for exposure. The authors certainly cannot advocate arthroscopic treatment of all intra-articular elbow fractures, but in specific circumstances, the arthroscope cannot only assist but also improve treatment of these sometimes difficult and often challenging injuries. The arthroscope is also useful in the identification of varus, valgus, and posterolateral rotatory instability, particularly when these instabilities are less obvious on clinical examination.
关节镜可有效辅助治疗肘部创伤性损伤，包括一些关节内骨折。正确选择患者对于确保有效治疗很重要，但如果谨慎使用，关节镜辅助下的清创和骨折固定是有效的。关节镜在急性关节内骨折的诊断和处理以及处理愈合后有时会引发问题的后遗症方面是一种有价值的工具。它能实现有效的骨折治疗，而无需进行广泛的软组织切开暴露。作者当然不主张对所有关节内肘部骨折都采用关节镜治疗，但在特定情况下，关节镜不仅能辅助治疗，还能改善对这些有时棘手且颇具挑战性的损伤的治疗。关节镜在识别内翻、外翻及后外侧旋转不稳定方面也很有用，尤其是当这些不稳定在临床检查中不太明显时。
