van Dijk C Niek
Department of Orthopaedic Surgery, Academic Medical Center, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.
Foot Ankle Clin. 2006 Jun;11(2):391-414, vii. doi: 10.1016/j.fcl.2006.03.002.
Hindfoot pain can be caused by a variety of pathologies; most of these can be diagnosed and treated by means of endoscopy. The main indications are posterior tibial tenosynovectomy, diagnosis of a peroneus brevis length rupture, peroneal tendon athesiolysis, flexor hallucis longus release, os trigonum removal, endoscopic treatment for retrocalcaneal bursitis, endoscopic treatment for Achilles (peri)tendinopathy, and treatment of ankle joint or subtalar joint pathology. The advantages of endoscopic hindfoot surgery over open surgery are less morbidity, reduction of postoperative pain, outpatient treatment, and functional postoperative treatment. This two-portal hindfoot endoscopy approach is a safe, reliable, and exciting method to diagnose and treat a variety of posterior ankle problems and offers a good alternative to open surgery.
后足疼痛可由多种病变引起；其中大多数可通过内镜检查进行诊断和治疗。主要适应症包括胫后肌腱滑膜切除术、短腓骨肌长度断裂的诊断、腓骨肌腱粘连松解术、拇长屈肌松解术、三角骨切除术、跟腱后囊炎的内镜治疗、跟腱（周围）肌腱病的内镜治疗以及踝关节或距下关节病变的治疗。与开放手术相比，内镜下后足手术的优点是发病率较低、术后疼痛减轻、门诊治疗以及术后功能治疗。这种双入路后足内镜方法是诊断和治疗各种踝关节后部问题的一种安全、可靠且令人兴奋的方法，为开放手术提供了一个很好的替代方案。
