Savoie Felix H
Mississippi Sports Medicine & Orthopaedic Center, Jackson, Mississippi 39202, USA.
Arthroscopy. 2007 Nov;23(11):1237-40. doi: 10.1016/j.arthro.2007.04.013.
This report presents my guidelines for surgeon training and development of skills in the art of elbow arthroscopy. As elbow arthroscopy becomes more common, it is important to achieve greater levels of experience that will minimize the risk of complications because indications and techniques are growing in number and complexity. Indications for elbow arthroscopy that require diagnosis before open surgery include evaluation of instability; removal of loose bodies, spurs, and plica; irrigation and debridement of infection or open joints; evaluation for arthrofibrosis (with open nerve protection), lateral epicondylitis, arthritis, osteochondritis dissecans, fracture, bursectomy, synovectomy, stabilization, tendon repair, and nerve release or decompression.
本报告介绍了我关于肘部关节镜手术外科医生培训及技能培养的指导原则。随着肘部关节镜手术越来越普遍,鉴于其适应症和技术的数量及复杂性不断增加,积累更丰富的经验以将并发症风险降至最低变得至关重要。在进行开放手术前需要进行诊断的肘部关节镜手术适应症包括评估关节不稳;取出游离体、骨刺和皱襞;冲洗和清创感染或开放性关节;评估关节纤维性强直(同时进行开放性神经保护)、外侧上髁炎、关节炎、剥脱性骨软骨炎、骨折、滑囊切除术、滑膜切除术、稳定术、肌腱修复以及神经松解或减压。