Shirley Denise S L, Mullet Hannan, Stanley John K
Wrightington Upper Limb Hospital, Wigan, England.
Arthroscopy. 2008 Nov;24(11):1311-2. doi: 10.1016/j.arthro.2007.05.016. Epub 2007 Oct 3.
The indications and applications for wrist arthroscopy continue to expand as new techniques and instrumentation evolve. Wrist arthroscopy is now the gold standard investigation for chronic wrist pain before definitive surgery. Although complications are uncommon, they may include infection, neuroma formation, tendon injury, dorsal skin slough, tourniquet neurapraxia, and reflex sympathetic dystrophy. We describe extensor tendon sheath fistula formation arising from the 3/4 portal after diagnostic wrist arthroscopy and our management in this novel case. The formation of a patent communication between the radiocarpal joint and the tendon sheath permitting the collection of synovial fluid has not previously been described.
随着新技术和器械的不断发展，腕关节镜检查的适应证和应用范围持续扩大。如今，在进行确定性手术之前，腕关节镜检查是慢性腕部疼痛的金标准检查方法。尽管并发症并不常见，但可能包括感染、神经瘤形成、肌腱损伤、手背皮肤坏死、止血带性神经失用症以及反射性交感神经营养不良。我们描述了在诊断性腕关节镜检查后，由3/4入路引发的伸肌腱鞘瘘形成情况以及我们对这一罕见病例的处理方法。此前尚未有关于桡腕关节与腱鞘之间形成允许滑膜液积聚的开放性通道的报道。
