Rahusen Frank Th G, Brinkman Justus-Martijn, Eygendaal Denise
Department of Orthopaedic Surgery, Diakonessenhuis, Utrecht, The Netherlands.
J Shoulder Elbow Surg. 2009 Mar-Apr;18(2):279-82. doi: 10.1016/j.jse.2008.10.015.
Evaluate the effectiveness of arthroscopic treatment of posterior impingement in the athletes elbow.
16 elbows were included. An arthroscopic debridement of the posterior fossa of the elbow was performed. All Patients were evaluated preoperatively and after an average of 38 (30-53) months using range of motion, the Modified Andrews Elbow Scoring System (MAESS), VAS in rest and after provocation.
The average flexion increased from 138 degrees to 140 degrees . The extension deficit of 8 degrees preoperatively increased to a deficit of average 2 degrees (P < 0.05). The MAESS increased from average preoperative to excellent postoperative (P < 0.05). The average VAS in rest decreased from 3 to 0 and during sporting activities the VAS decreased from 7 to 2 (P < 0.05).
In this series, arthroscopic debridement of the posterior fossa in athletes with posterior impingement is a procedure that showed excellent mid term results and can therefore be recommended.
Level 4; Retrospective case series, no control group.
评估关节镜治疗运动员肘部后撞击症的有效性。
纳入16例肘部病例。对肘部后关节窝进行关节镜下清创术。所有患者在术前以及平均38（30 - 53）个月后，采用活动范围、改良安德鲁斯肘部评分系统（MAESS）、静息和激发后的视觉模拟评分法（VAS）进行评估。
平均屈曲度从138度增加到140度。术前8度的伸展受限增加到平均2度的受限（P < 0.05）。MAESS评分从术前平均水平提高到术后优秀水平（P < 0.05）。静息时的平均VAS评分从3降至0，在体育活动期间VAS评分从7降至2（P < 0.05）。
在本系列研究中，对患有后撞击症的运动员进行关节镜下后关节窝清创术，该手术显示出优异的中期效果，因此可以推荐。
4级；回顾性病例系列，无对照组。
