Sammarco Vincent James
Cincinnati Sports Medicine and Orthopaedic Center, Cincinnati, OH 45242, USA.
Sports Med Arthrosc Rev. 2009 Jun;17(2):94-9. doi: 10.1097/JSA.0b013e3181a3d420.
Endoscopy of the tendons (tendoscopy) of the foot and ankle has become more frequently performed and reported. New, smaller endoscopic cameras and instruments have made tendoscopy more accessible and useful for sports medicine and related surgeries. The peroneal tendons are particularly accessible for tendoscopy owing to their subcutaneous position along the lateral ankle. Tendoscopy of the peroneal tendon sheaths can be used for diagnosis and minimally invasive treatment of certain disorders. In cases where open procedures are indicated, surgical exposure can be limited by tendoscopic identification of the exact location of the pathology, allowing repair through a limited or "mini" incision. This paper reviews the available literature and presents the authors technique for peroneal tendoscopy. Endoscopic photographs of normal anatomy and pathologic conditions are presented.
足踝部肌腱的内镜检查(肌腱镜检查)开展及报道得越来越频繁。新型、更小的内镜摄像头和器械使肌腱镜检查在运动医学及相关手术中更容易实施且更有用。由于腓骨肌腱沿外踝呈皮下位置,因此特别适合进行肌腱镜检查。腓骨肌腱腱鞘的肌腱镜检查可用于某些疾病的诊断和微创治疗。在需要进行开放性手术的情况下,通过肌腱镜确定病变的确切位置可限制手术暴露范围,从而允许通过有限或“迷你”切口进行修复。本文回顾了现有文献,并介绍了作者的腓骨肌腱镜技术。文中展示了正常解剖结构和病理状况的内镜照片。