Bojanić Ivan, Smoljanović Tomislav, Mahnik Alan
Klinika za ortopediju Medicinskog fakulteta Sveucilista u Zagrebu, Klinicki bolnirki centar Zagreb.
Lijec Vjesn. 2010 Jul-Aug;132(7-8):238-45.
Elbow arthroscopy has become an indispensable method of surgical care of injuries and their consequences and damages that affect the elbow. The advantages of elbow arthroscopy in comparison to classical open surgery are multiple. Primarily, arthroscopy allows an excellent view of intra-articular structures and thus a detailed overview of the entire joint which enables us to perform complete surgery without opening the joint. Furthermore, morbidity is significantly smaller, rehabilitation is faster, and return to daily activities is also faster. Basic requirements for successful application of elbow arthroscopy are careful planning of the procedure, very good knowledge of regional anatomy of the elbow, strictly following the rules of performing the procedure, good technique and an experienced surgeon. Pathologies that can currently be addressed arthroscopically include osteochondritis dissecans of elbow, lateral epicondylitis, synovial plica syndrome, elbow osteoarthritis, elbow contracture, as well as the diseases where the synovectomy is needed, such as rheumatoid arthritis, pigmented villonodular synovitis, synovial chondromatosis and hemophiliac synovitis.
肘关节镜检查已成为治疗影响肘关节的损伤及其后果和损害的不可或缺的手术方法。与传统开放手术相比,肘关节镜检查具有诸多优势。首先,关节镜能提供关节内结构的清晰视野,从而对整个关节有详细的总体了解,使我们能够在不打开关节的情况下完成手术。此外,发病率显著降低,康复更快,恢复日常活动也更快。成功应用肘关节镜检查的基本要求包括仔细规划手术、对肘关节局部解剖有非常好的了解、严格遵循手术操作规则、良好的技术以及经验丰富的外科医生。目前可以通过关节镜治疗的病症包括肘关节剥脱性骨软骨炎、外侧肱骨髁炎、滑膜皱襞综合征、肘关节骨关节炎、肘关节挛缩,以及需要进行滑膜切除术的疾病,如类风湿关节炎、色素沉着绒毛结节性滑膜炎、滑膜软骨瘤病和血友病性滑膜炎。