Lancaster Orthopedic Group, Lancaster, Pennsylvania, USA.
Arthroscopy. 2011 Jan;27(1):142-4. doi: 10.1016/j.arthro.2010.10.013.
This article presents iatrogenic dermal burn injury as a complication of using a vented bipolar radiofrequency (RF) ablative device in shoulder arthroscopy. We have encountered 4 patients who have sustained second-degree skin burns after shoulder arthroscopy. The burns occurred from arthroscopic shoulder surgeries performed from 2004 to 2008. In each case a vented bipolar RF device was used to help perform a subacromial decompression. The burns appeared to be the result of heated effluent from the outflow tubing of the RF device exposed to the skin of the patients. This case report shows that care should be taken to avoid exposing patients to the elevated temperatures of bipolar RF device effluent to reduce the risk of dermal burn injury.
本文报道了使用带通风口的双极射频（RF）消融装置在肩关节镜检查中引起医源性皮肤烧伤的并发症。我们遇到了 4 例患者，他们在肩关节镜检查后发生了二度皮肤烧伤。这些烧伤发生在 2004 年至 2008 年期间进行的肩关节镜手术中。在每种情况下，都使用带通风口的双极 RF 装置来帮助进行肩峰下减压。烧伤似乎是由于 RF 装置流出管中的热流出物暴露于患者的皮肤而引起的。本病例报告表明，应注意避免将患者暴露于双极 RF 装置流出物的高温下，以降低皮肤烧伤的风险。
