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内镜下切除围绕桡骨颈延伸的发炎肱桡滑囊。

Endoscopic resection of the inflamed bicipitoradial bursa extended around the radial neck.

作者信息

Lui Tun Hing

机构信息

Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.

出版信息

BMJ Case Rep. 2013 May 22;2013:bcr2013009923. doi: 10.1136/bcr-2013-009923.

Abstract

The bicipitoradial bursa lies at the insertion of the biceps tendon on the radial tuberosity. It is an unusual site for chronic bursitis and most often, results from repetitive mechanical trauma or overuse. Other causes include tuberculosis, immunological complications of the rheumatological disease, for example, psoriatic arthropathy, rheumatoid arthritis and synovial chondromatosis. Unlike ganglion cyst arising from the elbow joint, resection of the bursa through the elbow arthroscopy is not possible as the bursa is not communicated with the joint. We reported a patient with rheumatoid arthritis presenting with bicipitoradial bursitis extended around the radial neck which was successfully resected endoscopically.

摘要

肱桡滑囊位于肱二头肌肌腱在桡骨粗隆的附着处。它是慢性滑囊炎的一个不常见部位,多数情况下是由重复性机械创伤或过度使用引起的。其他原因包括结核病、风湿性疾病的免疫并发症,如银屑病关节炎、类风湿关节炎和滑膜软骨瘤病。与起源于肘关节的腱鞘囊肿不同,由于该滑囊与关节不相通,所以无法通过肘关节镜切除滑囊。我们报告了1例类风湿关节炎患者,其肱桡滑囊炎症蔓延至桡骨颈周围,最终通过内镜成功切除。

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