Thompson Stephen R, Lebel Marie-Eve
Fowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada.
Arthrosc Tech. 2012 May 11;1(1):e75-8. doi: 10.1016/j.eats.2012.03.001. Print 2012 Sep.
Adhesive capsulitis is a common and challenging condition to treat. Arthroscopic capsular release is usually contemplated when conservative treatment fails or when there is severe and/or chronic loss of range of motion. This procedure can be difficult to perform because of difficult access to the joint, poor visualization, and loss of working space from retraction of the joint capsule. The articular surfaces and the axillary nerve are also at higher risk of injury. Arthroscopic scissors, shavers, and electrocautery are typically used to perform the capsular release. To perform a safer and more precise arthroscopic shoulder capsular release, a creative and innovative use of a flexible hip arthroscopy radiofrequency ablator is described.
粘连性关节囊炎是一种常见且治疗具有挑战性的病症。当保守治疗失败或出现严重和/或慢性活动范围丧失时，通常会考虑进行关节镜下关节囊松解术。由于进入关节困难、视野不佳以及关节囊回缩导致工作空间丧失，该手术可能难以实施。关节表面和腋神经也有更高的损伤风险。关节镜剪刀、刨刀和电灼器通常用于进行关节囊松解。为了进行更安全、更精确的关节镜下肩关节囊松解，本文描述了一种对柔性髋关节镜射频消融器的创新性使用。
