Tu Chen G, McGuire Duncan T, Morse Levi P, Bain Gregory I
Modbury Hospital, Modbury, SA.
Tech Hand Up Extrem Surg. 2013 Sep;17(3):173-5. doi: 10.1097/BTH.0b013e31829c0535.
Olecranon bursitis is a common clinical problem. It is often managed conservatively because of the high rates of wound complications with the conventional open surgical technique. Conventional olecranon bursoscopy utilizes an arthroscope and an arthroscopic shaver, removing the bursa from inside-out. We describe an extrabursal endoscopic technique where the bursa is not entered but excised in its entirety under endoscopic vision. A satisfactory view is obtained with less morbidity than the open method, while still avoiding a wound over the sensitive point of the olecranon.
鹰嘴滑囊炎是一种常见的临床问题。由于传统开放手术技术伤口并发症发生率高,通常采用保守治疗。传统的鹰嘴滑囊镜检查使用关节镜和关节镜刨削器,从内向外切除滑囊。我们描述了一种囊外内镜技术,该技术不进入滑囊,而是在内镜视野下将其完整切除。与开放手术相比,该技术能获得满意的视野,且发病率更低,同时仍可避免在鹰嘴敏感点上方形成伤口。