Department of Orthopedic Surgery, Daejeon St Mary's Hospital, College of Medicine, The Catholic University of Korea, 520-2, Daehung-dong, Jung-gu, Daejeon, 301-723, South Korea.
Arch Orthop Trauma Surg. 2014 Aug;134(8):1143-5. doi: 10.1007/s00402-014-2011-y. Epub 2014 May 27.
Shoulder arthroscopy has become a common procedure in today's orthopedic practice. The safety of this procedure has been well established, but there are some complications associated with every surgical procedure both minor and major. In the present era, with advanced arthroscopic instruments, it is rare to encounter the problem of instrument breakage during arthroscopic surgery. Here, we report an unusual case in which we found a detached arthroscopic lens within the shoulder joint. A 58-year-old male patient who was previously operated for shoulder arthroscopy for the treatment of impingement syndrome combined with shoulder stiffness. We performed shoulder arthroscopy again and removed the detached lens arthroscopically. This case warrants the need for the surgeon and the operating room staff to be well acquainted with the arthroscopic instruments and to check the instruments properly before and after the completion of the procedure. If the operating room staff would have identified the damage to the scope, encountered during the primary operation, we could have avoided the second procedure to remove the lens.
肩关节镜检查已成为当今骨科实践中的常见程序。该程序的安全性已得到充分证实,但与每个手术程序相关联的是,无论是轻微的还是主要的,都存在一些并发症。在当前时代,随着先进的关节镜器械的发展,在关节镜手术中遇到器械断裂的问题已经很少见了。在这里,我们报告了一个不寻常的病例,在这个病例中,我们发现了一个在肩关节内分离的关节镜镜头。一名 58 岁男性患者,此前因撞击综合征合并肩关节僵硬而行肩关节镜检查。我们再次进行了肩关节镜检查,并通过关节镜取出了分离的镜片。该病例需要外科医生和手术室工作人员熟悉关节镜器械,并在手术前后对器械进行适当的检查。如果手术室工作人员在初次手术中发现了器械的损坏,我们就可以避免进行第二次取出镜片的手术。