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肘关节镜检查:适应症、技术、结果及并发症

Elbow arthroscopy: indications, techniques, outcomes, and complications.

作者信息

Adams Julie E, King Graham J W, Steinmann Scott P, Cohen Mark S

出版信息

J Am Acad Orthop Surg. 2014 Dec;22(12):810-8. doi: 10.5435/JAAOS-22-12-810.

Abstract

Elbow arthroscopy is a tool useful for the treatment of a variety of pathologies about the elbow. The major indications for elbow arthroscopy include débridement for septic elbow arthritis, synovectomy for inflammatory arthritis, débridement for osteoarthritis, loose body extraction, contracture release, treatment of osteochondral defects and selected fractures or instability, and tennis elbow release. Contraindications, technical considerations, and favorable outcomes following treatment with elbow arthroscopy require careful patient evaluation, a thorough understanding of anatomic principles, and proper patient positioning and portal selection to guide preoperative planning and overall patient care. Elbow arthroscopy is an effective procedure for the treatment of inflammatory arthritis, osteoarthritis, and lateral epicondylitis.

摘要

肘关节镜检查是一种用于治疗多种肘关节病变的工具。肘关节镜检查的主要适应证包括:对化脓性肘关节炎进行清创、对炎性关节炎进行滑膜切除术、对骨关节炎进行清创、取出游离体、松解挛缩、治疗骨软骨缺损以及特定的骨折或不稳定情况,还有网球肘松解。肘关节镜检查治疗后的禁忌证、技术要点及良好预后需要对患者进行仔细评估,透彻理解解剖学原理,并正确进行患者体位摆放和入路选择,以指导术前规划和整体患者护理。肘关节镜检查是治疗炎性关节炎、骨关节炎和外侧上髁炎的有效方法。

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