Talati Rushi K, Dein Eric J, Huri Gazi, McFarland Edward G
Division of Shoulder Surgery, Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, MD.
Am J Orthop (Belle Mead NJ). 2015 Feb;44(2):E58-60.
It is common in shoulder surgery to perform an arthroscopic acromioplasty for patients with varying degrees of rotator cuff disease. One method for helping the surgeon stay oriented to the location of the arthroscopic instruments during this procedure is to place spinal needles into the subacromial space to demarcate bony landmarks. It is also common during arthroscopic partial acromioplasty to use an electrocautery device for hemostasis and tissue ablation. Although many complications of using an electrothermal device have been described, this is the first published report of a skin burn from direct contact of the device with the spinal needle used for demarcation during acromioplasty. We report this case to highlight the need to take precautions to prevent the metal needles used in arthroscopic surgery from overheating by contact with an ablation device.
在肩部手术中，对不同程度的肩袖疾病患者进行关节镜下肩峰成形术很常见。在此手术过程中，帮助外科医生确定关节镜器械位置的一种方法是将脊椎穿刺针置入肩峰下间隙以划定骨性标志。在关节镜下部分肩峰成形术中，使用电灼装置进行止血和组织切除也很常见。尽管已经描述了使用电热装置的许多并发症，但这是第一份关于在肩峰成形术期间该装置与用于划定标志的脊椎穿刺针直接接触导致皮肤烧伤的发表报告。我们报告此病例以强调需要采取预防措施，防止关节镜手术中使用的金属针因与消融装置接触而过热。
