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肘关节镜检查:适应证、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

机构信息

Assistant Professor, Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota.

出版信息

Instr Course Lect. 2015;64:215-24.

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. To achieve favorable outcomes after elbow arthroscopy, the surgeon should be aware of contraindications, technical considerations, anatomic principles, and the need for proper patient positioning and portal selection. Elbow arthroscopy is an effective procedure for the treatment of inflammatory arthritis, osteoarthritis, and lateral epicondylitis.

摘要

肘关节镜是治疗各种肘关节病变的一种有用工具。肘关节镜的主要适应证包括化脓性肘关节关节炎的清创、炎性关节炎的滑膜切除术、骨关节炎的清创、游离体取出、挛缩松解、骨软骨缺损及特定骨折或不稳定的治疗以及网球肘松解。为了在肘关节镜检查后取得良好效果,外科医生应了解禁忌证、技术要点、解剖学原理以及正确的患者体位和入路选择的必要性。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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