Poehling G G, Whipple T L, Sisco L, Goldman B
Section of Orthopedic Surgery, Wake Forest University Medical Center, Winston-Salem, North Carolina.
Arthroscopy. 1989;5(3):222-4. doi: 10.1016/0749-8063(89)90176-x.
Elbow arthroscopy is a useful diagnostic and therapeutic tool for the orthopedic surgeon. In the standard technique, the patient is positioned supine with the arm suspended overhead and an anterolateral portal is used. We have modified this technique by placing the patient in a prone position and using a proximal medial portal. Use of the prone position improves scope mobility, facilitates joint manipulation, and provides more complete intraarticular visualization. This technique simplifies the treatment of a wide variety of elbow pathology, including loose bodies, osteochondritis dissecans, persistent synovitis, suspected cartilaginous lesions, posterior osteophytes, selected radial head fractures, and chronically undiagnosed painful elbows.
肘关节镜检查对于骨科医生来说是一种有用的诊断和治疗工具。在标准技术中，患者仰卧，手臂悬吊于头顶上方，并使用前外侧入路。我们对该技术进行了改进，让患者俯卧并使用近端内侧入路。采用俯卧位可提高关节镜的活动度，便于关节操作，并能提供更完整的关节内视野。该技术简化了多种肘关节病变的治疗，包括游离体、剥脱性骨软骨炎、持续性滑膜炎、疑似软骨损伤、后侧骨赘、特定的桡骨头骨折以及长期未明确诊断的疼痛性肘关节。
