Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.
Arthrosc Tech. 2016 Oct 17;5(5):e1179-e1183. doi: 10.1016/j.eats.2016.07.003. eCollection 2016 Oct.
A too-long anterior process (TLAP) of the calcaneus is an elongated anteromedial process of the calcaneus impinging the navicular or the talar head. TLAP can cause recurrent ankle sprain, peroneal muscle spasm, or persistent tarsal pain in adolescents. Arthroscopic resection is indicated if the symptoms do not respond to conservative treatment. It has the advantage of assessment of completeness of bone resection and treatment of associated lesions of the adjacent joints. The purpose of this technical note is to report an arthroscopic approach of the resection of the TLAP with the lateral midtarsal portal as the viewing portal.
跟骨过长的前突(TLAP)是跟骨的一个细长的前内侧突起,会压迫舟骨或距骨头。TLAP可导致青少年反复出现踝关节扭伤、腓骨肌痉挛或持续性跗骨疼痛。如果症状对保守治疗无反应,则建议进行关节镜下切除术。它具有评估骨切除完整性和治疗相邻关节相关病变的优势。本技术说明的目的是报告一种以中跗外侧入路作为观察入路的关节镜下TLAP切除术。