D'Hooghe P, Krivokapic B, Dzendrowskyj P, Hassoun K, Bukva B, Landreau P
Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sportsmedicine Hospital, Aspire Zone, Sportscity Street 1, PoBox 29222, Doha, Qatar.
Knee Surg Sports Traumatol Arthrosc. 2017 Jun;25(6):1873-1877. doi: 10.1007/s00167-017-4434-9. Epub 2017 Feb 22.
This study shows that endoscopy is an effective treatment modality for athletes with a symptomatic calcaneal lipoma.
Between 2013 and 2016, five professional athletes with symptomatic calcaneal lipoma underwent endoscopic-assisted curettage and bone graft treatment. Lipoma size was measured by magnetic resonance imaging (MRI) and rated using the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS). All athletes were followed up for 12 months postoperatively and monitored on return to previous activity level.
The mean ankle-hindfoot scale score improved from a preoperative 71.3 +/-3.9 points (median 67-81) to a postoperative 97.8 +/-3.4 points (median 89-100). Radiological assessment revealed no recurrence or pathologic fracture, with adequate bone fill-up in all 5 cases. All athletes returned to their previous level of activity within 8 weeks of surgery (mean period 7.2 weeks, median 5-8 weeks).
Endoscopic surgery can be used as a valid treatment tool for athletes with a calcaneal lipoma. It allows for a safe and early return to sports activities and minimises risk for recurrence and pathological fracture after initial return to play.
IV.
本研究表明，内镜检查是治疗有症状的跟骨脂肪瘤运动员的一种有效治疗方式。
2013年至2016年期间，5名有症状的跟骨脂肪瘤职业运动员接受了内镜辅助刮除术和骨移植治疗。通过磁共振成像（MRI）测量脂肪瘤大小，并使用美国矫形足踝协会踝 - 后足评分量表（AOFAS）进行评分。所有运动员术后随访12个月，并监测其恢复到先前活动水平的情况。
踝 - 后足量表平均评分从术前的71.3±3.9分（中位数67 - 81）提高到术后的97.8±3.4分（中位数89 - 100）。影像学评估显示无复发或病理性骨折，所有5例均有足够的骨填充。所有运动员在术后8周内（平均7.2周，中位数5 - 8周）恢复到先前的活动水平。
内镜手术可作为治疗跟骨脂肪瘤运动员的有效治疗工具。它能使运动员安全且早期恢复体育活动，并将初次恢复运动后复发和病理性骨折的风险降至最低。
IV级。
