关节镜下梨状肌松解术——一种坐骨神经减压技术
Arthroscopic Piriformis Release-A Technique for Sciatic Nerve Decompression.
作者信息
Pierce Todd P, Pierce Casey M, Issa Kimona, McInerney Vincent K, Festa Anthony, Scillia Anthony J
机构信息
Department of Orthopaedics, School of Health and Medical Sciences, Seton Hall University, South Orange, New Jersey, U.S.A.
出版信息
Arthrosc Tech. 2017 Feb 6;6(1):e163-e166. doi: 10.1016/j.eats.2016.09.012. eCollection 2017 Feb.
Abstract
Various techniques for piriformis muscle release have been published previously. However, it is imperative we continue to improve on existing techniques as well as develop new ones that may further optimize outcomes. Therefore, we aimed to describe an endoscopic technique for the release of the piriformis muscle in those with symptoms of sciatic nerve compression. Using the posterolateral portal, we are able to perform a complete release of the piriformis from the greater trochanter and the piriformis fossa with care to protect the external rotators and the sciatic nerve. It is our belief that this technique can be easily replicated by practitioners who read this technical note.
摘要
先前已经发表了各种梨状肌松解技术。然而，我们必须继续改进现有技术，并开发可能进一步优化治疗效果的新技术。因此，我们旨在描述一种用于松解有坐骨神经受压症状患者梨状肌的内镜技术。通过后外侧入路，我们能够小心地从大转子和梨状肌窝完全松解梨状肌，同时保护外旋肌和坐骨神经。我们相信，阅读本技术说明的从业者能够轻松复制这种技术。
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