肱骨外上髁炎关节镜治疗后的异位骨化
Heterotopic Ossification After the Arthroscopic Treatment of Lateral Epicondylitis.
作者信息
Desai Mihir J, Ramalingam Hari, Ruch David S
机构信息
1 Vanderbilt University, Nashville, TN, USA.
2 Duke University, Durham, NC, USA.
出版信息
Hand (N Y). 2017 May;12(3):NP32-NP36. doi: 10.1177/1558944716668844.
BACKGROUND
Heterotopic ossification (HO) is a well-known complication following the surgical treatment of fractures and dislocations about the elbow but it is not commonly discussed as a complication following arthroscopy. We present a case of a young athlete who developed HO after the arthroscopic treatment of lateral epicondylitis.
METHODS
This is a case report chart review of a 24 year old male with lateral epicondylitis. After failing conservative measures, arthroscopic debridement of the extensor carpi radialis brevis (ECRB) origin ensued. The treatment and patient's final disposition were reported.
RESULTS
The patient developed heterotopic ossification of the elbow follow arthroscopic debridement of the ECRB origin. Further surgery was required to excise the heterotopic ossification. Good recovery of motion was achieved.
CONCLUSION
To our knowledge, we present the first case of HO development after elbow arthroscopy for lateral epicondylitis. As the use of elbow arthroscopy continues to grow, there is a need for identification of the risk factors and primary prophylaxis for HO.
背景
异位骨化（HO）是肘部骨折和脱位手术治疗后一种众所周知的并发症，但作为关节镜检查后的并发症却鲜少被讨论。我们报告一例年轻运动员在关节镜治疗外侧上髁炎后发生HO的病例。
方法
这是一份对一名患有外侧上髁炎的24岁男性的病例报告及图表回顾。保守治疗失败后，对桡侧腕短伸肌（ECRB）起点进行了关节镜下清创。报告了治疗情况及患者的最终结局。
结果
患者在ECRB起点关节镜清创后出现肘部异位骨化。需要进一步手术切除异位骨化。实现了良好的活动度恢复。
结论
据我们所知，我们报告了首例肘关节镜治疗外侧上髁炎后发生HO的病例。随着肘关节镜检查的使用不断增加，有必要识别HO的危险因素并进行一级预防。
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