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胸锁关节关节镜下关节内盘状软骨切除术

Arthroscopic Intra-articular Disk Excision of the Sternoclavicular Joint.

作者信息

Tytherleigh-Strong Graham, Rashid Abbas, Lawrence Christopher, Morrissey David

机构信息

Addenbrooke's Hospital, Cambridge University Hospital Trust, Cambridge, United Kingdom.

出版信息

Arthrosc Tech. 2017 May 15;6(3):e599-e605. doi: 10.1016/j.eats.2017.01.015. eCollection 2017 Jun.

Abstract

The sternoclavicular joint (SCJ) has a complete intra-articular disk that can be damaged either as a result of trauma or as part of ongoing degenerative joint disease. Although often asymptomatic, SCJ disk tears may lead to mechanical symptoms and pain. Previously, isolated symptomatic SCJ disk tears have only occasionally been mentioned in the literature with a few associated case reports of diskectomy by open arthrotomy. With improved imaging and availability of magnetic resonance imaging scans and the advent of SCJ arthroscopy it is now possible to treat symptomatic SCJ disk tears by arthroscopic excision. In this Technical Note, we describe the diagnosis of a torn SCJ disk and the technique of arthroscopic excision of a torn SCJ disk.

摘要

胸锁关节(SCJ)有一个完整的关节内盘,它可能因创伤或作为进行性关节疾病的一部分而受损。虽然通常无症状,但胸锁关节盘撕裂可能导致机械性症状和疼痛。以前,孤立的有症状的胸锁关节盘撕裂在文献中仅偶尔被提及,并有一些关于开放关节切开术行椎间盘切除术的相关病例报告。随着成像技术的改进以及磁共振成像扫描的普及,再加上胸锁关节镜的出现,现在可以通过关节镜切除来治疗有症状的胸锁关节盘撕裂。在本技术说明中,我们描述了胸锁关节盘撕裂的诊断以及关节镜下切除胸锁关节撕裂盘的技术。

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