编辑评论：危险地带：肘后内侧区——不要自找麻烦！关节炎肘的关节镜处理。

Editorial Commentary: Danger Zone: The Posteromedial Elbow: Don't Go Looking for Trouble and It Won't Find You! Arthroscopic Management of the Arthritis Elbow.

机构信息

Tulane University.

出版信息

Arthroscopy. 2017 Aug;33(8):1512-1513. doi: 10.1016/j.arthro.2017.05.003.

DOI:10.1016/j.arthro.2017.05.003

Abstract

Arthroscopy for elbow arthritis has been used by this author for 30 years. There are many benefits to arthroscopic management of the arthritic elbow. A complete understanding of the pathology is essential to correct surgical management. Excision of spurs and osteophytes, deepening of the coronoid or olecranon fossa, removal of loose bodies, and synovectomy are essential. Arthritis is usually not a capsular problem, so the releases needed for post-traumatic ankylosis takedown are not usually necessary in the arthritic elbow.

摘要

这位作者使用关节镜治疗肘部关节炎已有 30 年了。关节镜治疗关节炎性肘部有许多好处。正确的手术治疗需要对病理有全面的了解。切除骨刺和骨赘，加深冠突或鹰嘴窝，清除游离体，滑膜切除是必要的。关节炎通常不是囊的问题，因此对于外伤性强直松解所需的释放，在关节炎性肘部通常不是必需的。