经皮超声肌腱切断术治疗开放式手术松解失败后难治性伸指总肌腱病：两例报告。
Percutaneous Ultrasonic Tenotomy for Refractory Common Extensor Tendinopathy After Failed Open Surgical Release: A Report of Two Cases.
机构信息
Department of Physical Medicine and Rehabilitation, Temple University Hospital, Philadelphia, PA.
Department of Physical Medicine and Rehabilitation, Department of Sports Medicine, Swedish Rehabilitation and Performance Medicine, Swedish Medical Group, 1600 E. Jefferson St. Ste 300, Seattle, WA 98112.
出版信息
PM R. 2018 Mar;10(3):313-316. doi: 10.1016/j.pmrj.2017.07.077. Epub 2017 Aug 5.
UNLABELLED
Common extensor tendinopathy (CET) is a common, painful overuse and degenerative condition of the lateral elbow, affecting an estimated 2 million patients per year. Although many cases resolve with conservative treatment, recalcitrant cases may progress to open surgical intervention. For patients who do not improve with surgical management, treatment options are extremely limited. In this article, we present 2 cases of recalcitrant surgically treated CET successfully treated with sonographically guided percutaneous ultrasonic tenotomy with 1-year follow-up. To our knowledge, this is the first publication demonstrating successful treatment of recalcitrant CET after open surgical repair, with the use of ultrasonic tenotomy.
LEVEL OF EVIDENCE
V.
未加标签
常见伸肌肌腱病（CET）是一种常见的、痛苦的肘部外侧过度使用和退行性疾病，估计每年影响 200 万患者。尽管许多病例通过保守治疗可缓解，但顽固病例可能进展为开放性手术干预。对于手术治疗后仍未改善的患者，治疗选择极为有限。在本文中，我们介绍了 2 例经超声引导经皮超声肌腱切断术治疗的顽固性 CET 病例，随访时间为 1 年。据我们所知，这是第一篇报道证明在开放性手术修复后，使用超声肌腱切断术成功治疗顽固性 CET 的文章。
证据水平
V。
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