Chu Kai Man, Lui Tun Hing
Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Tuen Mun, Hong Kong SAR, China.
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong SAR, China.
Arthrosc Tech. 2019 Sep 19;8(10):e1069-e1073. doi: 10.1016/j.eats.2019.05.021. eCollection 2019 Oct.
Subfibular impingement is a common cause of lateral heel pain after calcaneal fracture. It can be caused by calcaneofibular impingement, peroneal impingement, or a combination thereof. It may not be easy to differentiate bony impingement from soft-tissue impingement. Simultaneous lateral calcaneal ostectomy and peroneal tendon decompression may increase the chance of pain relief. The purpose of this Technical Note was to report the technical details of endoscopic lateral calcaneal ostectomy and peroneal tendon decompression with the patient in the prone position. This technique is indicated for symptomatic subfibular impingement recalcitrant to conservative treatment. It has the advantages of being minimally invasive surgery and allowing early mobilization of the foot and ankle.
腓骨下撞击是跟骨骨折后足跟外侧疼痛的常见原因。它可能由跟腓撞击、腓骨肌腱撞击或两者共同引起。区分骨撞击和软组织撞击可能并不容易。同时进行跟骨外侧截骨术和腓骨肌腱减压术可能会增加缓解疼痛的机会。本技术说明的目的是报告在患者俯卧位下进行内镜下跟骨外侧截骨术和腓骨肌腱减压术的技术细节。该技术适用于对保守治疗无效的有症状的腓骨下撞击。它具有微创手术的优点，并允许早期进行足踝活动。
