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关节镜下桡侧腕屈肌腱纤维骨性鞘管切开术和神经节切除术。

Arthroscopic Tenovaginotomy and Ganglion Excision of the Flexor Carpi Radialis Fibro-Osseous Tendon Sheath.

机构信息

Pacific Hand Surgery Center, Tamuning, Guam.

出版信息

Tech Hand Up Extrem Surg. 2020 May 22;25(1):20-24. doi: 10.1097/BTH.0000000000000296.

DOI:10.1097/BTH.0000000000000296
PMID:32453273
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8055192/
Abstract

The treatment of flexor carpi radialis (FCR) tendon stenosing tenosynovitis recalcitrant to nonsurgical intervention has been open or blind tenovaginotomy of the volar trapezial fibro-osseous sheath of the FCR tendon. The surgical literature has not reported arthroscopic tenovaginotomy of the FCR fibro-osseous tendon sheath with or without associated ganglia. This report describes a technique of arthroscopic tenovaginotomy for stenosing tenosynovitis of the FCR tendon at the trapezial fibro-osseous sheath with or without excision of any associated ganglion through a not previously described new volar radial trapezial arthroscopic portal.

摘要

经保守治疗无效的桡侧腕屈肌腱狭窄性腱鞘炎，可选择切开或盲切腕横韧带掌侧纤维骨性鞘管。既往文献报道的开放或关节镜下切开腕横韧带掌侧纤维骨性鞘管治疗桡侧腕屈肌腱狭窄性腱鞘炎，常合并或不合并腱鞘囊肿切除。本文描述了一种新的经掌侧桡骨茎突入路关节镜下切开腕横韧带掌侧纤维骨性鞘管治疗桡侧腕屈肌腱狭窄性腱鞘炎的方法，可同时切除或不切除相关腱鞘囊肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/716b61eccd26/bth-25-20-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/ddb7bc215d4f/bth-25-20-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/81e4e50f4513/bth-25-20-g002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/18d6e15e626f/bth-25-20-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/b7099f8c1c4d/bth-25-20-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/94e35062ce60/bth-25-20-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/d73033cdf12f/bth-25-20-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/bf8c2ba42b61/bth-25-20-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/716b61eccd26/bth-25-20-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/ddb7bc215d4f/bth-25-20-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/81e4e50f4513/bth-25-20-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/9b62e1cd7a50/bth-25-20-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/18d6e15e626f/bth-25-20-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/b7099f8c1c4d/bth-25-20-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/94e35062ce60/bth-25-20-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/d73033cdf12f/bth-25-20-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/bf8c2ba42b61/bth-25-20-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b83/8055192/716b61eccd26/bth-25-20-g009.jpg

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本文引用的文献

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Endoscopic Ganglionectomy of the Volar Radial Wrist Ganglion.桡侧腕掌侧腱鞘囊肿的内镜下腱鞘切除术
Arthrosc Tech. 2017 Sep 4;6(5):e1477-e1480. doi: 10.1016/j.eats.2017.06.001. eCollection 2017 Oct.
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A simple blind tenolysis for flexor carpi radialis tendinopathy.一种用于桡侧腕屈肌腱病的简易盲法肌腱松解术。
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Volar wrist ganglion excision through the flexor carpi radialis sheath.经桡侧腕屈肌腱鞘行掌侧腕部腱鞘囊肿切除术
Tech Hand Up Extrem Surg. 2012 Sep;16(3):145-7. doi: 10.1097/BTH.0b013e31825ae1ba.
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