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超声引导下病灶内注射亚甲蓝用于关节镜下减压治疗引起肩胛上神经病变的肩胛下切迹囊肿

Ultrasound-Guided Intralesional Methylene Blue Injection for the Arthroscopic Decompression of Spinoglenoid Notch Cyst Causing Suprascapular Neuropathy.

作者信息

Buyukdogan Kadir, Altintas Burak, Koyuncu Özgür, Eren İlker, Birsel Olgar, Fox Michael, Demirhan Mehmet

机构信息

Department of Orthopedics and Traumatology, Koç University Hospital, Istanbul, Turkey.

Hospital for Special Surgery, New York, NY, U.S.A.

出版信息

Arthrosc Tech. 2020 Nov 20;9(11):e1785-e1789. doi: 10.1016/j.eats.2020.07.025. eCollection 2020 Nov.

DOI:10.1016/j.eats.2020.07.025
PMID:33294341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7695623/
Abstract

Symptomatic spinoglenoid ganglion cyst is a rare cause of shoulder pain and disability. Surgical treatment, which may be considered after failed nonoperative treatment, includes open or arthroscopic cyst debridement. Arthroscopic treatment is less invasive and has the advantage of addressing intraarticular pathologies; however, exposure of the cyst may be deemed difficult. Furthermore, the suprascapular nerve is susceptible to iatrogenic injury owing to its close proximity to the posterior glenoid rim. The purpose of this article is to present our technique for arthroscopic spinoglenoid cyst decompression after preoperative ultrasound-guided methylene blue injection.

摘要

症状性肩胛上神经节囊肿是肩部疼痛和功能障碍的罕见原因。手术治疗可在非手术治疗失败后考虑,包括开放或关节镜下囊肿清创术。关节镜治疗侵入性较小,具有处理关节内病变的优势;然而,囊肿的暴露可能被认为困难。此外,肩胛上神经因其紧邻关节盂后缘而容易受到医源性损伤。本文的目的是介绍我们在术前超声引导下注射亚甲蓝后进行关节镜下肩胛上囊肿减压的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/53b676823e92/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/42bd46e096f5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/d65882538130/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/22b055656509/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/53b676823e92/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/42bd46e096f5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/d65882538130/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/22b055656509/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293c/7695623/53b676823e92/gr4.jpg

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本文引用的文献

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2
Arthroscopic Management of SLAP Lesions With Concomitant Spinoglenoid Notch Ganglion Cysts: A Systematic Review Comparing Repair Alone to Repair With Decompression.关节镜治疗伴有棘上韧带骨间沟神经节囊肿的 SLAP 病变:单独修复与修复加减压的系统评价比较。
Arthroscopy. 2018 Jul;34(7):2247-2253. doi: 10.1016/j.arthro.2018.01.031. Epub 2018 Feb 28.
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Paralabral cysts of the shoulder treated with isolated labral repair: effect on pain and radiologic findings.
用于肩胛下肌囊肿的经旋转袖入路:技巧与陷阱
Arthrosc Tech. 2022 Nov 17;11(12):e2249-e2253. doi: 10.1016/j.eats.2022.08.033. eCollection 2022 Dec.
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Outcome After Arthroscopic Decompression of Inferior Labral Cysts Combined With Labral Repair.关节镜下减压治疗下盂唇囊肿并联合盂唇修复后的疗效
Arthroscopy. 2015 Jun;31(6):1060-8. doi: 10.1016/j.arthro.2015.01.008. Epub 2015 Mar 11.
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Suprascapular nerve entrapment isolated to the spinoglenoid notch: surgical technique and results of open decompression.肩胛上神经在肩胛切迹处卡压:手术技术和开放减压的结果。
J Shoulder Elbow Surg. 2013 Nov;22(11):e1-8. doi: 10.1016/j.jse.2013.03.009. Epub 2013 May 8.
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Suprascapular neuropathy.肩胛上神经病变。
J Bone Joint Surg Am. 2010 Oct 6;92(13):2348-64. doi: 10.2106/JBJS.I.01743.
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Arthroscopic decompression of the suprascapular nerve at the spinoglenoid notch and suprascapular notch through the subacromial space.通过肩峰下间隙在肩胛下切迹和肩胛上切迹处对肩胛上神经进行关节镜减压。
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