O'Connell Robert S, Craft Jason A
Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, Virginia, U.S.A.
Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
Arthrosc Tech. 2020 Oct 24;9(11):e1831-e1836. doi: 10.1016/j.eats.2020.08.007. eCollection 2020 Nov.
Endoscopic repair of hip abductor tendons has been shown to have equivalent outcomes and lower complication rates compared with open repair. First reported in 2007, endoscopic repair has become more frequent, with multiple techniques previously described. Frequently, hip abductor tears involve a partial-thickness undersurface component that has been previously addressed endoscopically by making a longitudinal split in the tendon to access the diseased tissue. However, we present a technique for addressing these undersurface tears in situ, accessing the undersurface of the tear by coming under the distal anterior edge of the gluteus medius tendon.
与开放修复相比,髋关节外展肌腱的内镜修复已被证明具有同等疗效且并发症发生率更低。内镜修复于2007年首次报道,目前已变得更为常见,此前已有多种技术被描述。髋关节外展肌撕裂常常累及肌腱下表面的部分厚度损伤,以前通过在肌腱上做纵向切口以进入病变组织的方式进行内镜处理。然而,我们介绍一种原位处理这些下表面撕裂的技术,即通过臀中肌腱远端前缘下方进入撕裂的下表面。