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关节镜下 Broström 术与经皮内窥镜下上支持带修复同期治疗合并的外踝和腓骨肌腱不稳定:病例报告。

Concomitant Lateral Ankle and Peroneal Tendon Instability Treated With Simultaneous Arthroscopic Broström and Tendoscopic Superior Peroneal Retinaculum Repair: A Case Report.

机构信息

Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China.

出版信息

J Foot Ankle Surg. 2021 Jul-Aug;60(4):850-855. doi: 10.1053/j.jfas.2021.01.005. Epub 2021 Feb 9.

Abstract

Chronic lateral ankle instability is a prevalent condition, and it is commonly associated with other foot and ankle injuries. Among the associated injuries, peroneal tendon pathologies and anterolateral ankle impingement are frequently encountered. In this report, a case of concomitant chronic lateral ankle instability and dislocation of the peroneal tendons is described. While this combination of injuries is not uncommon, the method of treatment entailed arthroscopic repair of the anterior talofibular ligament and endoscopic repair of the superior peroneal retinaculum, procedures that eliminated the anterior drawer instability that had been present, and the patient remained symptom free after 24 months of follow-up.

摘要

慢性外侧踝关节不稳定是一种常见的病症,常与其他足部和踝关节损伤相关。在这些相关损伤中,腓骨肌腱病变和前外侧踝关节撞击症较为常见。本报告描述了一例同时存在慢性外侧踝关节不稳定和腓肠肌腱脱位的病例。尽管这种损伤组合并不罕见,但治疗方法包括关节镜下修复前距腓韧带和内窥镜下修复上腓骨支持带,这些手术消除了先前存在的前抽屉不稳定,患者在 24 个月的随访后无任何症状。

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