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开放性腘肌腱修复术

Open Popliteal Tendon Repair.

作者信息

Arner Justin W, Johannsen Adam M, Ruzbarsky Joseph J, Godin Jonathan A

机构信息

The Steadman Clinic, Vail, Colorado, U.S.A.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

出版信息

Arthrosc Tech. 2021 Jan 30;10(2):e499-e505. doi: 10.1016/j.eats.2020.10.031. eCollection 2021 Feb.

Abstract

Popliteal tendon tears without concomitant damage to the cruciate ligaments or other posterolateral corner ligaments are rare entities with few studies reporting on their existence, with rare case reports discussing their treatment. Continued pain, instability, and effusions are typical symptoms, with magnetic resonance imaging being the main tool for diagnosis. Furthermore, monosodium urate crystals that induce gout have been shown to collect in the popliteal groove and thus may lead to degeneration and isolated tearing. Most case reports have reviewed arthroscopic debridement of the tendon in patients with continued pain. However, in the young athletic population, open repair, if the tissue appears to be of adequate quality, should be a consideration. The use of suture anchors to restore the popliteus to its anatomic footprint is desired. This Technical Note describes a safe and reliable technique for open popliteal tendon repair of an isolated avulsion injury.

摘要

在不伴有交叉韧带或其他后外侧角韧带损伤的情况下,腘肌腱撕裂是一种罕见的情况,关于其存在的研究很少,仅有罕见的病例报告讨论其治疗方法。持续疼痛、不稳定和积液是典型症状,磁共振成像(MRI)是主要的诊断工具。此外,已证明诱发痛风的尿酸钠晶体可聚集在腘窝沟内,从而可能导致退变和孤立性撕裂。大多数病例报告回顾了持续疼痛患者的关节镜下肌腱清创术。然而,在年轻的运动员群体中,如果组织质量似乎足够,开放修复应作为一种选择。使用缝线锚钉将腘肌恢复到其解剖位置是理想的。本技术说明描述了一种用于孤立性撕脱伤的开放性腘肌腱修复的安全可靠技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddee/7917227/62e4317fc8e5/gr1.jpg

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