一例因鹰嘴窝脂肪垫嵌顿导致肘关节后方撞击的关节镜干预病例报告
A Case report of Arthroscopic Intervention for Posterior Elbow Impingement Due to Locking of Fat Pad in the Olecranon Fossa.
作者信息
Pereira Jeevan, Chowdary Rakesh
机构信息
Department of Orthopaedics, Yenepoya Medical College Hospital, Deralakatte, Mangalore, Karnataka, India.
出版信息
J Orthop Case Rep. 2020 Nov;10(8):30-32. doi: 10.13107/jocr.2020.v10.i08.1846.
INTRODUCTION
Posterior impingement of the elbow is not a common finding. Further investigation is ideal if impingement persists in spite of non-operative treatment.
CASE PRESENTATION
A male patient aged 33 years presented to us in the outpatient department with18 months history of impingement. Magnetic resonance confirmed soft-tissue as cause for impingement. Elbow arthroscopy revealed a rent in the olecranon fossa showing the fat pad locked into it. Debridement with arthroscopic shaver made the patient symptom free.
CONCLUSION
Further investigation and minimal invasive elbow arthroscopy is recommended for persistent posterior elbow impingement.
引言
肘部后方撞击并不常见。如果非手术治疗后撞击仍持续存在，进一步检查是理想的选择。
病例报告
一名33岁男性患者因18个月的撞击病史前来我院门诊就诊。磁共振成像证实软组织是撞击的原因。肘关节镜检查发现鹰嘴窝有一处撕裂，可见脂肪垫嵌入其中。使用关节镜刨刀进行清创后，患者症状消失。
结论
对于持续性肘部后方撞击，建议进一步检查并进行微创肘关节镜检查。
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