Fournier Matt, Corning Evan, Witt Austin, Lang Sarah, Gilmer Brian B
Tahoe Orthopedic and Sports Medicine, South Lake Tahoe, California, U.S.A.
Mammoth Orthopedic Institute, Mammoth Hospital, Mammoth Lakes, California, U.S.A.
Arthrosc Tech. 2021 May 10;10(6):e1469-e1474. doi: 10.1016/j.eats.2021.02.011. eCollection 2021 Jun.
The range of diagnostic and therapeutic applications of needle arthroscopy (NA) continue to expand due to advances in image quality and resolution. Minimally invasive techniques can be augmented by the smaller camera size and reduced fluid use made possible by NA. Small-bore arthroscopy presents opportunities for use in smaller joints, such as the elbow, where applications of standard arthroscopic equipment may be limited by small anatomic spaces and fluid extravasation. In this Technical Note, we present our technique for NA-assisted treatment of terrible triad injuries, specifically in the setting of an intact radial head. The technique describes a stepwise approach to arthroscopically aided fixation of the coronoid process, followed by open reconstruction of the lateral collateral ligament complex.
由于图像质量和分辨率的提高，针式关节镜检查（NA）的诊断和治疗应用范围不断扩大。NA带来的更小的摄像头尺寸和更少的液体使用量，可增强微创技术。小口径关节镜检查为在较小关节（如肘部）的应用提供了机会，在这些关节中，标准关节镜设备的应用可能会受到狭小解剖空间和液体外渗的限制。在本技术说明中，我们介绍了NA辅助治疗可怕三联征损伤的技术，特别是在桡骨头完整的情况下。该技术描述了一种逐步的方法，通过关节镜辅助固定冠状突，随后开放重建外侧副韧带复合体。
