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经距下关节前外侧和中跗关节背外侧入路行关节镜下跟骨过长前突切除术、距下关节前滑膜切除术、跗骨窦清创术及距下关节后粘连松解术

Arthroscopic Resection of Too-Long Anterior Process (TLAP) of the Calcaneus, Anterior Subtalar Synovectomy, Debridement of the Sinus Tarsi, and Posterior Subtalar Adhesiolysis Via Anterolateral Subtalar and Dorsolateral Midtarsal Portals.

作者信息

Lui Tun Hing, Pan Xiaohua, Chan Chi Kit

机构信息

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.

Shenzhen University, Shenzhen, China.

出版信息

Arthrosc Tech. 2021 Sep 14;10(10):e2259-e2264. doi: 10.1016/j.eats.2021.06.001. eCollection 2021 Oct.

DOI:10.1016/j.eats.2021.06.001
PMID:34754732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8556585/
Abstract

Lateral heel pain can have numerous causes and many of them are intra-articular pathologies of the anterior and posterior subtalar joint. Frequently, there is not a single pathology that account for the lateral heel pain and combination of different pathologies can occur. Symptomatic too-long anterior process of the calcaneus, sinus tarsi syndrome, and subtalar arthrofibrosis can be precipitated by repeated sprain. Cases recalcitrant to conservative treatment are indicated for surgery. The purpose of this Technical Note is to report a 2-portal arthroscopic approach to address these pathologies.

摘要

足跟外侧疼痛可能有多种原因，其中许多是距下关节前后关节内的病变。通常，并非单一病变导致足跟外侧疼痛，不同病变可能合并出现。跟骨过长的前突、跗骨窦综合征和距下关节纤维性关节病可由反复扭伤引发。保守治疗无效的病例适合手术治疗。本技术说明的目的是报告一种双入路关节镜手术方法来处理这些病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/a81db754d9dd/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/9ba25fd62bfb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/ca6a4db63a46/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/ad0ef61b218e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/69d5269ce34b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/0bf1ef294b2a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/a81db754d9dd/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/9ba25fd62bfb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/ca6a4db63a46/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/ad0ef61b218e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/69d5269ce34b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/0bf1ef294b2a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/8556585/a81db754d9dd/gr6.jpg

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Arthroscopic and Endoscopic Management of Posttraumatic Hindfoot Stiffness.创伤后后足僵硬的关节镜和内镜治疗
Indian J Orthop. 2018 May-Jun;52(3):304-308. doi: 10.4103/ortho.IJOrtho_337_17.
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Arthroscopic Resection of Too-Long Anterior Process of the Calcaneus.关节镜下切除过长的跟骨前突
Arthrosc Tech. 2016 Oct 17;5(5):e1179-e1183. doi: 10.1016/j.eats.2016.07.003. eCollection 2016 Oct.
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Subtalar arthroscopy: When, why and how.距下关节镜检查：时机、原因及方法
World J Orthop. 2015 Jan 18;6(1):56-61. doi: 10.5312/wjo.v6.i1.56.
5
Arthroscopic resection of calcaneonavicular coalition/malunion via a modified sinus tarsi approach: an early case series.经改良跗骨窦入路关节镜下切除跟舟骨联合/畸形愈合：一项早期病例系列研究。
Foot Ankle Surg. 2012 Dec;18(4):266-9. doi: 10.1016/j.fas.2012.04.002. Epub 2012 May 9.
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Arthroscopic treatment of calcaneonavicular coalition in children.关节镜下治疗儿童距跟骨桥
Orthop Traumatol Surg Res. 2011 Sep;97(5):565-8. doi: 10.1016/j.otsr.2011.03.017. Epub 2011 Jun 22.
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Endoscopic excision of symptomatic nonunion of anterior calcaneal process.有症状的跟骨前突不愈合的内镜下切除术。
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Arthroscopic debridement of the talonavicular joint using dorsomedial and dorsolateral portals: a cadaveric study of safety and access.关节镜下经跗骨窦入路清理距舟关节：尸体安全性和入路研究
Arthroscopy. 2011 Feb;27(2):228-34. doi: 10.1016/j.arthro.2010.07.017. Epub 2010 Oct 27.
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