Bhatia Deepak N
Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, India.
Arthrosc Tech. 2022 May 21;11(6):e1087-e1095. doi: 10.1016/j.eats.2022.02.017. eCollection 2022 Jun.
Elbow bicipitoradial bursitis and partial distal biceps tendon (DBT) tears are a result of chronic overuse or other infective/inflammatory pathology and may be refractory to conservative treatment. The all-endoscopic approach provides minimally invasive access to the bursal space and DBT, and diagnostic and therapeutic procedures can be performed under direct endoscopic vision. The technique uses 2 portals, the proximal parabiceps portal and distal anterior portal, and the bursa is insufflated to create a working space. Tissue biopsies are obtained under direct endoscopic visualization, and debridement along 6 bursal zones can be effectively performed. An endoscopic probe test is demonstrated for assessment of partial DBT tears, and low-grade tears are debrided to stable tissue. The all-endoscopic technique is safe and reproducible, and it is a stepping-stone in the learning curve of all-endoscopic repair and reconstruction of distal biceps ruptures.
肘部肱二头肌桡侧滑囊炎和肱二头肌远端部分肌腱撕裂是慢性过度使用或其他感染性/炎症性病变的结果，可能对保守治疗无效。全内镜方法提供了对滑囊间隙和肱二头肌远端肌腱的微创入路，并且诊断和治疗程序可以在内镜直视下进行。该技术使用2个切口，近端肱二头肌旁切口和远端前切口，并向滑囊内注入气体以创建工作空间。在内镜直视下获取组织活检标本，并可有效沿6个滑囊区域进行清创。展示了一种用于评估肱二头肌远端部分肌腱撕裂的内镜探针测试，低度撕裂的肌腱被清创至稳定组织。全内镜技术安全且可重复，是全内镜修复和重建肱二头肌远端断裂学习曲线中的一个阶段。
