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局部麻醉下使用纳米内窥镜行经皮关节囊松解术治疗粘连性关节囊炎——病例报告

Percutaneous Capsule Release in Adhesive Capsulitis with Nanoscope under Local Anesthesia - Case Report.

作者信息

Yadoji Hari Krishna, Bodanki Chandrasekhar, Reddy Sama Anoop, Reddy A V Gurava

机构信息

Department of Arthroscopy and Shoulder Surgery, Sunshine Hospital, Secunderabad, Telangana, India.

出版信息

J Orthop Case Rep. 2023 Jul;13(7):126-129. doi: 10.13107/jocr.2023.v13.i07.3780.

DOI:10.13107/jocr.2023.v13.i07.3780
PMID:37521392
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10379252/
Abstract

INTRODUCTION

Adhesive capsulitis or frozen shoulder is a painful condition. With advent of newer and newer technology, minimally invasive surgeries are being tried in all kinds of surgeries. Nanoscope is one such invention that lead to the idea of percutaneous arthroscopy. The aim of this case report is to emphasize the role of nanoscope under local anesthesia in treatment of adhesive capsulitis.

CASE REPORT

A 45-year-old male presented with a history of restricted movements in the right shoulder for 1 year. On clinical examination, rotator cuff strength was under normal limits, his forward elevation was 100°, lateral elavation was 90°, external rotation - 45°, abduction external rotation 30°, and abduction internal rotation 40°. X-ray shoulder was normal. MRI shoulder was showing features of adhesive capsulitis.

CONCLUSION

Percutaneous arthroscopic capsular release with nanoscope under local anesthesia is a safe and cost-effective procedure. With minimal infrastructure, it can be developed into an outpatient procedure. The advantages of this percutaneous technique over conventional arthroscopic release needs further studies.

摘要

引言

粘连性关节囊炎或冻结肩是一种疼痛性疾病。随着技术的不断更新，各种手术都在尝试微创手术。纳米内窥镜就是这样一项发明，它催生了经皮关节镜检查的想法。本病例报告的目的是强调纳米内窥镜在局部麻醉下治疗粘连性关节囊炎中的作用。

病例报告

一名45岁男性，有右肩活动受限1年的病史。临床检查时，肩袖肌力在正常范围内，前屈角度为100°，外展角度为90°，外旋45°，外展外旋30°，外展内旋40°。肩部X线检查正常。肩部MRI显示粘连性关节囊炎的特征。

结论

在局部麻醉下使用纳米内窥镜进行经皮关节镜下关节囊松解术是一种安全且经济有效的手术。只需最少的基础设施，就可以发展成为门诊手术。这种经皮技术相对于传统关节镜松解术的优势需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/80f8214eb0c7/JOCR-13-126-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/1d66324064f1/JOCR-13-126-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/713bc9efafbd/JOCR-13-126-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/504410caf839/JOCR-13-126-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/225bff000b84/JOCR-13-126-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/146ee79a6938/JOCR-13-126-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/80f8214eb0c7/JOCR-13-126-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/1d66324064f1/JOCR-13-126-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/713bc9efafbd/JOCR-13-126-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/504410caf839/JOCR-13-126-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/225bff000b84/JOCR-13-126-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/146ee79a6938/JOCR-13-126-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeeb/10379252/80f8214eb0c7/JOCR-13-126-g006.jpg

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Nanoscopic Distal Clavicle Resection.纳米级远端锁骨切除术。
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